Third- and Fourth-Year Curriculum

ACOM entrusts its various clinical training sites, Medical Education Directors, and Supervising Physician Preceptors to train students for excellence in clinical practice. The preceptors and clinical training sites implement the curriculum in a manner that balances the learning needs of the students and the educational resources available at the site. To enhance learning, preceptors and sites are encouraged to use a variety of teaching techniques, including observation, monitored participation, video and audio recordings, computers, readings, individual discussions, and presentations by students, faculty, and others. Specific curricular expectations are outlined in the syllabus for each of the required clerkship rotations.

The clinical curricula consists of clinic, hospital, and office-based training. All faculty are approved by ACOM based on interest and dedication to teaching, as well as a credentialing process including evaluation of the Curricula Vitae (CV), recommendation by appropriate Medical Education Director, and medical license checks. The clinical curricula reflects the mission of the college through planning and evaluation in the Academic Planning and Evaluation Committee for Curriculum (APECC), the Curriculum Committee, and the input and review of the Dean’s Cabinet.

Entry into any third year course requires successful completion of the entire course of study of the second year and COMLEX 1. The core experience within the site will consist of the following REQUIRED clerkship rotations: one month of Behavioral Medicine, two months of Internal Medicine, one month of General Surgery, one month of Obstetrics/Gynecology, one month of Pediatrics, one month of Family Medicine, and one month in the ACOM Rural Health Clinic. One third year clerkship rotation must be imbedded within a residency program. The remainder of the year is designated for electives. During the first ten rotation periods, concurrent with required core and elective clerkship rotations, students will participate in Pathway to Residency didactic activities. The Core Site Coordinator will contact the student before core clerkship rotations begin regarding student expectations, housing, orientation activities, and other pertinent information.

The fourth year curriculum is intended to build on the foundational experience provided in the third year. The only required clerkship rotations are Emergency Medicine and Hospice & Palliative Care (which can be completed during third or fourth year). Fourth year experiences are in settings where more demands for independence can be expected of the senior medical student. Electives will allow students to travel to locations other than their core site for clerkship rotations in their chosen specialty in preparation for application to residency programs.