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The fourth year allows students to choose five elective rotations. This 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 while simultaneously preparing them for the process of life-long, self-directed learning and study that will be essential for the remainder of their medical careers.

All electives are approved by the Associate Dean for Clinical Affairs. Electives are for a minimum of four weeks unless a program only offers a two week experience.  These 2 week experiences must be approved by the Associate Dean for Clinical Affairs. Elective Rotations may be repeated.

Electives may be taken either at a VCOM core site or another site of the student’s choosing.

MED 8400 Elective Clinical Rotation I 4 credit hours
MED 8410 Elective Clinical Rotation II 4 credit hours
MED 8420 Elective Clinical Rotation III 4 credit hours
MED 8430 Elective Clinical Rotation IV 4 credit hours
MED 8440 Elective Clinical Rotation V 4 credit hours

Elective Rotations

For elective rotations, fourth year students may choose any third year core rotation, medical selective, surgical selective or any of the following additional elective rotations:

Addiction Medicine
Adolescent Medicine
Anatomy – Gynecological
Anatomy – Orthopedic
Anatomy – Surgical
CDC, NIH or other federally sponsored rotations
Clinical or Biomedical Research
Forensic Pathology*
International Medicine Electives**
Maternal Fetal Medicine
Occupational Medicine
Pain Management*

Palliative Care / Hospice^
Radiation Oncology*
Reproductive Endocrinology
Sleep Medicine^
Urgent Care
Women's Health

* May be taken as a two or four week rotation
^ Two week rotation only
** International rotations outside of VCOM must be affiliated with a medical school, DOCARE or a federally sponsored organization and approved in advance as equivalent by the International Department and the Associate Dean for Clinical Affairs. International rotations outside of VCOM are approved as electives only.