Course and Curriculum Requirements


First Semester (MD 1)

  • Fundamental Concepts
  • Musculoskeletal System
  • Patient, Doctor, and Society  I
  • Healthcare Quality Improvement I

Second Semester (MD 2)

  • Nervous System
  • Nutrition and Metabolism
  • Patient, Doctor, and Society  II
  • Healthcare Quality Improvement II

Third Semester (MD 3)

  • Gastrointestinal System
  • Respiratory System
  • Patient, Doctor, and Society  III
  • Healthcare Quality Improvement III

Fourth Semester (MD 4)

  • Cardiovascular System
  • Hematopoietic System
  • Patient , Doctor, and Society IV
  • Healthcare Quality Improvement IV

Fifth Semester (MD 5)

  • Renal and Metabolic System
  • Endocrine & Reproductive System
  • Patient, Doctor, and Society V
  • Healthcare Quality Improvement V

Sixth Semester (MD 6)

  • Transition to Clinical  Medicine
  • Comprehensive Integration of Clinical Judgment
  • Foundations of Medicine
  • BLS (Basic Life Support) & HIPAA (Health Insurance Portability and Accountability Act)
  • Getting into Residency
  • USMLE Step 1 review
  • Comprehensive Basic Science Examination (CSBE)
  • After passing USMLE Step 1, the student is promoted to Clinical Medicine and will begin their rotations.


Student entering clinical rotations at XUSOM as a new or transfer student will be required to complete a total of 84 weeks of rotations with an optional additional 12 weeks of sub-internships.

Clinical Medicine Year 3 (Core Clerkships – 60 weeks)

  • FM / IM / Research (12 weeks)
  • Internal Medicine (12 weeks)
  • Surgery (12 weeks)
  • Family Practice (6 weeks)
  • Obstetrics and Gynecology (6 weeks)
  • Pediatrics (6 weeks)
  • Psychiatry (6 weeks)

Clinical Medicine Year 4 (Elective Clerkships – 24 weeks)

  • The student will select from a variety of disciplines, including subspecialties of the core clerkships.
  • The majority of elective rotations are 4 weeks.

Sub-internships (Optional additional hospital rotations - 12 weeks)  

  • These rotations are generally pursued in the field appropriate to career interest and they provide a greater amount of showcasing and networking experiences.
  • A student will generally select an elective sub-internship, where they will perform the role of an intern or first-year medical graduate, under the supervision of senior staff and attending physicians.

Students are required to pass all six Core Clerkships and nine Elective Clerkships in order to graduate. In addition, students must pass USMLE-2CK and CCSA prior to graduation.

(All of the above is subject to change)