Fourth Year Courses

Emergency Medicine

Duration:  4 weeks

The Clerkship in Emergency Medicine is designed to provide the student with the clinical skills and ability to interpret data required for the appropriate diagnoses and management of patients requiring emergency and/or critical care.

The medical activities appropriate to emergency care include: 1) the acquisition of a situation-specific history; 2) performance of a situation- appropriate physical examination; 3) determination of differential diagnosis; 4) resuscitation; 5) acquisition and analysis of biochemical, physiologic, laboratory and radiologic data specific to the life-threatening situation; 6) stabilization; and 7) rapid disposition of the case for further assessment and care.

The medical activities appropriate to critical care include: 1) thorough history taking and physical examination; 2) monitoring and assessment of vital function through a variety of technical devices; 3) acquisition and analysis of laboratory and radiologic data; 4) prevention of mortality through early recognition and speedy implementation of therapy in the presence of increased risk; 5) determination of etiology of the disease state; and 6) institution of therapy.

In addition to these activities, emergency and critical care medicine involve attention to record keeping and the establishment of a relationship with the patient and family as they cope with the emotional trauma of emergencies, critical illness, dying and death.



Physical Medicine and Rehabilitation

Duration: 2 weeks

The primary intent of the Physical Medicine and Rehabilitation clerkship is to provide the student with the ability to take a functional history and to develop an approach to maximize function in individuals with disability and/or chronic disease. It will also help to prepare the student to make optimum use of physiatric services during his/her career.



Preventive Medicine and Public Health

Duration:  2 weeks

This clerkship seeks to provide students an understanding of certain central concepts in public health and their application in clinical practice, including: the clinical practice of primary, secondary, and tertiary prevention; alternatives to the current US healthcare system; the clinical impact of health care law sentinel events & the role of surveillance in preventive medicine and public health; and the systems approach to preventing and ameliorating medical errors. Emphasis is placed on bringing public health concepts into the specific area of clinical practice that the student hopes to specialize in.



Students are required to complete an Acting Internship in one of the following disciplines:

Acting Internship

  • 4 weeks
  • Family Medicine Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Surgery


Acting Internship in Family Medicine

The Acting Internship in Family Medicine presents an opportunity for the fourth year medical student to function as a first year resident and address primary, secondary, and tertiary care problems predominantly in the in‐patient setting. During the rotation, students are expected to identify and find solutions to clinical problems and to become familiar with the concept of integrated medical care with an emphasis on the family as the basic health unit.

During the four week in‐patient rotation, students will be expected to apply knowledge and skills acquired during the third‐year clerkships to a variety of patients in the hospital setting. The student will identify the family physician as a role model for providing comprehensive, humanistic medical care.


Acting Internship in Internal Medicine


The educational goals of the Acting Internship in Internal Medicine are to provide fourth year medical students with advanced clinical and cognitive abilities required for problem solving and decision‐making in clinical medicine. These goals are to be accomplished with didactic sessions, supervised clinical experiences in the inpatient setting and with critical reading.

Student performance is evaluated on a daily basis and formally at mid‐month and at the end of

the AI Clerkship by faculty and residents (including the Chief Medical Residents). In addition,

students are evaluated by their participation in morning report, small group sessions and daily



Acting Internship in Obstetrics and Gynecology

The Acting Internship in Obstetrics is available all year and seeks to enhance the skills acquired during the third year clerkship and provide the fourth year student with the opportunity to function as a first year obstetric resident. With supervision by senior residents and attendings, the acting intern will become proficient in the diagnosis and management of obstetric problems. This will be especially important for those students who may choose a residency in a field other than obstetrics and gynecology.


Acting Internship in Pediatrics

To provide 4th year students an educational experience which will foster development of the knowledge, skills and attitudes requisite for competent functioning as a first year resident, as defined by the ACGME.


Acting Internship in Surgery

This Acting Internship in Surgery seeks to enhance the skills acquired during the third‐year clerkship and provide the fourth‐year student with the opportunity to function as a first‐year surgical resident. With supervision by senior residents and attendings the acting intern will become proficient in the diagnosis and management of surgical problems. Critical decision making will be stressed so that students planning and not planning a career in surgery will gain experience in the timing of surgical consultation.

Primary, secondary and tertiary care problems are addressed in the clinics and in‐patient services.