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Third and Fourth Years

The two clinical years are viewed as a single unit with the student assuming progressive responsibility for patient care. The clinical experience consists of the following clerkships: Medicine (12 weeks), Surgery (12 weeks), Family Medicine (4 weeks), Obstetrics, Gynecology and Reproductive Sciences (6 weeks), Pediatrics (6 weeks), Psychiatry (4 weeks), Neurology (4 weeks). As noted, students take all of these rotations according to individual schedules. The sum of these experiences provides a 48-week introduction to clinical science. Students are evaluated based on clinical performance and end-of-clerkship examinations. Approximately one third of the third year is spent in ambulatory care settings.

The 32-week fourth year that follows includes four four-week electives. The student may take a maximum of eight weeks of electives off-campus. Eight weeks must be spent in student sub-internships in one of four clinical fields: medicine, surgery, pediatrics or family practice. Here the student has an opportunity for direct, primary patient care responsibility over a prolonged period of time. These rotations are offered at the University of Maryland Medical System and in approved affiliated hospitals. The third component of the fourth year is a consecutive eight-week experience in an ambulatory setting. The ambulatory rotation is designed to be completed in a rural or underserved area supplemented by teaching in preventive medicine.

The 80-week combined clinical years program provides 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.

The Curriculum Coordinating Committee, composed of course and clerkship leaders, key faculty educators and student body representatives, has the responsibility of regularly monitoring and reviewing the curriculum and recommending changes deemed appropriate.