Fourth Year Courses

Acting Internship/Subinternship

In this four-week rotation, students serve as true acting interns with one-on-one reporting to a resident and attending physician. On this rotation you begin to hone your skills as the point person providing care to your patients. You have the opportunity to select a specialty that aligns with your first year of training.

Critical Care Selective (Starting 2027-28 AY)

The Selective in Critical Care is the culmination of the required experiences in both Surgery and Medicine/Pediatrics, providing the student with the opportunity to apply the knowledge learned in the third year and gain additional experience in the direct clinical management of acutely ill patients in a critical care environment. This selective is focused on the assessment and management of acutely ill patients in the intensive care unit. The student will actively participate on a critical care team in a surgical, medical or pediatric unit working with faculty other care providers. The educational experience will include supervised clinical experiences, didactic lectures, case-based learning, and self-study. 
Regardless of the specialty of your ultimate practice, learning to recognize critical illness and beginning the clinical management of acutely ill patients is essential to every physician. Critical care concepts are universal, and the educational experience across all of the rotation sites is robust and rewarding.

Transition to Residency Course

Every fourth-year student has a Transition to Residency experience in the field that best prepares them for their internship year. This two-week experience provides a great opportunity to learn practicalities and increase your comfort in transitioning from a fourth-year student to a first-year resident. The Transition to Residency curriculum focuses on preparing students for the tasks, procedures, and skills that their residency will expect them to perform.

Physical Medicine and Rehabilitation Course

The Physical Medicine and Rehabilitation course is a two-week clinical experience in the fourth year, where students learn to apply the concepts of human function and quality of life, impairment, disability, and handicap. Clinical experiences will provide opportunity to apply relevant rehabilitative care evaluation and management strategies throughout the course of illness. The course focuses on the use of clinical evaluation and common functional measurement tools to determine functional status, prognosis, goals and rehabilitative needs. This course is a capstone experience for senior medical students preparing them for the rehabilitative patients who will soon be in their care.