Module 4 FAQs


Schedule & Days Off

When does Module 4 begin?

In 2020, Module 4 began on Monday, January 6th. The complete 2020 calendar can be found here.

For 2021, Mod 4 will begin on Monday, January 4, 2021. The complete 2021 calendar can be found here.

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Which clerkship should I do first?

You will receive a lot of advice on this. We hope you find positive aspects to all the choices. There are no significant differences in student grades based on when you take your clerkships. If you have any questions, please reach out to your advisory deans, associate deans or student leadership. 

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How is the overall year order determined?

The order is determined through OASIS, our online scheduling system.

Schedule rankings for 2021 clerkships are due by 8am on Friday, October 9, 2020. Results will be posted a few weeks later.

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What about weekend responsibilities?

The following clerkships do not have weekend responsibilities:

  • Anesthesiology
  • Ophthalmology 
  • Orthopaedic Surgery
  • Otorhinolaryngology 
  • Outpatient Pediatrics
  • Family Medicine 

The Internal Medicine and Inpatient Pediatrics clerkships require weekend work.

The weekend schedule varies for the Emergency Medicine and Psychiatry clerkships.

The Surgery, Ob/Gyn and Neurology clerkships may require some weekend work

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When is vacation?

Module 4 is a 48-week curriculum for students in the non-MD/PhD track.

A two-week vacation is scheduled from Monday, June 21 to Sunday, July 4, 2021. No other weeks off are permitted except for extenuating circumstances, such as a family emergency or personal illness.

See Module 4 Important Dates

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Will I have to travel at some time during Module 4? Do I need a car?

Traveling during Module 4 might be necessary. The Family Medicine and Emergency Medicine rotations may offer sites that require students to travel. Students without a driver’s license are not excluded. They will be required to travel to sites accessible via public transportation or carpool.  

Please carefully review the descriptions for patient population, hospital/practice characteristics and travel requirements. Students who encounter health issues that might interfere with travel (such as broken leg) will be accommodated. This process is managed by the Registrar’s Office.

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Which clerkships have enough local sites to accommodate everyone?

  • Anesthesiology (1 week) 
  • Inpatient Medicine (8 weeks) 
  • Pediatrics (6 weeks) 
  • Neurology (4 weeks) 
  • Ob/Gyn (6 weeks) 
  • Ophthalmology (1 week) 
  • Orthopaedic Surgery (1 week) 
  • Otorhinolaryngology (1 week) 
  • Psychiatry (4 weeks) 
  • Surgery (8 weeks) 

The following clerkships require travel (since there are not enough local sites): 

  • Emergency Medicine (4 weeks) 
  • Family Medicine (4 weeks) 

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Grading & Exams

How are we graded?

2020 Clerkship Students

All clerkship students will receive a final grade of either successful completion or fail (SC/F). The individual components of the clerkship (i.e. clinical performance, OSCE exam, individual assignments) will be graded as before in order to allow students to receive additional feedback. While these components will appear on your OASIS evaluation, they will not appear on your transcript (SC/F will appear on the transcript). The shelf exam will be graded P/F and will show up as P/F on your OASIS evaluation.

2021 Clerkship Students

Students will be graded H/HP/P/F in accordance with the Policies Governing Medical Students' Academic Progress and Conduct.

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What are the requirements for Module 4?

  • Internal Medicine (7 weeks) 
  • Family Medicine (3 weeks) 
  • Surgery (6 weeks general service or 4 weeks general service/2 weeks subspecialty service)
  • “The O’s” - Anesthesiology, Orthopaedic Surgery, Otorhinolaryngology, Ophthalmology (2 weeks - students will pick 2 out of the 4 specialties)
  • General Surgery/O’s Flex week (2 weeks, General Surgery or the 2 remaining O’s)
  • Pediatrics (5weeks)
  • Obstetrics/Gynecology (5 weeks) 
  • Emergency Medicine (3 weeks) 
  • Neurology (3 weeks) 
  • Psychiatry (3 weeks) 
  • EM/Neuro/Psych Flex (1 week of either EM, Neuro or Psych)
  • Doctoring II runs on selected times during intersession throughout the 12 months of Module 4 

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When are the exams?

Exam Schedule

  • 2020 exam schedule
  • 2021 exam schedule
  • Ophthalmology and Otorhinolaryngology departmental exams are given at the end of each week.
  • Emergency Medicine departmental exams are given at the end of each 3-week period.

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What is an OSCE? What is a shelf exam?

An OSCE is an Objective Structured Clinical Exam. An OSCE exam is given in:
  • Family Medicine/Internal Medicine (at the Sim Center with standardized patients)
  • Neurology (at HUP; no standardized patients)
  • Pediatrics
  • Surgery

A shelf exam is an end-of-clerkship standardized exam, produced by the National Board of Medical Examiners (NBME). Questions are written and reviewed by the national test committees that prepare material for USMLE Step 2. The exam contains 110 questions and is strictly timed at 2 hours and 45 minutes. A shelf exam is given in:

  • Family Medicine 
  • Internal Medicine
  • Neurology 
  • Ob/Gyn
  • Pediatrics 
  • Psychiatry  
  • Surgery

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Which clerkships use the departmental exam?

  • Emergency Medicine 
  • Ophthalmology 
  • Otorhinolaryngology

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Which clerkships use the shelf exam?

  • Family Medicine 
  • Internal Medicine
  • Neurology 
  • Ob/Gyn
  • Pediatrics 
  • Psychiatry  
  • Surgery

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