Fourth Year Clinical Track Options

Kansas City Class of 2017

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 2016) and 1 or 2 months off to interview (October, November, December and/or January). Usually, November and December are the most common interview months. 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 Match week (March 13-17, 2017).

Step 2 Clinical Knowledge and Step 2 Clinical Skills examinations

Register no later than January 8  for the Step 2 CK (Clinical Knowledge) = $600 and the Step 2 (CS) Clinical Skills = $1,275 examinations. You must take CS and CK no later than July 31, 2016.

2016 USMLE Practice and Orientation Materials

Step 2 Clinical Skills and CSA Tips - Dr. Shaw's presentation January 10, 2013 (PowerPoint)

Upcoming Events  - M4 Timeline

  • ICM 900 Session: Year Four Overview (attendance required) - Thursday, December 3, 2015,3:00p.m.- 4:00pm - Rieke Auditorium (podcast will be available)
  • VSAS - Tokens to be sent in March VSAS Student Presentation     VSAS Student Handout
  • Senior Pictures
    • Dates TBA
  • CSA exams will be held in the Skills Lab in May 2 - May 24, 2016. Watch for a scheduling announcement from Julie Mack in the Skills Lab around February or March . Participation required.
  • Orientation to the 4th Year (ICM session) - Thursday, May 5, 2016- 3:00 to 5:00 p.m. - Rieke Auditorium
  • 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 on or shortly after September 1, 2016. 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.
  • MSPE (Dean's Letters) are released nationally on October 1, 2016 (no exceptions).  Each fourth year student is required to have "Dean's Letter Appointment" to review their personal statement and curriculum vitae. A draft of the student's MSPE will also be available to read. Appointments will only be available between 11 a.m. and 1 p.m. Tuesdays, Wednesdays and Thursdays beginning on May 31 and ending on August 18, 2016 with a few dates excluded due to other commitments. To schedule your Dean's Letter appointment, please contact Ruth Straton in the Office of Student Affairs at 913.588.1483 or by email at Students can begin scheduling appointments on March 1, 2016.

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: Lesley Sullivan, X8-2791
  • Rural Preceptorship - FAPR 900 - (4 wks) - Contact person: Hannah Rachford X8-8221
  • Subinternship (4 wks) - Choose from: Family Medicine, Internal Medicine, Ob-Gyn, Otolaryngology, Pediatrics, Psychiatry, General Surgery, Orthopedic Surgery, Urology or Neurosurgery
  • Critical Care Selective (4 wks) - Choose from: Anesthesia, ICU Medicine, CCU Medicine, Neonatology, Pediatrics, Burn Center, Neurosurgery or ICU Surgery
  • 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., time off for pregnancy, personal wedding or  Philmont in June, July or August. 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.

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 (Visiting Student Application Service) or searching the AAMC electives compendium. VSAS application instructions and participating hospitals/schools can be found by following the links. 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 Melanie Runge. Housing options at externship locations are available through a new service called Rotating Room

Critical Care lottery form and Sub I lottery form are due by Noon on Friday, January 8, 2016. The results of those lotteries will be available on or before February 19.  The Elective lottery form for the fall semester and spring semester is due no later than Noon on Friday, January 8, 2016You will be sent your schedule by email when they are completed. If you need to make changes to your schedule, you can schedule an appointment to meet with Laura Zeiger.

Class of 2017 - Fourth Year Clinical Track Calendar

Fall 2016
4-week rotations

6/6-7/2/16 7/4-7/30/16 8/1-8/27/16 8/29-9/24/16 9/26-10/22/16 10/24-11/19/16 11/21-12/17/16

Spring 2017
4-week rotations






Fall 2016
2-week rotations


Spring 2017
2-week rotations











Hooding Ceremony - May 13, 2017 - University Commencement - May 14, 2017

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 12, 2017 - University Commencement - Sunday, May 13, 2017

If you have any questions contact me via:

Last modified: Nov 25, 2015