The educational program of the School of Medicine is divided into four components.

Components I and II are the foundation of the educational program and present basic science information in a clinically relevant context. Initial discipline-based courses are followed by a series of organ system-based courses.

Component III consists of core clerkships emphasizing basic medical principles, primary care, and preventive medicine.

Component IV provides students with additional responsibilities for patient care including critical care medicine, and elective opportunities.

Clinical experience is a prominent part of the curriculum in all components, beginning with physical diagnosis instruction in the first year and continuing with participation in longitudinal primary care clinic in the second year. The curriculum integrates ethical and societal issues into all four components.

The School of Medicine requires successful completion of each of the four components of study before the Doctor of Medicine is awarded.

Component I - First Year

The goal of the first year is to provide a strong foundation in basic biomedical science to prepare students for detailed basic science content that occurs within the clinically oriented system courses that begin in the second year. Students are also introduced to ethical and behavioral science principles in Ethics and Legal Topics in Clinical Medicine and Behavioral Medicine I and learn the fundamentals of physical assessment and interviewing techniques. An additional (non-curricular) requirement of advancement to Component II is the completion of certification in basic cardiac life support and instruction in health maintenance and infection control measures and policies.  Below are brief descriptions of the Component I courses:

Course Description Credit Hrs Wks of Instruct Lecture Hrs Small Group Labs Other Clinical Exam Hrs Total Hrs Course Director
REQUIRED COURSES:
IDC 101 Molecular and Cell Biology 9 19 95 20 10.5 13 0 9.25 147.75 Dr. Joseph Knezetic
IDC 103 Anatomy 6 18 63 0 110 12 7.5 10.75 203.25 Dr. Diane Cullen
IDC 105 Principles of Pharmacology 1 2 14 3 0 0 0 1 18 Dr. Janee Gelineau-van Waes
IDC 107 Principles of Microbiology 1 4 23 0 0 0 0 4 27 Dr. Richard Goering
IDC 109 Host Defense 3 5 41.5 0 0 0 10 5.5 57 Dr. Kristen Drescher
IDC 111 Neuroscience 7 9 79 10 4 16.5 3.5 10 123 Dr. Laura Bruce
IDC 135 Ethical and Legal Topics in Clinical Medicine 3 16 34 10.5 0 0 0 2 46.5 Dr. Eugene Barone
IDC 136 Introduction to Clinical Skills 4 33 20 19.5 0 15 1 4 59.5 Dr. Robert Coleman and Dr. Anna Maio
IDC 138 Evidence Based Medicine 1 2 11 0 0 1 0 1.25 13.25 Dr. Bruce Houghton
IDC 140 Behavioral Medicine I 3 3 32 4 0 4 0 2.5 42.5 Dr. Terence Zach and Dr. Robert Coleman
IDC 142 Physicians Lifestyle Management 1 36 6 0 0 4.5 0 0 10.5 Dr. Michael Kavan
IDC 400 Intro to Collaborative Care Online Course .5 NA 0 0 0 8 0 0 8
TOTAL 39.5 37 418.5 67 124.5 74 22 50.25 756.25
ELECTIVE COURSES
IDC 183 The Healer's Art 1
IDC 797 Summer Research Project 1
FAP 480 Longitudinal COPC Public Health Endowed Research Summer Assistantship 1
PDT 180 Pediatric Summer Academy 1
FAP 475 Family Medicine Summer Elective 1
* "Other" includes:  IDC 101 student genetic presentations; IDC 103 CT and MRI scans, team-based learning formal classroom and laboratory hours, endotracheal intubation workshop and lightning lab rounds; IDC 111 grand rounds patient contact and neuroanatomy workshops; IDC 136 Clinical Skills Examination (CSE), Focused Observed Clinical Interview (FOCI), ultrasound workshop, M4 team learning, and eye exam session; IDC140 patient panels, child agency visit experience;  IDC 142 vital signs fall activity, faculty panel and testing style & personality inventory analysis.  Not included are online quizzes or essays, Art of Leadership lectures (4 hrs), or mandatory spring lectures on Infection Control, Prescription Workshop, and Health Maintenance (4 hrs).

