The curriculum for the fourth year is entirely elective, with the exception of the required four week Neurology clerkship. Students have considerable latitude in selecting from a wide range of electives, ranging from Humanities in Medicine to basic science research.
Clinical electives are available in virtually every area, both at UVa and away, or even overseas.
The advisor has an important role in helping the student plan a balanced elective program appropriate to his or her long-term career choice. In addition to being discussed with the fourth year advisor, each individual plan of study is reviewed and approved by the Electives Board. While the specifics of individual plans vary considerably, there are some general points to consider in planning the elective year. A good choice of electives can add both depth and diversity to the background the student brings to residency training or, if necessary, improve preparation in an area of relative weakness. While not formally required to do so, students should be encouraged to include at least one elective with direct patient care responsibility, such as an Acting Internship or comparable rotation, in preparation for the demands of housestaff training.