Primary Care Track students spend their third year in a longitudinal integrated clerkship (LIC). A LIC model moves beyond the traditional block structure of the third-year clinical clerkship. In a LIC, students work closely with physician instructors and build mentoring relationships. Students also develop longitudinal relationships with patients and can observe how their diseases progress or improve, follow pregnant women through to delivery and see their babies develop and grow, and get to know their patients as people in the context of their community and family rather than just as episodes of illness or disease.

This differs from the traditional third-year model, where every four to eight weeks students rotate through a different specialty, often in a hospital setting, changing attendings and teaching services, and without the opportunity to follow a patient to see how the patient’s illness or disease process evolves.

In their fourth year, students complete three required four-week rotations, along with 18 weeks of electives that may be completed at any of the four School of Medicine campuses or as an approved visiting rotation at another institution, along with a two-week residency preparation course.