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Fourth Year Curriculum

The fourth year of medical school is an exciting time which continues to provide students with a strong, well rounded clinical foundation to ensure that all graduating physicians are well trained and well prepared to practice medicine, regardless of their chosen specialty. The fourth year also provides students a significant amount of flexibility and the opportunity to schedule rotations in their specific areas of interest, whether to serve as audition rotations at specific residency programs or just to improve their overall knowledge and skills. This structure exists to provide students with an experience that enhances their medical education and meets their personal needs and interests.

Fourth Year Curriculum

Amanda Schwiening
Amanda K. Schwiening
Director for Fourth Year Clinical Rotations
aschwiening [at]
Tom Dayberry, MA, PhD, DO
Interim Associate Dean for OMS IV and Post-Graduate Affairs
tdayberry [at]

Clinical curriculum in the fourth year ensures students continue to develop and refine the core clinical skills and knowledge required of graduating osteopathic physicians as well as preparing them for residency training.

International Medical Outreach

Fourth year VCOM students have a unique educational opportunity to participate in a 4-week international outreach rotation at one of our core international sites in Honduras, El Salvador or the Dominican Republic.

Scheduling Fourth Year Rotations

VCOM core hospital training sites are designated community based hospitals and medical practices that have formal partnerships and educational programs with VCOM.

The majority of required rotations in the fourth year occur in the VCOM core clinical training sites. In keeping with the additional flexibility and opportunity to pursue personal interests during the fourth year, students may choose to do some of their clinical rotations outside of VCOM core clinical training sites. Students may request to participate in elective rotations outside a VCOM core site.