Curricular Requirements Years 3 and 4
  1. UNE COM Courses – Years 3 & 4

The student is required to complete 82 weeks of clinical training in Years 3 and 4. UNE COM defines three categories of clinical requirements:

  • Core: Required Discipline; The student is assigned by the UNE COM Office of Clinical Education; Core rotations are typically referred to as “clerkships.”
  • Selective: Required Discipline; Site selected by the student, subject to approval by the Office of Clinical Education.
  • Elective: Discipline and Site selected by the student, subject to approval by the Office of Clinical Education.

The following table shows the distribution of requirements. Students must complete Cores before commencing 4th year Selectives and Electives:



4th YEAR



Core Family Medicine


Selective Internal Medicine  or Pediatrics


Core Internal Medicine


Selective Surgery


Core Obstetrics/Gynecology


Selective Emergency Medicine


Core Pediatrics


Selective Osteopathic Manipulative Medicine


Core Psychiatry




Core Surgery


Total Weeks Year 4


Selective Community Health




1 Elective




Total Weeks Year 3                          48


Total Clerkship Weeks Years 3 and 4


Family Medicine

Core Family Medicine is a hospital and/or ambulatory experience that enhances the student’s understanding of patient and family dynamics in illness and health, the physician/patient relationship, and the careful and economical use of medical therapeutics, technological and laboratory investigation, and hospitalization. Special attention is given to the patient interview, directed physical examination, and patient education.

Internal Medicine

The student completes 12 weeks of Core Internal Medicine (general or mix of general plus subspecialty) and may complete one or more additional rotations in Internal Medicine subspecialties; typically in a hospital setting. Applying principles learned in the preclinical years, and working within a multi­disciplinary team, the student learns to formulate a differential diagnosis based on the history and physical, prioritize a problem list, identify appropriate diagnostic tests, develop a treatment plan, and present patients to supervising physicians and in team meetings. Of critical importance is further developing and refining the ability to communicate effectively with patients and members of the treatment team.

Obstetrics and Gynecology

This clerkship is intended to provide practical clinical exposure in the diagnosis and management of the female patient with normal and pathologic obstetric and gynecologic processes. Gynecologic procedures, surgery, labor and delivery, fetal evaluation and monitoring, pre-­operative evaluations and post­-operative care are emphasized.


In addition to the required Core clerkship, the student may complete one or more additional rotations. Emphasis is on primary care of the newborn to the adolescent. In hospital and/or ambulatory settings, the student gains greater understanding of the continuum of child development, including physical, social, and emotional aspects, as well as the role of family dynamics. The student develops communication skills with both the pediatric patient and the family and, as appropriate, refines his/her skill at educating the child, parents and other caregivers in health promotion.


The student learns to recognize, screen for, and assess key symptoms of common mental illnesses, using the mental status examination as the basis for differential diagnosis and therapy. Additional content areas include cognitive, psychomotor and affective development, risk assessment, substance abuse issues, and impact of mental illness on patients and families.


The student must complete one Core in General Surgery and one Selective in General Surgery or a surgical subspecialty. This clerkship is an introduction to the principles and practice of surgery. The student will experience the totality of care from the patient’s pre­surgical visit through the surgical encounter and post­-operative recovery.

Osteopathic Manipulative Medicine

Osteopathic philosophy and principles are intrinsic to the entire curriculum and are incorporated throughout the clinical portion of the student’s education. In the fourth year, the student completes a total of 4 weeks of osteopathic manipulative medicine in order to gain in-depth experience by working with a practitioner who is well versed in these principles and utilizes them in the clinical care environment.

Community Health

This primary care rotation focuses on medically underserved populations in the US, either urban or rural. Expanding on the Family Medicine experience under the supervision of medical personnel, the student will diagnose and treat patients, often in the absence of sophisticated diagnostic tools. The student also will participate in health screening, preventive care, and patient education.

Emergency Medicine

The knowledge and skills gained by the student in Core rotations come together in the fast-­paced emergency department. In conjunction with ER personnel, the student will evaluate and treat patients of all ages who are experiencing medical, surgical or psychiatric emergencies.

  1. Graduation Requirements

The Board of Trustees of the University of New England confers the Doctor of Osteopathic Medicine (DO) degree upon those students who have satisfactorily completed the requirements for graduation and who have been recommended for graduation by the faculty of the College.

Every candidate for the degree of Doctor of Osteopathic Medicine must:

  1. Be of good moral character.
  1. Have met and completed the academic requirements of the College, including passage of COMLEX-USA Level 1, 2PE and 2CE, within six academic years (or within 150% of the standard time) for the awarding of the degree and have been enrolled at this College for at least the last two years.
  1. Be free of indebtedness to this College, the University, and their affiliates.
  1. Have demonstrated the ethical, personal, and professional qualities deemed necessary for the successful and continuing study and practice of osteopathic medicine.
  1. Have been recommended by the faculty for graduation.
  2. Be present at the UNE commencement and the COM Physicians Hooding Ceremony of his/her class at the time the degree is conferred, unless otherwise excused by the Dean.

Core Rotations are completed in your third year. You are assigned by the COM Office of Clinical Education to one of 12 Clinical Campuses in the Northeast.

  • 12 weeks Internal Medicine
  • 6 weeks Surgery
  • 6 weeks Pediatrics
  • 6 weeks Obstetrics/Gynecology
  • 6 weeks Family Practice
  • 6 weeks Psychiatry

Selective Rotations may be completed in the third or fourth year as outlined in the Clinical Training Manual. 

  • 4 weeks Internal Medicine
  • 4 weeks Surgery
  • 4 weeks Osteopathic Manipulative Medicine
  • 4 weeks Emergency Medicine
  • 4 weeks Community Health

Elective Rotations may be completed in the third or fourth year as outlined in the Clinical Training Manual. You select disciplines and training sites with approval by the Office of Clinical Education: 20 weeks.

  • You may schedule international electives.
  • Research electives are encouraged.

There are 82 weeks of required rotations in the third and fourth years. Also included are several weeks of  “free time,” in which you may schedule extra-credit rotations or meet short-term personal obligations requiring absence from rotations (e.g., boards preparation, residency interviews, vacation, etc.).  A typical schedule might appear as follows:

Month-by-month graphic of a U N E College of Osteopathic Medicine student's third and fourth year schedule

For more detailed information regarding these requirements, see the COM Catalog.