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M4 Year

weeks weeks weeks weeks week 16 weeks
Sub-Internship Interprofessional Care of Chronic Conditions Critical Care Clerkship Emergency Medicine Clerkship Leadership in Community Health Electives
Scholar’s Workshop IV

Course Descriptions


The M4 Sub-Internships are offered in the following areas: Family Medicine, Internal Medicine, Obstetrics & Gynecology, Orthopaedics, Otolaryngology, Pediatrics, Psychiatry, Surgery, Urology, and Vascular Surgery. During the M4 Sub-Internship, the medical student develops and enhances their understanding of the evaluation and management of patients and is able to provide comprehensive management of these conditions.

Interprofessional Care for Chronic Conditions

Interprofessional Care for Patients with Chronic Conditions is a required clerkship for all fourth-year students. During this interprofessional clerkship, students are expected to acquire the technical skills to provide care for patients with chronic conditions and identify/differentiate acute illness from “acute­-on-­chronic” exacerbation in patients with chronic morbidity. Students act as an interprofessional healthcare team member for patients, reviewing the care plan with the patient, and identifying appropriate resources in their follow up care plan. Students elect to spend their clinical experience in one of the following domains: Palliative care medicine, family medicine/care coordination, metabolic and bariatric surgery, early intervention program, physical medicine and rehabilitation, geriatric medicine/care coordination, hematology/oncology, and within the CUHC Urban Health Institute.

Critical Care Clerkship

Critical Care Clerkships are offered in the following areas:  Medicine, Surgery, Pediatrics, and Neonatal. The Critical Care Clerkship is a required clerkship for all M4 students at CMSRU. It introduces the student to the systematic resuscitation, evaluation and management of the critically ill patient as well as the ethical issues that frequently accompany these situations, all within the context of the core competencies.

Emergency Medicine Clerkship

Emergency Medicine is a required clerkship for all M4 medical students. During the Emergency Medicine Clerkship, students are expected to see patients and perform chief complaint driven history and physical exams. They develop a differential diagnosis, formulate a plan, and then follow up on all test results. Students are expected to:

  • Acquire basic knowledge about the pathogenesis, presentation, evaluation and management of conditions commonly treated by Emergency Medicine physicians
  • Acquire the technical skills required to provide care for Emergency Medicine patients
  • Present patients in a clear and succinct fashion
  • Act as the primary caregiver for patients, reviewing test results with the patient, and arranging either appropriate follow-up care or admission to the hospital

Leadership in Community Health 

Leadership in Community Health is a required course for all CMSRU fourth year students that provides an enhancement on the service learning experienced in the M1 through M3 years. The service learning activities in this course heightens understanding of community need, broadens student awareness of the impact of social complexities on patient care and biopsychosocial elements, and encourages students to practice solution-based leadership in problem solving.


Students complete a total of 16 weeks of electives in the M4 year, of which 12 weeks may be taken as visiting rotations. Students are able to choose from a wide variety of electives at CMSRU. These electives can be clinical such as Cardiology and Gastroenterology or may involve non-clinical aspects of medicine such as Healthcare Administration and Informatics. Students are given the opportunity to develop skills that will support them in residency while also exploring aspects of medicine that they may not have encountered yet.

Scholar's Workshop IV

The Scholars Workshop course is a four-year longitudinal curriculum that addresses biostatistics, epidemiology, quality and patient safety, health care disparities, research, research ethics, and other related topics. A culminating capstone project is completed in the M3 and M4 years; the capstone includes a thesis and poster presentation.