Overview

The 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.

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.

Doctoring Phase Clerkships, Academic Year 2020/21

*Longitudinal runs the ENTIRE academic year; however, students will be enrolled during spring term; final grade assigned end of spring term on transcript

Legacy Year - 4 Clerkships & Electives AY 2024/25

• Sub-I Elective: An intensive, PGY1 type experience.
• 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.

Fourth year Requirements:

• 4 weeks Emergency Medicine clerkship
• 30 weeks of electives, including:
  1. One sub-internship in either Family Medicine, Internal Medicine, Pediatrics, Surgery, OB/GYN, or other core clerkship
  2. Maximum of 1 longitudinal 4-week elective
  3. Maximum 8 weeks (2 blocks) of non-clinical electives
  4. Maximum 12 weeks (3 blocks) of identical electives
  5. Maximum 16 weeks (8 blocks) of 2-week electives
  6. Maximum 20 weeks (5 blocks) of out-of-town electives