cul os ke let al / ▁In te g ument , ▁Gast ro int est inal , ▁and ▁Be havior al ▁Medicine ▁II . ▁ ▁There ▁are ▁also ▁two ▁concurrent ▁classes ▁that ▁run ▁throughout ▁the ▁year ▁which ▁include ▁Case ▁Studies ▁in ▁Medicine ▁and ▁App lied ▁C lin ical ▁Sk ills . ▁ ▁The ▁year ▁ends ▁with ▁review ▁and ▁time ▁to ▁study ▁for ▁the ▁US M LE ▁Step ▁ 1 ▁which ▁is ▁taken ▁between ▁the ▁end ▁of ▁May ▁and ▁the ▁middle ▁of ▁June . ▁ ▁C lin ical ▁years ▁The ▁third ▁and ▁fourth ▁years ▁of ▁medical ▁school ▁consist ▁of ▁clin ical ▁rot ations ▁throughout ▁hosp it als ▁and ▁clin ics . ▁ ▁There ▁are ▁eight ▁third ▁year ▁clin ical ▁rot ations ▁that ▁last ▁ 8 ▁weeks ▁each : ▁Am bul atory ▁Primary ▁care , ▁In pat ient ▁Medicine , ▁Psych iat ry , ▁S urg ery , ▁Ped iat rics , ▁and ▁Ob st et rics ▁and ▁Gy ne col ogy . ▁ ▁Four th ▁year ▁consists ▁of ▁ 1 ▁ 4 - week ▁surg ical ▁select ive , ▁ 1 ▁ 4 - week ▁critical ▁care ▁select ive , ▁ 1 ▁ 4 - week ▁primary ▁care ▁select ive ▁or ▁ 2 nd ▁critical ▁care ▁select ive , ▁and ▁an ▁additional ▁ 2 4 ▁weeks ▁of ▁clin ical ▁elect ives ▁with ▁no ▁more ▁than ▁ 8 ▁weeks ▁of ▁non - cl in ical ▁elect ives . ▁ ▁A ▁senior ▁Object ive ▁struct ured ▁clin ical ▁exam ination ▁( OS CE ) ▁is ▁required