TTUHSC School of Medicine
HomeSchool of MedicineOffice of Curriculum

Year Four Curriculum

The Year 4 curriculum at TTUHSC consists of 32 weeks of scheduled courses and 12 weeks of unscheduled time.


*This is a visual representation of an example schedule. This does not reflect course availability.

Schedule Requirements

Required Rotations: All students must complete a two week rotation in Geriatrics

Selective Rotations: Each student will complete two 4-week selective rotations (SubInternship and Critical Care) and a 2-week selective rotation (Ambulatory)

Subinternship: The SubInternship selective rotations focus on providing students with experiences in the care of acutely ill patients in a primarily inpatient setting. Student assignments are based on specific interests of the students allied to needs for additional training in certain areas as perceived by faculty. The SubInternship Selective may be completed in Family Medicine, Internal Medicine, Gynecology, Maternal Fetal Medicine, Pediatrics and Surgery.

Critical Care: The Critical Care Rotation is a four-week selective rotation offered by three departments (Internal Medicine, Pediatrics and Surgery) on all campuses. Depending on the department, the critical care experiences may be offered in the Surgical Intensive Care Unit, Burn Intensive Care Unit, Medical Intensive Care Unit, Pediatric Intensive Care Unit, Neonatal Intensive Care Unit or Emergency Room.

Ambulatory: The Ambulatory rotations provide the student with advanced training in patient care in the clinic setting with a primary focus on care of patients with chronic conditions, preventive care and rehabilitative care (such as rehabilitation for patients with addictions to alcohol, drugs and tobacco in the Internal Medicine rotation). Ambulatory rotations are offered in Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Child Psychiatry, Adult Psychiatry, Neurology, Ophthalmology and Dermatology.

Elective Rotations: All students must complete 20 weeks of elective rotations, generally divided into three 4-week electives and four 2 week electives.  Students may elect not to use the full complement of 2 week electives.  A list of elective rotations offered on each TTUHSC campus can be accessed at Note that not all electives are offered on each campus. Students may complete up to 12 weeks of elective rotations at other institutions.

Planning Year 4 Schedules: Students will receive assistance from the Offices of Student Affairs on each campus to develop their Year 4 schedules. Each plan will be evaluated by Clerkship Directors to ensure that the plan is appropriate for the students’ educational needs and career objectives.

Important Links