Module 4 FAQs


What are the requirements for Module 4? 

  • Internal Medicine (8 weeks inpatient) 
  • Family Medicine (4 weeks) 
  • Surgery (4 weeks general service/4 weeks specialized service) 
  • Anesthesia (1 week) 
  • Orthopedic Surgery (1 week) 
  • Otorhinolaryngology (1 week) 
  • Ophthalmology (1 week)  
  • Pediatrics (6 weeks with 3 weeks in outpatient setting) 
  • Obstetrics/Gynecology (6 weeks with 40% in outpatient setting) 
  • Emergency Medicine (4 weeks) 
  • Neurology (4 weeks) 
  • Psychiatry (4 weeks) 
  • Doctoring II runs on selected Fridays throughout the 12 months of Module 4 

When does Module 4 begin? 

On Monday, January 6, 2020. The complete 2020 calendar can be found here.

Which clerkship should I do first?

You may receive a lot of advice. We hope you will find positive aspects to all of the choices.

How is the overall year order determined?

The order is determined through OASIS, an online scheduling system. If you are in the MD/PhD program, the system provides approximately seven lottery choices; non-MD/PhD students receive 48 choices. You will need to rank all of the selections by Friday, October 4, 2019.

Will I have to travel at some time during Module 4?

Yes, traveling during Module 4 might be necessary. 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.

Which clerkships have enough local sites to accommodate everyone?

  • Anesthesia (1 week) 
  • Inpatient Medicine (8 weeks) 
  • Pediatrics (6 weeks) 
  • Neurology (4 weeks) 
  • OB/GYN (6 weeks) 
  • Ophthalmology (1 week) 
  • Orthopedic 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) 

When is vacation?

Module 4 is a 48-week curriculum for students in the non-MD/PhD track. See Module 4 Important Dates. A two-week vacation is scheduled from Saturday, June 20 to Sunday, July 5, 2020. No other weeks off are permitted except for extenuating circumstances, such as a family emergency or personal illness. 

 Which clerkships do not have weekend responsibilities?

  • Family Medicine 
  • Neurology 
  • Ophthalmology 
  • Orthopedics 
  • Otorhinolaryngology 
  • Outpatient Pediatrics

Weekend/night responsibilities?

Internal Medicine and Inpatient Pediatrics clerkships require weekend work (5:00 p.m. Friday to 5:00 a.m. Monday).

The weekend schedule is variable for the Emergency Medicine and Psychiatry clerkship.

OB/GYN requires a week of nights. Emergency Medicine requires some night shifts.

What is a shelf exam?

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 national test committees preparing material for USMLE Step 2. The exam contains 110 questions and is strictly timed at 2 hours and 45 minutes. See calendar for schedule.

Which clerkships use the shelf exam?

  • Family Medicine 
  • Internal Medicine
  • Neurology 
  • OB/GYN 
  • Pediatrics 
  • Psychiatry  
  • Surgery
Which courses use departmental exams?
  • Emergency Medicine 
  • Ophthalmology 
  • Otorhinolaryngology

When are departmental exams given?

  • Ophthalmology and Otorhinolaryngology exams are given at the end of each week.  
  • Emergency Medicine exams are given at the end of each 4-week period.

What is an OSCE?

An OSCE is an Objective Structured Clinical Exam.   The exam is given at the Sim Center with Standardized Patients for Family Medicine/Internal Medicine, Pediatrics, and Surgery. The OSCE for Neurology is given at HUP and does not use the SPs as patients.    The OSCE schedule can be found on the Module 4 calendar.