Students build on skills acquired in physical diagnosis to include the completion of a thorough history and physical examination of primarily adult patients.  学生参与 普通内科医学 区域，给予暴露在诊断和治疗过程中，因为它展开.

Students develop competence in evaluating broad clinical problems and patient management skills. “实践”病人的经验是由辅导课和说教式会议补充. Lectures will include the management of commonly encountered disease processes as well as an introduction to the use of diagnostic procedures.

Students will be introduced to disease processes which require various levels of surgical intervention. Students develop skills needed by the general physician as well as those unique to surgery.  学生进一步发展数据综合和解决问题的能力, 并适应与手术相关的临床环境. 理想情况下，学生应该从入院到出院全程跟随病人. Students are expected to participate in all aspects of patient care: assisting in the operating room, 急诊室, 和急症室.  机会将提供直接实践简单的程序，如缝合, 清创和伤口护理. Students will be expected to observe and assist during various procedures in the OR and participate in follow-up and treatment of the post-surgical patient, 以及门诊练习设置.

学生可以获得一般儿科的广泛概述. 将获得住院和儿科门诊护理的经验. Pediatric intakes and ward rounds are the basis of inpatient care while ambulatory care experience is gained in general pediatric 诊所 evaluating patients with common complaints and disorders.  这一临床轮转介绍学生的挑战婴儿的治疗, children and adolescents; the diagnosis and treatment of common illnesses will be emphasized, but the student will have opportunities to learn about more rare congenital as well as acquired disorders.

Students are assigned to obstetrical and gynecological patients for evaluation and follow-up. 参与正常分娩是有压力的. 学生应该跟踪病人完成分娩或手术.  Ambulatory obstetrical and gynecological care is stressed 和病人接触 is supplemented with conferences and didactic teaching sessions. 将对一些活产婴儿进行观察和参与.

在一个主要的机构环境中, 学生将学习主要的精神疾病，如精神分裂症, 情感, 和焦虑症. 学生在第一和第二学年在课堂上学到的知识. Treatment of psychiatric patients in the in-patient setting comprises the majority of the rotation. 提供资源，以照顾精神病人提出. Skill in the evaluation and diagnosis of the psychiatric patients is developed through direct patient interviews and didactic sessions.

Students work in both the private office and clinic setting and the hospital environment with family practitioners. 不像其他的书记员，这种经验不是基于医院. 每个学生都被分配到一个办公环境中, either a single practitioner or a group to experience how different it is to practice primarily in an out-patient setting. 

每个学生进入办公室时将被分配给病人, take a history and do a physical examination; define a diagnostic and treatment plan and then present it to physician. If the patient requires hospitalization, the student will participate in the course in the hospital. 如果在初次就诊后还需要门诊治疗, 学生将安排并进行后续护理.