Required Third Year Core Rotations

Core rotations are required rotations that include assessment by a preceptor evaluation and a post rotation examination and, in some cases, small group participation.  Core rotations include: Family Medicine, Internal Medicine, Surgery, Pediatrics, Cardiology, Psychiatry, and Obstetrics/Gynecology. There is a required elective rotation and a required rural rotation in third year. All required rotations, including the third year elective and rural rotation, must be done at established Midwestern University AZCOM rotation sites.

Required Fourth Year Rotations

Fourth year students complete core rotations in Emergency Medicine and Critical Care and required rotations in sub-specialty medicine and subspecialty surgery. They may complete 16 weeks of rotations in any one discipline.

Students must successfully complete a minimum of 24 weeks of elective rotations during their fourth year in recognized disciplines of medicine. Students may schedule one four week elective at an approved site in international medicine and/or research.

Elective clinical rotations may be done at preapproved institutions, including military, in states where Midwestern University has a license or agreement to send its students. To be eligible for academic credit, elective rotation schedules must be planned with the assistance of, and approval by, the appropriate clinical Department Chair.


There is a holiday break at the end of the calendar year during the third and fourth years. For more information, reference the clinical clerkship manual.

Additionally, fourth year students are allowed a total of eight weeks of vacation. Students may not take more than four weeks of vacation per quarter.