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Year 4

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Academic Calendar Year 4 (18-19)

Resource & Book List

Year 4 consists of 4-week blocks. It is made up of Electives and Selectives chosen by the student to create an individualized plan of study. There are 4 weeks of USMLE Step 2 preparation, and up to 8 weeks can be used for interviews.

Advanced Inpatient/Acting Internship Management Selectives (AIMs)

Students complete two AIM rotations, each selected from one of the following separate disciplines: Surgery, Psychiatry, Emergency Medicine, Radiology, Anesthesiology, Family Medicine, Obstetrics & Gynecology, Internal Medicine, Neurology, and Pediatrics. Students are actively involved in all aspects of patient care, including primary work-up, development of differential diagnoses, in-hospital patient management, and post-hospital care planning.


Critical Care Selective

The primary objective of this selective is to expose students to patient care in the intensive care setting, with emphasis on patient management issues, such as differential diagnosis, rational laboratory and radiologic testing, and acute and chronic management of patients with multiple medical and surgical problems. Student participate as an integral part of the intensive care team, in the Medical Intensive Care Unit (MICU), Coronary Care Unit (CCU), Neurosurgical Intensive Care Unit (NSU), Cardiothoracic Surgery Intensive Care Unit (CTSU), Pediatric Intensive Care Unit (PICU), Neonatal Intensive Care Unit (NICU), Surgical Intensive Care Unit (SICU) or the Trauma Surgery Unit (TICU). Students assume supervised responsibility for patient admission, evaluation, diagnostic testing, and initiation and evaluation of therapy and are exposed to patient-care issues such as end-of-life decisions, patient disposition, and family healthcare dynamics. Students also spend time in the Patient Simulation Laboratory (PSL), where they have the opportunity to learn and practice management skills relating to acute cardiovascular, pulmonary, renal, and neurologic intensive care.


Electives exist across the spectrum of medicine. Course offerings are divided into 12 disciplines – Medicine, Surgery, Pediatrics, Emergency Medicine, Family Medicine, Neurology, Obstetrics/Gynecology, Radiology, Psychiatry, Anesthesiology, Critical Care, and Other. The goal of the electives is to allow the students to experience the breadth of medical specialties, to assist in consideration of career options, to experience health care provided to diverse populations, and in varied locations, and to develop a stronger knowledge and experience base for preparation for their chosen specialty.  In-patient, out-patient, and non-clinical electives exist, to demonstrate the breadth of career options for physicians, and to allow better understanding of the entire health care system

Senior Seminar

This course is intended to provide a final preparation for the expectations of internship and includes a series of lectures on common problems that house officers may face during their internship. These presentations are specifically focused on what the intern should do, including guidelines on when to seek assistance by contacting a senior resident. The application and interpretation of common blood tests (e.g. ABG) are reviewed. Legal issues including end-of-life issues, appropriate documentation, and malpractice are reviewed. Communication skills, although a large part of our four-year curriculum, are reviewed with respect to topics that are critical to internship, such as delivering bad news and obtaining consent.
During Senior Seminar, students may have the opportunity to refresh procedural skills obtained in their clinical years hands-on experience for procedures.

For complete descriptions of all Year 4 courses see the WFSM Student Handbook

Quick Reference

MD Program
Student Admissions

Phone 336-716-4264
Fax 336-716-9593

Mon - Fri; 9 am to 4 pm


Bowman Gray Center for Medical Education, 1st Floor, 475 Vine St.

Mailing Address

Office of MD Admissions
Wake Forest School of Medicine
PO Box 573183
Winston Salem, NC 27157

Class Profile

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