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Year 3/4 Curriculum Overview

The 3rd and 4th years are viewed as a single unit with the student assuming progressive responsibility for patient care. The third year provides an introduction to clinical science. Students are evaluated based on clinical performance and end-of-clerkship examinations. The fourth year that follows includes more independent, direct patient care opportunities.

The combined 3rd and 4th years provide a strong grounding in clinical science with a progressive opportunity for primary patient care responsibility. The curriculum is designed to prepare the medical student for the increasing responsibility demanded by the specialty residency programs throughout the country.

Responsibilities of the University of Maryland School of Medicine: Clinical Learning Environment

  1. The University of Maryland School of Medicine, herein referred to as UMD SOM, has a responsibility to maintain a positive, respectful, and adequately resourced learning environment so that sound educational UMD SOM medical student and visiting medical student, herein referred to as student(s), experiences can occur. Therefore, the UMD SOM will provide students and faculty with access to appropriate resources for medical student education including: a) access to patients at the UMD SOM affiliated facilities in an appropriately supervised environment, in which the students can complete the school’s curriculum; b) student security badges or other required security access to patient care areas; c) access and required training for medical students in the proper use of electronic medical records or paper charts, as applicable; d) adequate access to computers with the ability to utilize the medical record and other healthcare technologies pertinent to patient care; e) secure storage space for personal items of students when at UMD SOM affiliated facilities; f) access to call rooms, if necessary; g) provisions for a safe work environment including access to a safe parking environment at UMD SOM affiliated facilities.
  2. The UMD SOM will retain full authority and responsibility for patient care and quality standards, and will maintain a level of care which meets generally accepted standards conducive to satisfactory instruction. While in UMD SOM affiliated facilities, students will have the status of trainees; are not to replace UMD SOM staff; and, are not to render unsupervised patient care and/or services. All services rendered by students must have educational value and meet the goals of the medical education program. The UMD SOM and its staff will provide such supervision of the educational and clinical activities as is reasonable and appropriate to the circumstances and to the student’s level of training.

Duty Hours

Medical students at the University of Maryland School of Medicine will adhere to the duty hour regulations as specified by the Accreditation Council for Graduate Medical Education (ACGME) for PL2 residents and above. This includes a limit of 80 hours of work per week, averaged over a four week period. Periods of duty cannot exceed 24 continuous hours, with up to 4 hours to complete effective transitions in patient care. Students must have a minimum of 8 hours off between scheduled duty periods, and must have at least 14 hours off following a 24 hour period of duty.

Attendance Policy

Attendance and punctuality during all aspects of clinical clerkships and rotations are expected and considered an important part of a student's evaluation. Students, like house staff, are expected to fulfill their educational responsibilities and their patient care responsibilities; they are accorded real roles and form an integral part of the hospital team.

In order for a student to be approved for missed days from a clinical rotation, the following guidelines apply:

  1. For anticipated absences, students must request an excused absence from the respective clerkship or rotation director in writing prior to the absence. This should be preceded by consultation with the clerkship/rotation director to discuss appropriateness and urgency of the request for approval to miss time from the clerkship/rotation. Ideally this should be done well in advance to avoid disappointment if the request is not granted. The written request should, at a minimum, include the time requested off, a general reason for the request and the date of the request.
  2. If a student experiences an unexpected emergency, he/she must immediately notify the clerkship/rotation director and the Office of Student Affairs.
  3. The clerkship/rotation director can choose to either approve/ disapprove the request for an excused absence at his/her discretion.
  4. If approved by the clerkship/rotation director, a student may not miss more than one day per 2-week block. Absences beyond this will result in remediation of work at the clerkship/rotation director’s discretion and may include the assignment of additional shifts or the need to remediate the entire rotation.
  5. If approved by the clerkship/rotation director, a student may not miss more than three days per rotation except for interview season when two additional days may be granted for electives (for a total of 5 days) at the discretion of the clerkship/rotation director. Absences beyond this will result in remediation of work at the clerkship/rotation director’s discretion and may include the assignment of additional shifts or the need to remediate the entire rotation.
  6. Absences will be reviewed in an ongoing manner by the Office of Student Affairs. Excessive absences will result in either individualized educational plans for the student or discussion by the advancement committee.

Last Revision: June 22, 2015