Curriculum

Biennium II Overview

medical student learning in a clinical environmentThe concluding two years are almost entirely devoted to learning clinical medicine. In our region there are many hospitals and clinics where our full time and voluntary faculty both practice and teach and supervise medical students and residents. All third-year and the two required fourth-year clerkships must occur at our affiliated hospitals whereby the school’s faculty can supervise a student’s progress. Required clerkships cannot be taken at other medical schools. Duty hours will not exceed 80 hours per week averaged over a four-week period, and each student must attest compliance with this requirement at the end of each clerkship.

All clerkships have a set of learning objectives that are congruent with the School's Educational Objectives and an assessment system. Faculty evaluate student performance in a standardized web-based format at the end of each clerkship; however, there is also a mid-clerkship formative evaluation process. All clerkships require the National Board of Medical Examiners (NBME) Shelf Exam as part of the final grade. All students must complete the School’s Fourth Year Objective Structured Clinical Examination (OSCE) within three months of finishing the third year. The USMLE Step 2 Clinical Knowledge examination should be taken during this time frame as well.

Year 3 begins in July and lasts 12 months. Students will receive four weeks of vacation during the year. By the end of the third year, all students are expected to have demonstrated the ability to:

  • Establish rapport with patients and their families and co-workers.
  • Obtain a complete medical history using the appropriate departmental format.
  • Perform a complete physical exam using the appropriate departmental format.
  • Recommend appropriate diagnostic studies.
  • Interpret diagnostic studies.
  • Synthesize data from the medical history, physical exam, and diagnostic studies.
  • Develop a differential diagnosis.
  • Develop management plans.

Year-3 Clerkships

Course No.

Clerkship

Weeks

Grading

Credit

Director

FMD 700

Family Medicine

6

P/F & %

12

Conway

MED 700

Internal Medicine

12*

P/F & %

24

Overman

WHO 700

Women's Health

8

P/F & %

16

Barhan

PED 700

Pediatrics

8

P/F & %

16

Taylor

PYC 700

Psychiatry

6

P/F & %

12

Mast

SUR 700

Surgery

8

P/F & %

16

Roelle

 

Totals

48

 

96

 

Year 4 begins in August and lasts 10 months. During this period, students may choose two months for vacation and visiting potential residency program sites. During the remaining eight months, the required and elective rotations will be completed.

Year-4 Clerkships & Electives

Course No.

Clerkship

Weeks

Grading

Credit

Director

EMD 891

Emergency Medicine

4

P/F & %

8

Poznanski

NRL 891

Clinical Neurology

2*

P/F

8

Milling

 

Surgical Elective

4

P/F & %

8

 

 

Sub-Internship

4

P/F & %

8

 

 

Non-Surgical & Electives

20

H/P/ F

32

 

 

Totals

36

 

64

 

* The first two weeks of Clinical Neurology are included in the 12-week Internal Medicine Year 3 clerkship.

  • Sub-I Elective: An intensive, PGY1 type experience. Must be within the eight core clerkship departments
  • Surgical Elective: Required Sub-I does not fulfill this requirement.
  • Non-Surgical & Electives: Minimum two must be “clinically oriented” (direct patient contact is not required), e.g. radiology, anatomic pathology. Non-clinical electives include: research, GHI, medical education, or classroom-based academic electives. Required Sub-I does not fulfill this requirement.
Requirements

In the fourth year, all students are required to take:

  1. One month Emergency Medicine clerkship
  2. Two weeks Neuroscience clerkship
  3. Seven months of electives, including:
    1. A sub-internship in one of the six core specialties
    2. One month of Surgery (orthopedic surgery also fulfills this requirement; however, a sub-internship in surgery does not fulfill this requirement)
Last edited on 07/31/2015.