Medical Education

Medical Program by Year

Orientation

Before matriculating into the School of Medicine, students without any prior service experience must attend service-specific orientation programs. Orientation is conducted at the following locations:

  • Army: U.S. Army Academy of the Health Sciences at Fort Sam Houston, San Antonio, Texas
  • Navy: Officer Indoctrination School at the Naval Education and Training Center, Newport, Rhode Island
  • Air Force: Commissioned Officer Training Course at Maxwell Air Force Base, Gunter Annex Montgomery, Alabama
  • U.S. Public Health Service: Department of Health and Human Services, Rockville, Maryland

Students report to the School of Medicine campus after completing their service-specific orientations. The University brigade orientation begins the first week of August. During this time, the administrative requirements for registering students with the university and local military are completed. Academic orientation begins the third week of August. During this time, students learn about the medical education program.


Pre-Clerkship Period - the First 16 Months

The sixteen month pre-clerkship period allows students to establish a strong scientific foundation, leading to an enhanced understanding of the mechanisms of human disease, and the latest approaches to the prevention and treatment of human illness. At the same time, students develop professional identities as officers and physicians, so they may ultimately fulfill the promise of duty and expertise expected by their patients and military units. Students are taught and mentored by faculty, with special emphasis being placed on personal values and the acquisition of skills needed to master the key elements of basic and clinical sciences, along with the social and epidemiologic principles underlying effective patient care.

The preclerkship period begins with a seven week "Fundamentals module" which will introduce key concepts in basic science and clinical medicine, and allows students to acquire the tools to master the materials and develop the skills presented in five subsequent organ-system based modules. These include the following grouped systems: musculoskeletal and skin; cardiopulmonary-renal; neuroscience and psychiatry; gastrointestinal, hepatobiliary, metabolism and nutrition; and reproduction and endocrinology. The final, "complex and multisystem disease module" will prepare students to understand the intricacies of modern clinical medicine as they move into the next phase of their education: their clerkship year. In this transitional module, students will polish their problem solving skills to manage the interplay of multiple systems in serious illness as well as recognize the roles of the host response and the impact of social and environmental influences on disease outcomes. The diverse challenges addressed by the specialties of global and military medicine will be emphasized here.

Each module earns seven or eight credits, depending on length, involving an average of 185 contact hours per module.

Pre-Clerkship Modules

Pre-Clerkship Modules

Course # | CR Hours

Fundamentals

PRC1001 | 7

Musculoskeletal

PRC2001 | 8

Cardio/Pulmonary/Renal

PRC2002 | 9

Neuroscience

PRC2003 | 8

GI, Hepatobiliary, Nutrition and Metabolism

PRC2004 | 8

Reproduction and Endocrinology

PRC2005 | 7

Multi-System and Complex Diseases

PRC2006 | 8

Military Medical Practice & Leadership
(includes Summer Operational Experience)

PRC2007 | 6



Clerkship Period (12 months)

Following a one-week transition to clinical medicine course in which students are introduced to the roles and responsibilities associated with their inpatient and outpatient clinical environments, students engage in 48 weeks of required clinical clerkships in family medicine, pediatrics, internal medicine, psychiatry, surgery, obstetrics and gynecology, and a selective.

Basic science threads build on concepts that were introduced in the pre-clerkship modules. Clinical threads focus on the skills necessary to practice life-long learning, and on evidence-based medicine.

Leave periods are provided in May and December.

Students have a six-week period for review before taking Step 1 of the U.S. Medical Licensing Examination (USMLE).

Third-year Clerkships

Third-year Clerkships*

Course # | CR Hours | Duration (wk)

Family Medicine

FMO3200 | 5 | 5

Pediatrics

PDO3200 | 5 | 5

Medicine

MDO3200 | 10 | 10

Psychiatry

PSO3200 | 5 | 5

Surgery

SUO3200 | 10 | 10

Obstretrics & Gynecology

OBO3200 | 5 | 5

3rd-year Selective

(varies) | 4 | 4

*plus three weeks of assessment, one at the end of each 15-week block



Post-Clerkship Period

Post-clerkship begins with the six-week course "Bench to Bedside and Beyond," that ties basic science and advanced clinical concepts together in a format emphasizing small group learning. Students then have 52 weeks of required clerkships and electives, including a required four weeks in both Military Contingency Medicine and Military Emergency Medicine.

Leave periods are scheduled for late March, September and December. Step 2CS and Step 2CK of the USMLE are taken during this period. Students graduate in May.

Fourth Year

Fourth-year

Course # | CR Hours | Duration (wk)

Bench to Bedside & Beyond

BBB4000 | 6 | 6

Capstone project, 2-month

CAP4000 | 8 | 8

Capstone project, 3-month

CAP4100 | 12 | 12


Fourth-year Clerkships

Fourth-year Clerkships

Course # | CR Hours | Duration (wk)

Military Contingency Medicine

MM04200 | 6 | 6

Military Emergency Medicine

(varies) | 4 | 4

Neurology

NE04200 | 4 | 4

Anesthesia
(all students required to take 2-week clerkship; may also be taken as a 4-week selective in third year)

AN03200 | 2 | 2

Subinternships (2)

(varies) | 8 | 4 + 4

Medical Selective Block
(chosen from Internal Medicine, Pediatrics, Family Medicine, Radiology, Dermatology, Preventive Medicine)

(varies) | --- | 8

Surgical Selective Block
(chosen from General Surgery, Surgical Subspecialties, Anesthesiology, Obstetrics/Gynecology)

(varies) | --- | 8

Elective Clerkships

(varies) | --- | 4