Fourth Year Clinical Schedule Information

Kansas City Class of 2019

There are 11 months in the fourth year to complete 8 months of requirements. You should plan on taking 1 month off to prepare for and take Step 2 CK and CS (must be taken by the end of July 2018) and 1 or 2 months off to interview (October, November, December and/or January). Usually, November and December are the most common interview months; however, an increasing number are occurring in January. October interviews are mostly for Early Match programs. Only two days excused can be taken off of a rotation. Be certain to schedule your interviews during your free time months only. For those students doing an International Health elective in February you may wish to take the first two weeks of the March module off to travel. All students must be in Kansas City during Match week (March 11-15, 2019).

Step 2 Clinical Knowledge and Step 2 Clinical Skills examinations

Register no later than January 5  for the Step 2 CK (Clinical Knowledge) = $610 and the Step 2 (CS) Clinical Skills = $1,285 examinations. You must take CS and CK no later than July 31, 2018.

2018 USMLE Practice and Orientation Materials

Step 2 Clinical Skills and CSA Tips - Dr. Shaw's presentation December 2017 (PowerPoint)

Upcoming Events  -

  • ICM 900 Session: Year Four Overview (attendance required) - Thursday, December 7, 2017, 3:00p.m.- 5:00pm - HEB B102 (podcast will be available)
  • VSAS - The current VSAS (Visiting Student Application Service) is undergoing changes.  A new system, VSLO (Visiting Student Learning Opportunities) is under development and should be up and running in January 2018.  Stay tuned for more information.  
  • Senior Pictures
    • Senior pictures will be taken in late April (watch for dates and location)Please be reminded that the AAMC has taken away the access for Dean's Offices to upload student pictures to ERAS. If you want to use your composite photo on your ERAS application, you will have to purchase this photo in order to upload. If you do not want to purchase the photo, you will have to upload a photo you have had made outside of the class composite picture. The Dean's Office will cover the student sitting fee.

  • CSA exams will be held in the Skills Lab in May 4 - May 24, 2018. Watch for a scheduling announcement from Julie Mack in the Skills Lab in February or March. Participation required.
  • Orientation to the 4th Year (ICM session) - Thursday, May 3, 2018- 3:00 to 5:00 p.m. - HEB B102
  • You may begin working on your ERAS application mid-May. Students should have their ERAS application completed and ready to be sent to residency programs no later than September 15, 2018. The Dean's Office is not permitted by the AAMC to upload student LoRs on behalf of letter writers. All letter writers and/or their assistants must upload the letter into ERAS. The Letter of Recommendation Request form outlines the policy. Please use it when requesting LoRs.
  • Medical Student Performance Evaluation (MSPE) - The MSPE is released nationally on October 1, 2018 (no exceptions).  Each fourth year student is required to have a "MSPE Appointment" to review their personal statement and curriculum vitae. A draft of the student's MSPE will also be available to read. An appointment will be necessary. To schedule your MSPE appointment (June, July, and August only), please contact Ruth Straton in the Office of Student Affairs at 913.588.1483 or by email at Students can begin scheduling appointments on May 7, 2018.

Course requirements for the M.D. Degree - (Fourth Year = 32 weeks/8 months)

  • Population Health in Practice – PMED 960 - (4 wks) - only offered in October, February and April - Contact person: Leslie Sullivan, X8-2791
  • Rural Preceptorship - FAPR 900 - (4 wks) - Contact person: Neesa Montoya X8-8221
  • Subinternship (4 wks) - Must choose from: Family Medicine, Internal Medicine, Ob-Gyn, Otolaryngology, Pediatrics, Psychiatry, General Surgery, Orthopedic Surgery, Urology or Neurosurgery to complete this requirement. You may choose to complete your Sub-I at a non-KUMC site but the course description must state that it is a Subinternship.
  • Critical Care Selective (4 wks) - Must choose from: Anesthesia, ICU Medicine, CCU Medicine, Neonatology, Pediatrics, Burn Center, Neurosurgery or ICU Surgery to complete this requirement. KC students must complete this requirement at KUMC or at the KC VAMC.
  • Electives (16 wks): No more than 4 credits of non-clinical/patient care electives can be counted toward graduation credits. A minimum of 12 credits of electives, completed during the fourth year, must be clinical/patient care electives.

Selecting Your Fourth Year Requirements

Use the M4 Track Explanation form to explain extenuating circumstances regarding your schedule, i.e., off-cycle, time off for pregnancy, personal wedding, military, or  Philmont in June (Session 1), July (Session 2), or August (Session 3). Please use the form to also indicate any third year clerkships that still need to be completed at the beginning of the fourth year. Consideration may be given if one or more boxes on the form is completed. Changes to schedules will only be considered on a space available basis due to limitations placed by individual departments/courses.

The Sub I requirement can be completed at another institution, but only with prior approval and completion of the Sub I away form.

The Critical Care requirement must be completed on the KC campus. Critical Care Lottery Form

Only two "special programs" (externships/electives) can be taken at another institution (excluded are Wichita and Greater Kansas City area programs) and credit will only be received if a Special Program/Externship form is completed 4-6 weeks in advance of the rotation start date. The Special Program/Externship and Sub I away forms are also available in the Office of Student Affairs, 3040 Murphy. Want to know what electives are offered? The School of Medicine catalog is online. Elective (externship) and Subinternship (Sub-I) offerings at non-KU schools may be applied for by accessing the new Visiting Student Learning Opportunities (VSLO)  which will replace the Visiting Student Application Service (VSAS) when it becomes available in January or searching the AAMC electives compendium.  Please do not attempt to apply for any external rotations until you have received your schedule, so that you know what dates you will have available to participate in an external rotation. If you are interested in doing at elective in Wichita you should e-mail Savannah Bechard at Housing options at externship locations are available through a new service called Rotating Room

Critical Care lottery formSub I lottery form, Fall Elective Lottery Form and the Spring Elective Lottery Form are all due by Noon on Friday, January 5, 2018. You will be sent your schedule by email when they are completed. If you need to make changes to your schedule, contact Student Affairs.

Class of 2019 - Fourth Year Clinical Track Calendar

Fall 2018
4-week rotations

6/4-6/30/18 7/2-7/28/18 7/30-8/25/18 8/27-9/22/18 9/24-10/20/18 10/22-11/17/18 11/19-12/15/18

Spring 2019
4-week rotations






Fall 2018
2-week rotations


Spring 2018
2-week rotations











Clinical Obligations and Holidays

The beginning and ending dates of each fourth year module is listed above. Each module begins on Monday at 8:00 a.m. and ends on Saturday at 1:00 p.m. Holidays are at the discretion of each attending physician for all clinical students. The rationale is that students are members of the health care team. They must act and be treated as professionals. Patient care responsibilities are their priority. Departments may choose to give their enrolled students “free days” on other state observed holidays, i.e. Martin Luther King, Memorial Day, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day and the Friday following Thanksgiving. Students are already on break over the Christmas and New Year’s Day holidays in both the third and fourth year.

School of Medicine Hooding and Awards Ceremony and University Commencement

Hooding Ceremony - Saturday, May 18, 2019 - University Commencement - Sunday, May 19, 2019

Last modified: Dec 08, 2017