Third Year (MS3) Coursebook Information
Fall & Spring Semesters
- Family Medicine and Psychiatry (6 weeks each)
- Pediatrics and Obstetrics/Gynecology (6 weeks each)
- Medicine (12 weeks total): inpatient (4 weeks); outpatient (4 weeks); elective (4 weeks)
- Surgery (12 weeks total): inpatient general surgery with night call (4 weeks); surgery preceptorship (4 weeks); elective (4 weeks)
- Dilemmas in Medicine
- Core Topics in Medicine
- Electives (2) (4 weeks each)
The third year begins with a mandatory orientation day. Students will begin their first clerkship the following day. Students are assigned to clinical clerkship groups by a lottery that utilize the facilities of hospitals and practice sites throughout the Western New York area. Instructions for registration will be e-mailed to the student's UB e-mail account; therefore students must report accurate e- mail addresses to Office of Medical Education, as well as providing current home addresses and phone numbers.
Each student, under direct supervision, will have the opportunity to observe and participate in the care of patients with a wide variety of illnesses and is given progressively more responsibility as his or her skill develops. Educational experiences also include emphasis on lecture demonstrations of clinical problems, small-group problem-solving, conferences, and ward rounds. Increasing emphasis is placed on disease prevention and primary care. Explanation of clinical competence is addressed through multiple mechanisms.
The third year is comprised of four 12-week blocks of clinical instruction plus two weeks of classroom instruction during the intersession period. Core Topics (2 weeks) is a classroom-based course and is scheduled for the intersession period for all students.
Students may choose to take Pediatrics or Obstetrics and Gynecology during the first 6 weeks, with the other clerkship following to complete the block. The same is true of the Family Medicine and Psychiatry block.
There is a four week elective within the 12-weeks of Medicine and Surgery. Students will be allowed to request whether to do the elective first, second, or third within the block. A list of elective courses will be provided.
Students must attend the weekly lecture series (Tuesday afternoons) during the entire 12 weeks. During the third year, students are not eligible to take an elective in MICU or critical care, nor can they take the fourth year Advanced Medicine rotation necessary for graduation.
Students will have two 4-week blocks of general surgery (a hospital-based inpatient service with night call and a surgical preceptorship), and a 4-week elective. During the Surgery elective block, all students are required to attend the core components of the Surgery clerkship (e.g., orientation, lectures, grand rounds and the exam/exit interview).
Neurology and Surgical Subspecialties
The required Neurology or Surgical Subspecialties clerkships may be taken during the third year Surgery elective time, during the third year Medicine elective time, or during the fourth year.
Core Topics in Medicine
The required Core Topics course, which is given during the intersession period (December/January), is graded S/U only. It is experiential, so that students must be present and actively participate in each session in order to get credit for that activity. The majority of the time will be spent in discussion groups, simulation exercises and workshops. There will be some outside reading and reflective exercises.
There will be two weeks of vacation for all students during the intersession period. The exact dates vary from year-to-year, but , and all students will be on vacation during this two-week period. Students will not be permitted to take vacation time other than the two-week winter break, and no out of town electives will be allowed during the third year.
Remediation of third year clerkship failure(s)
All academic deficiencies from the third-year clerkships and courses must be removed before promotion to the fourth year. A student who fails a clerkship clinically must repeat the entire clerkship; this is done over a 6-8 week period during the first block of the fourth year. A student who passes the clerkship clinically, but fails the examination also requires remediation. In this case, the student can either repeat the entire clerkship (as above, over a 6-8 week period during the first block of the fourth year) or participate in a concentrated remedial experience (four weeks in duration offered in the fourth year). This is available for a single clerkship failure only. Details of the remedial experience are at the discretion of the clerkship director.
Failure of a remedial experience will constitute a second clerkship failure and will make the student subject to dismissal from the School. If a student, who passed the clerkship clinically but elected to repeat the entire clerkship, fails the remediation, this will also count as a second clerkshipfailure and make the student subject to dismissal from the School.
USMLE Step 2
Passing both Step 2 CK and Step 2 CS are requirements for graduation. In order to be eligible to participate in the Match, students must meet the following deadlines:
- Step 2 Clinical Knowledge (CK): must be taken by December 31 of the 4th year.
- **Step 2 Clinical Skills (CS): must be taken by December 31 of the 4th year.
** The Office of Medical Education highly recommends taking Step 2 CS immediately after completion of the third year.
Deans Letter Meeting
Students who need a deans letter can schedule a meeting with Dr. Manyon or Dr. Milling.