Component II - Second Year

In the second year, students continue learning basic science along with clinical medicine. The second year is organized as a series of organ system-based courses, each presented by a multidisciplinary team of faculty members. Within each course, normal physiology and histology of the system are presented along with the pathology of common diseases, and the medical and pharmacologic approaches to diagnosis and treatment. Each course uses a variety of formats, including case presentations, lectures, small group discussions, laboratory sessions, computer-aided instruction, and independent study. In addition, in the Applied Clinical Skills course, students use small group discussions to learn clinical reasoning and are assigned to a clinic for two half days per month to reinforce history and physical examination skills.

Following are the M2 course descriptions:

Course Description Credit Hrs Wks of Instruct Lecture Hrs Small Group Labs Other Clinical Exam Hrs Total Hrs Course Director
IDC 201 Cardiovascular System 4 5 73 2 9 6 0 4 94 Dr. Michael Del Core
IDC 203 Respiratory System 3 3 41 0 5 1 0 4 51 Dr. Dale Bergen
IDC 205 Renal-Urinary System 3 3 38 0 3 3 0 3 47 Dr. Sunil Jagadesh
IDC 207 Hematology/Oncology 3 3 48 0 8 4 0 5 65 Dr. Michael Petzar
IDC 209 Gastrointestinal Systems 3 3 45 0 1 1 0 3 51 Dr. Roger Reidelberger
IDC 211 Musculoskeletal/Integument 2 2 28 0 1 1 0 2.5 32.5 Dr. Diane Cullen
IDC 216 Endocrine-Reproductive System 4 4 60 0 7 3 0 4 74 Dr. Peter Abel
IDC 222 Physician Lifestyle Management 1 32 5.5 1 0 9 0 0 16.5 Dr. Michael Kavan
IDC 233 Infectious Disease 4 4 57 8 6 0 0 3 74 Dr. Laurel Preheim and Dr. Richard Goering
IDC 243 Behavior Medicine II 3 2 32 5.5 0 2.5 0 3 43 Dr. Robert Coleman and Dr. Pravee Fernandes
IDC 244 Behavior Medicine III 3 3 33 2 0 5 0 3 43 Dr. Robert Coleman and Dr. Thomas Pisarri
IDC 279 Case Studies Medicine * 2 32 1 29.5 0 0 0 0 30.5 Dr. Poonam Sharma
IDC 290 Applied Clinical Skills 3 32 14 20.5 0 0 60 3.5 98 Dr. Anna Maio and Dr. Robert Coleman
Basic Science Shelf Exam 0 0 0 0 0 0 0 4 4
TOTAL 38 32 475.5 68.5 43 35.5 60 42 729.5

 *Includes multidisciplinary conferences, panels, review and Q&A sessions.  Not included are online quizzes and essays.

Component III - Third Year

Component III is organized into seven clerkships and three electives within six 8-week rotation periods. Additionally it includes two longitudinal courses, Dimensions in Clinical Medicine and Physicians Lifestyles Management.

The first rotation begins early in July and is preceded by a one day mandatory orientation and a one day clinical skills training. The last rotation ends in mid-June.

Component III students are required to complete all their clerkships at Bergan Mercy, St. Joseph's Hospital and Medical Center, or at other sites affiliated with the School of Medicine.

The third year comprises the core clinical clerkships (48 credit hours).  Students are scheduled into one of seven groups that rotate through clerkships in:

FAP 301Family Medicine Clerkship4
MED 301Internal Medicine Clerkship8
OBG 301Obstetrics and Gynecology Clerkship6
NEU 301Neurology Clerkship4
PBS 301Psychiatry Clerkship6
PDT 301Pediatrics Clerkship6
SUR 301Surgery Clerkship8
DCM 301Dimensions of Clinical Medicine2
IDC 342Physician Lifestyle Management1
Electives6
Anesthesiology
Anesthesiology
Anesthesiology
Dermatology
Dermatology
Emergency Medicine
Emergency Medicine
Outpatient Internal Medicine
Outpatient Internal Medicine
Obstetrics & Gynecology
Obstetrics & Gynecology
Child & Adolescent Psychiatry
Geriatric Psychiatry
Adult Inpatient Psychiatry
Psychiatry
Inpatient Pediatrics
Pediatrics
Pathology
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Diagnostic Radiology
Diagnostic Radiology
Radiation Oncology

Component III Students must also satisfy the following requirements:

  • Attend all Junior orientation sessions
  • Be certified in Advanced Cardiac Life Support
  • Satisfactorily complete the M3 Clinical Skills Exam prior to taking the USMLE Step 2 CS.  A student who does not satisfactorily complete the M3 CSE must follow a plan of remediation designed by the Component Director, Course Director, and Medical Director of the Clinical Education & Simulation Center in order to be eligible to take the USMLE Step 2 CS.

