Third Year (Beginning Academic Year 2015/2016)
Year 3 combines clinical rotations in core clinical areas while providing an enhanced ten weeks of elective time for career exploration. The schedule is comprised of four 12-week modules offering exposure to ambulatory care across the lifespan, anesthesiology, internal medicine, neurology, obstetrics and gynecology, pediatrics, psychiatry and surgery. Year 3 clerkships are arranged in four different Modules that may be taken in any sequence. Select students also participate in a longitudinal integrated-clerkship grounded in the foundations of ambulatory medicine and chronic illness care.
Innovative opportunities in the Year 3 curriculum:
- Longitudinal integrated ambulatory clerkship for selected students
- Practical and relevant radiology embedded into core clerkships
- Focused career and residency planning and guidance
- Core competency training in quality, patient safety, and reflective practice
- Substantial elective time to explore careers and experience different specialties
- Option of participating in an additional scholarly year to conduct research
Module A: Pediatrics and Obstetrics and Gynecology
Pediatrics Clerkship: This five-week clerkship provides students with opportunities to care for pediatric patients across a variety of settings including inpatient, outpatient, and in the well-baby nursery. Students address issues unique to the newborn period, childhood, and adolescence by focusing on growth and development, and by emphasizing the impact of family, community, and society on child health and well-being.
Obstetrics and Gynecology Clerkship: This five-week clerkship is designed to enhance medical student education by providing students with opportunities to learn about the general and unique features of obstetrics, gynecology, and primary and preventive care of women's health.
Module B: Inpatient Medicine and Ambulatory Care-Geriatrics
Inpatient Medicine Clerkship: This six-week clerkship provides students opportunities to care for adult inpatients in two different settings—one general and one specialized as well as work at both a tertiary care center and community hospital. During the clerkship, students actively participate in the care of patients and apply their knowledge of pathophysiologic principles to clinical care.
Ambulatory Care-Geriatrics Clerkship: This six-week clerkship prepares students to provide comprehensive community-based health care to individuals and families across the spectrum of age. Evidence-based preventive medicine, team-based management of chronic disease, urgent outpatient care, patient advocacy, the medical home and public health are additional areas of focus in this clerkship. Students also have opportunities to participate in home-based primary care and palliative medicine.
Module C: Surgery-Anesthesia
Surgery-Anesthesia Clerkship: This eight-week clerkship in perioperative medicine allows students to participate in the comprehensive care of the surgical patient from the unique perspectives of surgery and anesthesiology, including initial surgical work-up, preoperative assessment and optimization, anesthetic management, surgery and the surgical environment, and post-operative care including acute pain management. Students will have opportunities to experience inpatient and outpatient venues for surgery and anesthesia, as well as an experience in the surgical ICU.
Module D: Neurology and Psychiatry
Neurology: This four-week clerkship prepares students to perform a competent neurologic examination, recognize and neuroscientifically-contextualize abnormal findings, formulate targeted neurologic differential diagnosis, design evidence-based initial neurologic diagnostic testing and develop an evidence-based initial neurologic management plan.
Psychiatry: This four-week clerkship focuses on the development of critical skills to learn the presentations of major psychiatric disorders, become familiar with psychopharmacological and psychotherapeutic treatment options, formulate psychiatric diagnoses and treatment plans, and learn about the rapidly emerging advances in neuroscience that promise to offer substantial improvements in the treatment of psychiatric illnesses.
Longitudinal Integrated Clerkship
Interclerkship Ambulatory Care Track (InterACT): This 13-week integrated clerkship provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine and chronic illness care. It prepares and develops students committed to the practice of longitudinal patient-centered care who are able to navigate health care systems while addressing the social, economic, and cultural factors which impact chronic illness care in an urban setting. Additionally, it provides opportunities for students to cement meaningful relationships with mentors in several fields of medicine as well as to learn and teach humanism, advocacy, and interdisciplinary care in the context of caring for the medically disenfranchised.
InFocus weeks across all four years provide core curricula in vital topics for medical practice and biomedical research in the 21st century. These in-depth immersion experiences bring together outstanding interdisciplinary faculty and emphasize skill development and knowledge application. During these weeks students do not have other class obligations. During Year 3, the three InFocus weeks are devoted to career planning, patient safety, quality, and reflection.
- Patient Safety and Quality: This InFocus theme is designed to expose students to principles in patient safety and quality through practical experiences and small group discussions. Human and system elements of error, models for improvement and theories of change will serve as the foundations of this course. Students will have an opportunity to examine and analyze process maps to improve patient outcomes.
- Reflection: These facilitated sessions are opportunities for students to process and understand their clinical experiences in an effort to inform their future actions. This longitudinal experience is designed to promote learning from experience, encourage dialogue and sharing of perspectives, promote professionalism, and support reflective practice.
- Career Planning: This InFocus theme is designed to support students make informed decisions about their career path and navigate the residency application process. Students participate in advising cohort sessions, interactive sessions with physicians who have chosen a variety of career paths and specialty-specific small group sessions.
Electives facilitate self-directed learning and encourage students to experience new opportunities and explore career options. Students are offered a generous 10 weeks of elective time in Year 3 and the time is spread across three of the four modules. Elective time may be used to pursue scholarly activity, take clinical electives at Mount Sinai or its affiliates, visit academic institutions in the United States or, with the approval of the Global Health office, learn at an international venue. Students may also create tailor-made electives designed around their individual learning needs with guidance and support from the Department of Medical Education.