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Clinical Curriculum: Year 4


OSA deans assist 3rd year students in selecting their 4th year schedules to help toward programming a balanced, useful 4th year curriculum that fulfills the student's needs and also provides a thorough and varied medical education experience. Computer programs through the Office of Medical Education are used to equitably award schedule requests. 

Year 4 - 32 weeks

Area Health Education Center 4 weeks
Two, 4-week Subinternships 8 weeks
Five, 4-week Electives 20 weeks

Fourth Year Electives

Students should select electives in a variety of specialties to add both breadth and depth to their curriculum.  If participating in research electives, only one research elective (RSCH 589) in fourth year will count toward graduation credit. Completion of the 2 month (RSCH 540) will count for 2 months graduation credit. Also, up to 3 months of electives may be done outside the UMB system. Additional off-campus courses in the fourth year may be granted on request by the Clinical Years Committee. Up to four months of elective credit may be accrued through year 1/2 electives. All students must complete at least once clinical elective in their fourth year. Students may register for an off campus elective once all prerequisites have been completed and they have progressed to at least the fourth quarter of the third year. View a complete list of on-campus electives.  

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International Electives

Many students are interested in participating in international electives for credit and for their own professional development in clinical and research environments. We do allow those experiences subject to review and approval by the School of Medicine. The quality of the educational experience and the safety of the site will factor significantly into the decision. Travel to countries with Department of State restrictions and/or high alerts will not be permitted.  Students should check for disease epidemics in their area of planned travel prior to final departure and should cancel or rearrange their plans if such a situation exists.

Along with an International Elective Request Form, students requesting permission for international studies must review the UMB International Travel Risk Policy, review and sign the Student Travel Release, and the Medical Student Location Report. To finalize the process, sign and return the letter Sample MMCIP Coverage Letter that you will receive, via email and return it to the OSA. All required materials must be returned to OSA at least four weeks prior to your departure.

Please visit the following pages for the required forms and more information on international electives:

If you have the UMB student health insurance plan, then you are eligible for the evacuation/foreign travel health policy. All you need to do is go to Student Accounting on 2nd floor of HSHSL and ask for your group policy card/information packet from "Zurich Travel Assist". The packet has the group coverage card and will give you the policy number. Contact person: Judith Archambault - (410)706-2929.


A subinternship is defined as a clinical experience in which the student is involved in direct patient care at an intern level, with appropriate and adequate supervision, and must demonstrate independent thinking and clinical decision making. Eight weeks are spent completing subinternships with students functioning at the intern level on an inpatient unit.

These rotations are offered at the University of Maryland Medical System and in approved affiliated hospitals.

Students may register for a subinternship once all prerequisites have been completed and they have progressed to at least the fourth quarter of the third year. Any additional prerequisites are listed in the Subinternship Catalog.

Area Health Education Center (AHEC)

All students are required to do one month of AHEC in Maryland.

The primary mission of the AHEC is to improve health in underserved areas. The centers are interdisciplinary in nature. They work with medical students, nursing students, pharmacy students and other medical professional students. 

Our students may go to western Maryland, the eastern shore, southern Maryland, or Baltimore city. Selection for Baltimore city goes to students with children or other pressing needs to stay local. Those decisions are made on a case by case basis by the course director.

For further information contact Nikkita Southall, M.D. 

Departmental Grand Rounds

Interested students and professionals are welcome to attend these weekly functions.

Please refer to each departmental page for the schedule of grand rounds:

Other grand rounds and special programs are held irregularly or at less than weekly intervals. Look for announcements posted in the hospital's first floor and on other bulletin boards in the hospital corridors, Howard Hall, the Bressler Research Building, the Health Sciences Facility and the VA Medical Center.


Last Revision:  July 15, 2014