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Medicine 3 & 4

Med 3 Curriculum

During the third year you'll move full-time into your clinical training. You'll spend the next 12 months in the following areas:

Ambulatory Care Clerkship 1: Students attend case-based presentations each Monday morning of the Ambulatory rotation and paired 4 week elective rotation. The remainder of the rotation time is spent in office with a Family Medicine community preceptor.

  • Family Medicine (4 weeks)

Clinical Skills Immersion Experience: Students walk away with the ability to observe, assist, perform with supervision, perform without supervision, and perform with simulation a variety of common medical procedures. clinical skills

  • Common invasive procedures (1.5 weeks)

Med-3 Elective

  • Selective experience in the specialty of your choice (4 weeks)

Internal Medicine: The course is designed to help students develop the basic skills of medical problem solving, case management, and professional demeanor. Some will focus on data acquisition (medical history, physical examination, laboratory data, or literature review), while others deal with purely psychomotor skills or attitudes and feelings.

    • General Medicine (2 weeks)
    • Cardiology (2 weeks)
    • Sub-Specialty (2 weeks)
    • Night Float or a Consult Service (2 weeks)

Obstetrics and Gynecology

    • Labor and Delivery (2 weeks)
    • Benign Gynecology (2 weeks)
    • Gynecologic Oncology (2 weeks)

Neurology: (4 weeks) To teach or reinforce the principles and skills underlying the recognition and management of the neurologic diseases a general practitioner is most likely to encounter in practice.

Pediatrics: This clerkship uses the COMSEP (Council on Medical Student Education in Pediatrics) Curriculum with a few adaptations. The curriculum specifies objectives and competencies. The kinds of patients to be seen and the clinical settings are determined from those objectives and competencies. Many of the objectives are met by individual study and didactic teaching since an individual student may not SEE and CARE FOR patients with all the acute and chronic conditions included

  • Ambulatory (2 weeks)
  • Inpatient General Medicine (2 weeks)
  • Sub-Specialty (4 weeks)

Psychiatry: (4 weeks)

Surgery: While on the Surgery Clerkship, students will work-up, write-up and present five to seven new patients per week. The recommended number of patients for any third-year student to follow at any point is six. For these patients, the student will write progress notes, visit the patient pre- and post-operatively, attend operations, and perform minor procedures. Major disease states/conditions students are expected to encounter on while on the Clerkship include the acute abdomen, trauma (MVA, hemorrhagic shock, burn, blunt and penetrating trauma), malignancy/oncology, vascular, plastic, urological conditions, pancreatitis, gallstones, cardiothoracic, orthopaedics, pediatric surgery, transplantation, and minimally invasive and bariatric surgery.

  • General Surgery Service (4 weeks)
  • Sub-Specialty (4 weeks)

Med 4 Curriculum Overview

The 4th year of the medical curriculum is composed of eleven months (July-May). During those eleven months students are required to complete eight curricular credits. Each of those curricular requirements demand approximately 150 hours of activity, and are organized predominantly as one-month rotations. The requirements are divided into categories as follows:
  • 4 Differentiation Of Care (DOC) Selectives including:
    • DOC-1: Emergency Medicine
    • DOC-2: Ambulatory Care in Internal Medicine
    • DOC-3: Chronic Care
    • DOC-4: Seriously Ill Hospitalized Patient
  • 4 Elective Rotation
    • More than 250 courses offered between 22 clinical departments

3 months flex time are also available for students to complete any number of the following demands:

  • Delayed third year rotations
  • Residency Interviews
  • Step 2CK and 2CS preparation and testing
  • Vacations and personal time
  • Residency relocation

The fourth year provides opportunities to participate in research and individual study experiences as well as electives at other institutions.

Additional information for Med3-4 Curriculum



Please click the following links to for more information:


Med 3-4 Student Handbook

Med 4 Scheduling Guide