The Year 3 curriculum at the Icahn School of Medicine at Mount Sinai (ISMMS) combines clinical rotations in core clinical areas while providing 10 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. These modules, which consist of sequential clerkships and electives, may be taken in any order. 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 include:
- Longitudinal integrated ambulatory clerkship for select 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 allows students to care for pediatric patients across a variety of settings including inpatient, outpatient, and in the well-baby nursery. You address issues specific 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 provides you with opportunities to learn about the particular 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 enables you to care for adult inpatients in two settings—one general and one specialized — as well as work at both a tertiary care center and a community hospital. During the clerkship, you 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 you to provide comprehensive community-based health care to individuals and families across the age spectrum. 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 you to participate in the comprehensive care of the surgical patient from the perspectives of surgery and anesthesiology, including initial surgical work-up, pre-operative assessment and optimization, anesthetic management, surgery and the surgical environment, and post-operative care including acute pain management. You will experience inpatient and outpatient venues for surgery and anesthesia, as well as 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 learning the presentations of major psychiatric disorders, becoming familiar with psychopharmacological and psychotherapeutic treatment options, formulating psychiatric diagnoses and treatment plans, and learning about the rapidly emerging advances in neuroscience that promise 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 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 that affect chronic illness care in an urban setting. Additionally, it enables you 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 are innovative and immersive courses taught through all four years of the ISMMS program. The sessions provide core curricula in topics critical to medical practice and biomedical research in the 21st century. During Year 3, the three InFocus weeks emphasize patient safety and quality, reflection, and career planning.
Patient Safety and Quality: This InFocus theme is designed to expose you 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. You will have an opportunity to examine and analyze process maps to improve patient outcomes.
Reflection: These facilitated sessions are opportunities for you to process and understand your clinical experiences in an effort to inform your 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 you in making informed decisions about your career path and navigating the residency application process. You 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. You are offered a generous 10 weeks of elective time in Year 3, which is spread across three of the four modules. You may use elective time 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 Mount Sinai Global Health Education Program within Arnhold Institute for Global Health, learn at an international venue. You may also create tailor-made electives designed around your individual learning needs with guidance and support from the Department of Medical Education.