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FAQ (Clinical Rotations)

FAQ Clinical Rotations

During the third and fourth years at LECOM, students are required to complete a total of 24 clinical rotations (12 per year). Each rotation is four weeks in length and is classified as core, elective, or selective. All core rotations (internal medicine, pediatrics, obstetrics/gynecology, surgery, psychiatry, emergency medicine, and ambulatory medicine) and fourth-year selectives must be with a LECOM affiliate. Electives can be in any specialty and at any domestic medical facility. Other rotations (family practice and rural/underserved medicine) are similar to electives.

During the second year, the class is broken down into 13 clinical rotation groups of equivalent size (class size/13). Each group then chooses a group sequence (one through 13) that has been assigned a schedule of its upcoming third-year and fourth-year rotations. Historically, each class has self-selected their group composition and group rotation number.

No. Once your selection is finalized (generally by the middle of second-year classes), your third-year and fourth-year rotations must be completed during the scheduled time periods of the assigned sequence.

Once a year all students (OMS1 and OMS3) are given a master list of year-long sites from which each student can choose core and selective rotations for their upcoming third and fourth year respectively. The list of choices exceeds the number of students in a rotation group. This master list is compiled on a yearly basis by the Assistant Dean of Clinical Education and it consists of hospitals, clinics, and physicians who have, through an affiliation agreement, accepted to train a specified number of LECOM students on a year-long or four-week rotational basis.

A student-to-student swap within a group is permitted as long as this request is cleared through the Office of Clinical Education. Once your schedule is finalized, all other changes are not permitted.

During your first year, an overview of clinical rotations will be given by the Assistant Dean of Clinical Education. During your second year, the entire process of clinical rotation selection will be outlined in a very detailed fashion through scheduled meetings, as well as being listed in the Clinical Clerkship Manual. The manual contains general and specific information relative to clinical education, such as, curriculum, rotational goals and objectives, student protocol, grading, rules and regulations, etc.

General information for all the LECOM Affiliates is available through the LECOM student portal under the Clinical Education tab or the Office of Clinical Education, as well as the respective websites and literature of the hospital. The Office of Clinical Education also compiles institutional evaluation data for every rotation, which is available for student review. For student elective rotations at non-affiliated sites, other resources include:

Lake Erie Consortium of Osteopathic Medical Training
Website of the AOA for postdoctoral education
AOA Directory (LECOM Learning Resource Center)
Website of the Accreditation Council for Graduate Medical Education (ACGME)
ACGME Directory (LECOM Learning Resource Center)
Website of the Association of American Medical Colleges (AAMC)
Hospital websites and literature
Other students, interns, and residents

Several of our current affiliates evolved through student contacts. If a hospital expresses an interest in becoming a LECOM Year-Long core affiliate it must be willing to accept all LECOM students on a particular core rotation throughout the year. The hospital must sign the standard LECOM Affiliation Agreement, which is required by the AOA. Any interested hospital CEO or medical staff can contact the Office of Medical Education for further information. Unfortunately, most teaching hospitals already have one or more medical school affiliations, and can only offer elective rotations, which you are always free to pursue on your own. Others that are not teaching hospitals may take several years to meet the requirements to become a LECOM affiliate.

LECOM has developed clinical education teaching agreements with more than 100 hospitals and clinics with more than 1600 adjunct faculty members. Click here for examples of current affiliates where LECOM OMS3 and OMS4 have core clinical rotations. Affiliate agreements are subject to change. The Clinical Education Departments at LECOM Erie and LECOM Bradenton will make the determination of available sites during the OMS2 year.