In their final year, medical students further develop their clinical skills through rotations in surgical subspecialties, an acting internship, substance abuse, geriatrics and electives in both clinical and basic sciences.

The longitudinal continuum of community medicine is available by selecting from among a variety of month-long or longitudinal ambulatory rotations with special populations, along with the opportunity to elect a primary care project.

The elective program at EVMS is designed to provides students with an opportunity to plan a significant part of their educational experience. Electives are chosen by the student with the assistance and approval of a faculty advisor. Students may choose electives to strengthen their knowledge in areas in which they feel deficient, to explore areas of particular interest, or to add new dimensions to their base of knowledge and experience.

M4 Requirements

All students are required to take Step I of the United States Medical Licensure Examination (USMLE) at the end of the second year and take Step II at the end of the third year. All students must pass both Step I and Step IICK prior to graduation. Step IICS must be taken prior to graduation. Those students who fail either Step I or Step IICK after the first attempt must meet with the Associate Dean for Academic Affairs to determine their best course of study. This may include, for students failing to pass Step I, interruption of the clinical clerkship.