Biennium II

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 are restricted to 80 hours per week and each student must attest compliance with this requirement at the end of each clerkship.Medical student

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 the clerkship, however, there is also a mid-clerkship formative evaluation process. All clerkships, with the exception of Emergency Medicine, require the NBME Shelf Exam as part of the final grading. All students must complete the school's fourth year Objective Standardized Clinical Examination (OSCE) within about six weeks of finishing the third year. The USMLE Step 2 (CK) should be taken during this time frame as well.

Year 3 begins in late July or early August and lasts 12 months. The number of hours per week varies with each clinical rotation but is limited to 80 hours per week. Students will receive three 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

Donnelly (Interim)

MED 700

Internal Medicine

12

P/F & %

24

Kirkham

WOH 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

4

P/F & %

8

Milling

 

Surgical Elective

4

P/F & %

8

 

 

Sub-Internship

4

P/F & %

8

 

 

Electives

16

H/P/ F

32

 

 

Totals

32

 

64

 

Requirements

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

  1. Four weeks Emergency Medicine.
  2. Four weeks Clinical Neurology
  3. Six four-week electives, including:
    1. A subinternship in one of the six core specialties.
    2. Four weeks of Surgery (anesthesia & orthopaedics also fulfill this requirement; a subinternship in surgery does not fulfill this requirement).
  4. Students may take two extramural rotations unless permission is granted for more.
  5. Students must choose electives from at least three departments with one being a primary care department. This is referred to as the clinical triad—three four-week clinical rotations from three different departments: A surgical rotation, including a subinternship, can be counted as part of the required clinical triad.
    1. Orthopedics is considered to be surgery for this requirement.
    2. Pathology and radiology are considered clinical electives.
    3. Research is not considered a clinical elective.
  6. Students may take two two-week electives for the equivalent of a four-week elective. (Two of the required four-week periods may be fulfilled in this manner.)
  7. Students may take two essentially identical electives, provided one is completed at the Boonshoft School of Medicine.