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Nursing student working with medical equipment.

Phase 2: Immersion

Human Dimension

Clerkships Step 1 Advanced Clinical Rotations/Step 2 
Transitional Clerkship Internal Medicine Surgery Family Medicine Pediatrics - OB/GYN Psychiatry- Neurology/PM&R & Vacation Elective Elective Critical Care Selective  Step 2 & Vacation Required Sub-I
4 weeks 8 weeks 8 weeks 8 weeks 12 weeks 12 weeks 4 weeks 4 weeks 4 weeks 2 weeks 4 weeks 4 weeks
|------------------------------------------------------------------------------------20 months-----------------------------------------------------------------------------------------|
*Individual sequence will vary.

The components of Phase 2 are:

  1. Required Clerkships
  2. USMLE Step 1 and Step 2 preparation and vacation (ten weeks)
  3. Sub-Internship (four weeks)
  4. Critical Care Selective (two weeks)
  5. Eight weeks of electives
  6. Human Dimension - Phase 2

Required Clerkships

The clerkship year is being built as a cohesive, integrated whole experience, with focus on the developmental acquisition of clinical competence and achievement of Entrustable Professional Activities for entering residency (EPAs).

All students will begin with a Transitional Clerkship that will aid students in their transition to immersion in the clinical setting. This will include participating in rounds, outpatient work, high-fidelity and task-based simulation, and Standardized Patient (SP) sessions. There will also be a didactic curriculum covering skills and knowledge needed to thrive in the clinical setting (for example, writing notes and orders, finding evidence-based information at the point-of-care, performing a hand-off, phlebotomy, etc.).

Students will then proceed through block clerkships as demonstrated in Figure 3 above. To reinforce the importance of continuity and integration in clinical medicine, Pediatrics and Obstetrics/Gynecology (OB/Gyn) as well as Psychiatry and Neurology respectively will be situated alongside each other in each student’s schedule, and will be partially integrated.

A central element of the SOM’s vision for its clinical activities is that clinical training occurs in both the outpatient and inpatient settings in a manner that reflects the locations where health care delivery takes place in the United States. Health and disease occur in the community setting, and the preponderance of health care occurs in the outpatient setting. Therefore, all clerkships will have a significant percentage of their clinical time located in the outpatient setting – this ranges from 30-85% of clinical time in each clerkship, with four out of seven clerkships having a percentage of outpatient experiences of 50 percent or more.

  • Transitional Clerkship (four weeks) 
  • Internal Medicine (eight weeks)
  • Surgery (eight weeks)
  • Family Medicine (eight weeks)
  • Pediatrics-Obstetrics/Gynecology (12 weeks)
  • Psychiatry-Neurology (12 weeks)
  • Emergency Medicine incorporated into Surgery, Internal Medicine, Family Medicine, and Pediatrics.

Board Examinations

USMLE Steps 1 and 2

  1. Students will prepare for and take USMLE Step 1 after they complete their clerkships.
  2. Students will have flexibly scheduled time (up to four weeks) to prepare for and take these examinations during their Advanced Clinical Rotations.

Advanced Clinical Rotations
Students will be required to take a sub-internship, a critical care selective, and two electives from the SOM’s catalogue.