Years 3 and 4

Beginning in the third year, clerkships immerse students in the experiences associated with a particular field of medicine. Students work full-time at a designated site during each six- to twelve-week rotation period and are assigned on-call duty on scheduled nights and weekends.

There are also a variety of elective opportunities at our affiliated hospitals or at other approved institutions, as well as the option to pursue independent study and an advanced clinical mentorship

Clinical Requirements

Students must complete a minimum of 80 weeks of clinical training throughout Years 3 and 4, 68 weeks of which must be taken at Alpert Medical School, including the following:

Core Clerkships

Students must complete 44 weeks of clerkships in the specialties listed below.

  • Internal Medicine, 12 weeks
  • Surgery, 6 weeks
  • Obstetrics and Gynecology, 6 weeks
  • Pediatrics, 6 weeks
  • Psychiatry/Clinical Neuroscience, 8 weeks
  • Family Medicine, 6 weeks


Students must complete a minimum of 36 weeks of clinical electives, 24 weeks of which must be taken at Brown. The 36 weeks of electives must include the following:

  • 4 weeks of a sub-internship
  • 6 weeks of a surgical elective. A 4 week surgery sub-internship can fulfill both the sub-internship requirement as well as count as 4 out of the 6 weeks of the surgery-related electives.
  • 8 or more weeks of selectives, which are clinical electives which include direct patient contact, under the direct personal supervision of Brown faculty

This summary depicts a typical course of study. However, students are permitted and encouraged to individualize their course of study both in terms of sequence and course selection.