The fourth year is divided into four groups integrated into two 20-week rotations. One of these rotations incorporates Child Health and Obstetrics and Gynaecology with the teaching of Clinical Genetics and Genito-urinary Medicine. The other ten-weeks cover General Practice with Otorhinolaryngology, Ophthalmology and Dermatology. This component is based at the University Hospital, City Hospital, Derby City Hospital and in the community. Students gain experience on the hospital wards, out-patient clinics, the children's accident and emergency department, community child health clinics and special schools.
Emphasis is placed on clinical skills.
Teaching is by ward round, tutorial or seminar rather than being lecture-based. Obstetrics and Gynaecology Teaching in this discipline is based at the University Hospital, City Hospital, Derby City Hospital, King's Mill Hospital near Mansfield, and Lincoln General Hospital. Students take an active part in the management of normal pregnancy and normal labour. They are also involved in studying common gynaecological problems and in clerking and assisting with the care of patients on the gynaecological ward. Students are required to be resident when on call.