Saint Louis University

Year Four Requirements and Electives for Years Three and Four

Welcome to Year Four

Requirements and Electives 

Year Four offers a wide range of options incorporating required and elective curriculum,  interview time, remedial activities, research, or additional course work. These elements allow students to design programs to fit their individual career goals.


Year Four program offers 46 weeks scheduled from June to May.

Students Require:

  • a minimum of 46 weeks of approved instruction for Year Four
  • eight weeks of the academic year are available as discretionary time
    • residency interviews
    • travel
    • additional electives,
    • study time for the United States Medical Licensing Examinations (USMLE Step 2CK and Step 2CS)
    • holidays including winter break
    • remediation (such as the completion of third year requirements)
  • Residency interviewing must be scheduled during discretionary time

Required course work for Year Four includes:

  • 3-weeks of Subinternship
  • 3-weeks of Required Capstone
  • 3-weeks of Ambulatory Care
  • 2-weeks of Emergency Medicine
  • 35 Weeks of Electives

    Effective for the 2015-2016 Academic Year
    (approved by the Year 3 and Year 4 Coordinating Committee 4FEB15 and the CMC 18FEB15)

    Students may not attend residency interviews or schedule USMLE Step 2CK or USMLE Step 2CS while on a sub-internship.  If a student receives an interview invitation shortly before the beginning on a sub-internship, and believes that he/she must attend it, he/she may work with the Office of Curricular Affairs to drop the sub-internship and reschedule another one later in the academic year.  Any student found to have attended an interview while on a sub-internship will be referred to an Associate Dean for Admissions and Student Affairs as an apparent violator of The Code of Professional Conduct for Students.


    You are required to take 35 weeks (35 credit hours) of electives during Year Three and Year Four. A minimum of 27 weeks must be spent in electives classified as “direct-patient care” and eight (8) of these weeks must be chosen from the OASIS Catalog offerings listed on the OCA website.

    Students may not take an elective where a family member would be the person completing an evaluation and/or entering grade.

    You may take no more than two (2) total weeks of Senior Inquiry (INQ) electives. Also, the sum of Non-Direct Patient Care (NPE) elective weeks and Senior Inquiry elective weeks may not exceed eight (8).

  • Electives are classified into several types. Each elective type is clearly identified in the course catalog.

    Direct Patient Care
    Non Direct Patient Care
    (RSE, count as NPE)
    Senior Inquiry
    (INQ, count as NPE)
    Elective Capstones
    (CSE, count as NPE)
    (TE, count as NPE)


  • USMLE Step 2CK and Step 2CS
    Students must record a passing score on USMLE Step 2CK (clinical knowledge) no later than February 14th to be eligible to participate in the NRMP Match that announces results in March of that same year.  Students who do not record a passing score on Step 2CK by February 14th will have their name removed from the NMRP.  Students must take USMLE Step 2CS (clinical skills) by the end of March or will not be able to graduate from the School of Medicine that academic year.

    Approved by the PH3CC 1/12/2011 and the CMC 1/19/2011


    A class meeting is held in the second portion of the MS-III year during which scheduling procedures and forms are explained in detail. Students are given approximately three weeks to complete the Schedule Form, obtain the faculty advisor's signature, and return the form to the Registrar's Office for processing. Schedules are designed by the students on Schedule Forms using the calendar known as Period Codes. Students need to design a Year Four schedule that considers what has been accomplished or will be accomplished by the end of Year Three, using the "Period Codes" table.

  • Rotations:

    • Electives conclude at 12:00 p.m. on Saturday of the final week.

    • Subinterships conclude at 6:00 p.m. on Sunday of the final week.

    • When available, directors have included instructions for the first meeting day within the elective description.

  • Student Evaluations:

    • Student evaluations provide faculty with feedback that can be used to improve the quality of education at Saint Louis University School of Medicine.

    • Subinternship evaluation is a REQUIREMENT of the M.D. Degree Program.

    This website contains information provided by the designated departments.

    For inquiries concerning this website, please contact:
    Office of Curricular Affairs
    Saint Louis University
    School of Medicine
    1402 South Grand, LRC 101
    St. Louis, MO 63104
    Phone: (314) 977-8077
    or email Denise Parker

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