Component IV - Fourth Year

The fourth year prepares students for residency and provides a chance to explore their own interests in specialized areas of medical practice. In the fourth year, each student selects at least 36 weeks of courses which must include;

  • 1 critical care selective (4 weeks)
  • 1 primary care sub-internship selective or 2nd critical care selective (4 weeks)
  • 1 capstone selective (4 weeks) in April
  • An additional 24 weeks of clinical electives including sub-internships with no more than 8 weeks of non-clinical electives

Selectives are chosen from a specific group of specialty electives.

Sub-Internships (Sub-I) provide the student with experience and preparation for inpatient medical care, similar to that of a first-year house officer and can be done in Medicine, Pediatrics, Family Medicine, or Obstetrics and Gynecology.  When students are performing their sub-internship, regardless of department, they should act in all capacities as an intern, albeit with a smaller number of patients and greater supervision.

Sub-Internships should not be taken during months in which the student is interviewing extensively for residency positions.

During the fourth year a student must take and post a score for Step 2CK and Step 2CS of the USMLE prior to graduation.

A complete listing of available Component IV Elective/Selective Courses offered is provided to M4 students during the Spring semester prior to Component IV.  Elective/Selective courses are offered in the following subject areas:

Interdepartmental Courses (IDC)
IDC 410Simulation Elective4
IDC 413Anatomy4
IDC 462Medical Informatics4
IDC 482Minority Health Disparities-Issues & Strategies2
IDC 485LGBTQIA Health Disparities: Issues and Strategies2
IDC 497Directed Independent Research4
IDC 498Directed Independent Study4
Anesthesiology (ANE)
ANE 450Neuroanesthesia4
ANE 451Introduction to Anesthesiology4
ANE 461Introduction to Anesthesiology4
ANE 468Anesthesia and Interventional Pain Management4
ANE 470Anesthesiology Pain Medicine4
Biomedical Sciences (BMS)
BMS 461Gross Anatomy4
BMS 462Teaching Practicum in Medical Anatomy4
Family Medicine (FAP)
FAP 435Urgent Care4
FAP 436Rural Family Medicine Sub-Internship4
FAP 438Respite Care for the Homeless4
FAP 440Inpatient Family Medicine Sub-Internship4
FAP 442Palliative Care4
FAP 446Family Medicine-Solaid/Cambodi4
FAP 442APalliative Care4
FAP 460Hospice Care Of The Terminally Ill4
FAP 460AHospice for Terminal Illness4
FAP 461Inpatient Family Medicine Sub-internship4
FAP 461AInpatient Family Medicine Sub-Internship2
FAP 462Rural Family Medicine Sub-internship4
FAP 464Private Family Medicine4
FAP 481Longitudinal COPC Public Health Endowed Research4
Medical Microbiology and Immunology (MIC)
MIC 463Topics in Immunology/Application to Clinical Medicine4
Medicine (MED)
MED 401General Medicine Sub-Internship4
MED 410Pulmonary/Critical care4
MED 412Pulmonary Diseases4
MED 416Clinical Allergy/Immunology4
MED 417Endocrinology, Diabetes, and Metabolism4
MED 420Infectious Diseases4
MED 422Critical Care - Renal Medicine4
MED 431Dermatology4
MED 433Dermatology4
MED 435Medical Hematology/Oncology/Palliative Care4
MED 435AMedical Hematology/Oncology/Palliative Care2
MED 436Research in Med Hem/Onc/Palliative Care and Primer in Bio-Stats4
MED 439Emergency Medicine4
MED 442Inpatient Cardiology4
MED 448Inpatient Cardiology4
MED 449Renal Medicine-Critical Care4
MED 452Emergency Medicine - Dominican Republic4
MED 453Introduction to Global Health4
MED 456Gastrointestinal Medicine4
MED 458Pulmonary/Lung Transplant4
