Tuition is charged every 12 weeks for a total of 72 weeks. 
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Core Rotations

In the third and fourth years, students become directly involved in the care and study of patients. They begin to work with members of teams caring for hospitalized patients. Third year students rotate through the following clerkships:

Internal Medicine

The goal of the internal medicine rotation is the development of a logical approach to the diagnosis and treatment of the patient's complaint.  This involves obtaining a complete history, eliciting and assessing information from the patient, performing a competent physical examination, and formulating a differential diagnosis list in order of probability with a diagnostic and management plan.  The student then follows a patient through diagnostic studies and therapy.  In addition, the student learns effective communication with patients and with medical, nursing, and other ancillary staff.  Each student is required to perform a thorough history and physical examination on a number of patients.  These patients may be presented at work rounds or preceptor rounds and should be followed throughout their hospital stay.  These cases form the basis for reading about etiology, pathology, and treatment of problems in internal medicine.  In this way, the end of the rotation will accumulate a large amount of experienced-based knowledge.

Surgery
 
The surgical clerkship is an integrated, clinical experience designed to introduce the student to the basic concepts of surgical practice.  This clerkship encompasses both in-patient and outpatient clinic experience based on a student-resident-attending physician teaching team.  The goal of the rotation in surgery as an integral part of the treatment of a patient.  The emphasis during the rotation is not on surgical technique but on the understanding of the pathophysiology of disease, the use of surgical intervention, and the management of pre- and post-operative problems.  The overall goal of the surgical clerkship is to introduce the student to the broad aspects of the field of surgery, including the major surgical sub-specialties.  Through work in this clerkship, the student becomes familiar with proper consultative practices and understands the basic routines and sub-routines of surgical management.  Finally, the surgical clerkships serves to introduce the student to the fundamental aspects of surgical practice as a profession.

Obstetrics & Gynecology

The obstetrics & gynecologic core clerkship is designed to provide clinical experience in both obstetrics & gynecology.  This didactic and clinical experience will be in an academic atmosphere which includes residents, house officers, and faculty attending.  In obstetrics, an understanding of physiologic adaptations to pregnancy will allow the student to understand more completely the principles of antepartum, intrapartum, and postpartum care, as well as the abnormalities that may occur at these times in pregnancy.  Students will also become familiar on how to approach patients with gynecological issues in order to enhance primary health care and preventive medicine for women.  Issues of contraception, sexuality, reproductive endocrinology, infertility, neoplasias, preventive care, and health maintenance will be focused.       

Pediatrics

Pediatric ambulatory and in-patient services provide clinical students with the opportunity to observe the more serious medical and surgical disorders of a patient beyond the newborn period.  Admission histories and physical examinations teach the student how to approach the patient and family.  The student must learn additional skills (to those learned in medicine and surgery) to interview parents and pediatric patients and to examine children from infancy through adolescence.  The adequacy as well as accuracy of the students are checked by the resident physicians and preceptors. Fundamentals of pediatric management are learned from the resident staff.  Attendance at lectures, seminars, and conferences expands the student's view of the sick child.

In the well child out-patient services, the student learns the milestones of growth and development, infant feeding, child nutrition, preventative pediatrics including immunizations and the common minor ailments of childhood.  In the pediatric specialty clinics, the student observes the management and progression of a wide variety of serious and chronic illnesses.

Emergency department and urgent care experience permits the student to be the first to evaluate infants and children with acute (often febrile) illness, asthmatic attacks, otitis, and similar problems.

The initial management of the newborn is learned in the delivery room.  In the nurseries, the student practices the examination of the newborn and learns about the initiation of feeding, neonatal physiological changes, and minor difficulties.  In the newborn intensive care unit, the student is an observer of the management of the premature and term infant with serious or potentially serious ailment.

Psychiatry

The clerkship in psychiatry familiarizes the student with the psychological aspects of human behavior in health, disease, diagnosis, management of psychiatric interviews and performance on mental status examinations.  The student observes interviews and conducts psychiatric examinations under supervision.

During clinical rotations, students spend a period of time on an inpatient psychiatric service where they apply the training received under supervision of house staff and clinical faculty.  In most instances, students also receive experience with outpatient psychiatry, child psychiatry, and substance rehabilitation programs.

Family Practice

Students gain knowledge, experience and skills in interviewing and examining patients of all ages.  Students will also learn to diagnose, treat, and educate patients about their disorders under the supervision of an experienced clinician.  The clerkship will help students understand the interrelation of ambulatory and inpatient care in a diverse setting.

Electives

The 4th year consists of 24 weeks of electives. The clerkship program is designed to ease the transition between the basic sciences and postgraduate training by introducing the student to the many fields of medicine and enhancing both their clinical and diagnostic skills. The underlying concept is that the transition from preclinical to clinical studies involves both the development of preclinical skills and the achievement of the physician role.


Recommended Electives:

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