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*All Elective Rotations have a formal approval process.

Elective Rotations**

**These are the common elective rotations taken. This is not a comprehensive list.

Courses

911�����������’s integrated interdisciplinary curriculum is delivered over the first two (2) years through concurrent semester-long longitudinal courses titled Osteopathic Medical Knowledge (OMK) and Osteopathic Clinical Skills (OCS). The courses run in parallel within common clinical frameworks with frequent integration between the courses.

The student is required to complete eighty-two (82) weeks of clinical training in years three (3) and four (4) (typically forty-two (42) to forty-eight (48) weeks are done in the third year). 911����������� COM defines three (3) categories of clinical requirements:

Core — Forty-Two (42) Weeks

Required Discipline — The student is assigned by the 911����������� COM Department of Clinical Education; Core rotations are typically referred to as “clerkships.” The clerkship year schedule requires a rotation in Family Medicine, Pediatrics, OB-GYN, Psychiatry, and Surgery, and two (2) rotations in Internal Medicine.

Family Medicine

Core Family Medicine is a hospital and/or ambulatory experience that enhances the student’s understanding of patient and family dynamics in illness and health, the physician/patient relationship, and the careful and economical use of medical therapeutics, technological and laboratory investigation, and hospitalization. Special attention is given to the patient interview, directed physical examination, and patient education.

Internal Medicine

Core Internal Medicine is two (2) core rotations (general or mix of general plus subspecialty) and may complete one (1) or more additional rotations in Internal Medicine subspecialties, typically in a hospital setting. Applying principles learned in the preclinical years, and working within a multidisciplinary team, the student learns to formulate a differential diagnosis based on the history and physical, prioritize a problem list, identify appropriate diagnostic tests, develop a treatment plan, and present patients to supervising physicians and in team meetings. Further developing and refining the ability to communicate effectively with patients and members of the treatment team is of critical importance.

Obstetrics and Gynecology

Core Obstetrics and Gynecology is intended to provide practical clinical exposure in the diagnosis and management of the female patient with normal and pathologic obstetric and gynecologic processes. Gynecologic procedures, surgery, labor and delivery, fetal evaluation and monitoring, pre-operative evaluations, and post-operative care are emphasized.

Pediatrics

Core Pediatrics places an emphasis on primary care of the newborn to the adolescent. In hospital and/or ambulatory settings, the student gains a greater understanding of the continuum of child development, including physical, social, and emotional aspects, as well as the role of family dynamics. The student develops communication skills with both the pediatric patient and the family and, as appropriate, refines their skill at educating the child, parents, and other caregivers in health promotion.

Psychiatry

Core Psychiatry encourages the student to recognize, screen for, and assess key symptoms of common mental illnesses, using the mental status examination as the basis for differential diagnosis and therapy. Additional content areas include cognitive, psychomotor, and affective development, risk assessment, substance abuse issues, and the impact of mental illness on patients and families.

Surgery

Core General Surgery and one (1) selective in General Surgery or a surgical subspecialty must be completed by each student. This clerkship is an introduction to the principles and practice of surgery. The student will experience the totality of care from the patient’s pre-surgical visit through the surgical encounter and post-operative recovery.

Emergency Medicine

Emergency Medicine selective represents where knowledge and skills gained by the student in Core rotations come together in the fast-paced emergency department. In conjunction with emergency department personnel, the student will evaluate and treat patients of all ages who are experiencing medical, surgical, or psychiatric emergencies.

Osteopathic Manipulative Medicine

Osteopathic Manipulative Medicine focuses on osteopathic philosophy and principles, which are intrinsic to the entire curriculum and are incorporated throughout the clinical portion of the student’s education. In the fourth year, the student completes a total of four (4) weeks of osteopathic manipulative medicine to gain in-depth experience by working with a practitioner who is well versed in these principles and utilizes them in the clinical care environment.

Selective — Sixteen (16) Weeks

Required Discipline — Site selected by the student, subject to approval by the Department of Clinical Education. There are four (4) weeks each of Emergency Medicine, Internal Medicine, Surgery, and Osteopathic Manipulative Medicine.

Elective

Discipline and site selected by the student, subject to approval by the department.

Elective Rotation Requirements

Sufficient quantity to meet graduation requirements.

Graduation Requirements

The Board of Trustees of the 911����������� confers the Doctor of Osteopathic Medicine (D.O.) degree upon those students who have satisfactorily completed the requirements for graduation and who have been recommended for graduation by the faculty of the College.

Every candidate for the degree of Doctor of Osteopathic Medicine must:

• Be of good moral character and meet the 911����������� COM standards for professional behavior and conduct as described under academic and technical standards.
• Have met and completed the academic requirements of the College, including passage of COMLEX-USA Level 1 and 2CE, within six (6) academic years (or within 150% of the standard time) for the awarding of the degree and have been enrolled at this college for at least the last two (2) years. Successful completion of or its equivalent is under discussion by the COCA and consideration of this graduation requirement will be adjusted based on their decision. Each student must pass the third-year clinical assessment examination provided by 911����������� COM.
• Be free of indebtedness to this College, the University, and their affiliates.
• Have demonstrated the ethical, personal, and professional qualities deemed necessary for the successful and continuing study and practice of osteopathic medicine.
• Have been recommended by the faculty for graduation.
• Be present at the University Commencement Ceremony as well as the 911����������� COM Physician Hooding Ceremony of their class at the time the degree is conferred, unless otherwise excused by the Dean.