The Post-Clerkship Phase ensures students demonstrate an understanding of neurology, emergency medicine, the intensive care unit, and the role of the acting intern, while also promoting flexibility and individualization. The early start to the fourth year in May allows students to pursue electives for early exposure to clinical specialties or to complete clerkships or selectives that may have been deferred from the clerkship phase.

Successful completion of this curricular phase entails completion of the required experiences described below.

  • Emergency Medicine Acting Internship (4 weeks at UCDH; EMR 440 or EMR 470)
  • Neurology Advanced Clinical Clerkship or Acting Internship (4 weeks at UCDH; NEU 452, NEU 455, or NEU 450)
  • Intensive Care Unit Acting Internship (4 weeks, can simultaneously count as AI; CAR 461, IMD 463, NSU 465, PED 464, PED 476, or SUR 463)
  • Inpatient Acting Internship (4 weeks in clerkship department at UCDH)
  • Additional Acting Internship (4 weeks of an inpatient or outpatient experience at UCDH or away)
  • Transition to Residency (4 weeks; MDS 449)
  • Electives to complete the remaining required weeks (total of 36 weeks required)
  • Clinical Performance Examination (CPX) passage
  • USMLE Step 2 Clinical Knowledge passage

Inpatient Acting Internship
Inpatient Acting Internships provide students with experience and preparation for inpatient medical care, similar to a first-year house officer.

Ambulatory Acting Internship
Outpatient Acting Internships provide students with experience and preparation for ambulatory medical care, similar to a first-year house officer.

Advanced Clinical Clerkship
Advanced clinical clerkships provide students with experience and preparation for inpatient, outpatient, or consultant medicine.

Clinical Didactic Experience
Clinical didactics provide students with advanced exposure to areas that may be useful in any field of clinical medicine, but do not include direct patient care responsibilities.

Individual student programs (schedules) are designed under the guidance of career and specialty advisors, with the support of the Office of Student Development. Each student’s program will be reviewed to ensure appropriate breadth, depth, and vigor. Guidelines for the choices and time away from UCDSOM must be approved in advance of the experience to ensure applicability to graduation requirements.

Feedback and Assessment

 The comprehensive Clinical Performance Examination at the beginning of the year features self-assessment, faculty feedback, and development of an action plan to improve clinical skills. Post-clerkship phase coursework uses a competency-based framework for evaluations that assess the graduation competency milestones for this curricular phase.

To view the legacy curriculum for post-clerkship, please click here.