MED 465Endocrinology, Diabetes and Metabolism4
MED 468Infectious Disease4
MED 469Rheumatology4
MED 470ILAC Outpatient Medicine-Foreign Service (Dominican Republic)4
MED 471Emergency Medicine4
MED 472Critical Care4
MED 481Pulmonary/Intensive Care Unit4
MED 482Emergency Medicine Sub-Internship4
MED 484Intensive Care Unit4
MED 486Medical Education Elective4
MED 487Internal Med Sub-internship4
MED 488Internal Medicine Clinical Research4
MED 489Patient Safety and Quality Improvement4
MED 490Critical Care Medicine4
MED 491Internal Medicine Capstone4
MED 496Directed Independent Study4
MED 498Medicine Extramural4
MED 795Evidence Based Medicine - Independent Study4
Neurology (NEU)
NEU 401General Neurology4
NEU 410Neurology/Neuromuscular2
NEU 462General Neurology2
NEU 496Directed Independent Study4
NEU 498Neurology Extramural4
Obstetrics and Gynecology (OBG)
OBG 461Detection and Mgmt of High-Risk Pregnancy Sub-Internship4
OBG 462Private Services in Gynecology4
OBG 464Prenatal Diagnosis4
OBG 466Gynecology Oncology4
OBG 467General Obstetrics - Foreign Service (Dominican Republic)4
OBG 468General Obstetrics and Gynecology4
OBG 470Gynecologic Surgery4
OBG 472Inpatient Gynecology4
OBG 473Delivery of Women Healthcare - Foreign Service (Dominican Republic)2
OBG 474Applied Outpatient and Inpatient Gynecology4
OBG 477Gynecologic Oncology Sub-Internship4
OBG 479Clinical Research in Advanced Gynecology4
OBG 480Clinical Obstetrics and Gynecology Research4
OBG 481Maternal Fetal Medicine Research4
OBG 483Detection and Management of High Risk Pregnancy Sub-Internship4
OBG 490Obstetrics and Gynecology Capstone4
OBG 495Directed Independent Study2,4
OBG 498Obstetrics and Gynecology Extramural4
Pathology (PTG)
PTG 401Neuropathology4
PTG 402Molecular Genetics in Oncology4
PTG 461Introduction to Pathology Practice4
PTG 462Topics in Pathology4
PTG 467Survey of Pathology Practice2
PTG 468Microbial Laboratory Diagnosis4
PTG 497Directed Independent Research4
PTG 498Pathology Extramural4
Pediatrics (PDT)
PDT 420Pediatric Endocrinology4
PDT 421Pediatric Hematology-Oncology4
PDT 422Pediatric Rheumatology4
PDT 423Pediatric Gastroenterology and Nutrition4
PDT 424Medical Care for Homeless and At-Risk Kids and Teens4
PDT 425Pediatric Cardiology4
PDT 426Pediatric Urology4
PDT 427Pediatric Dermatology (PRC)4
PDT 428Pediatric Rheumatology4
PDT 430Pediatric Sports Medicine4
PDT 440Breastfeeding Medicine4
PDT 442General Pediatrics Outpatient/Nursery4
PDT 444Anatomic and Clinical Pathology4
PDT 446Pediatric Emergency Medicine4
PDT 450Pediatric Orthopedics4
PDT 459Pediatric Genetics and Metabolic Disease4
PDT 460Pediatric Inpatient Sub-Internship4
PDT 461Pediatric Critical Care4
PDT 463Pediatrics Infectious Disease4
PDT 464Neonatal Intensive Care Services4
PDT 466Pediatric Cardiology4
PDT 467Pediatric Neurology4
PDT 468Pediatric Gastroenterology4
PDT 469Pediatric Endocrinology Services4
PDT 470Pediatric Hematology/Oncology Service4
PDT 471Pediatric Respiratory and Critical Care Medicine4
PDT 472General Pediatrics4
PDT 473Advanced Pediatrics4
PDT 474Pediatric Emergency Medicine4
PDT 475Pediatric Pulmonology4
PDT 477Clinical Genetics/Dysmorphology4
PDT 478Pediatric Nephrology4
PDT 480Assessment of Child Abuse and Neglect4
PDT 481Development and Behavioral Pediatrics4
PDT 483Pediatric Neurology4
PDT 484Pediatric Critical Care4
PDT 485Neonatology Critical Care4
PDT 486Inpatient Pediatrics4
PDT 487Family-Centered Patient Care4
PDT 488Pediatric Allergy and Immunology4
PDT 490Pediatrics: Cardiac Critical Care4
PDT 494Pediatric Urgent Care4
PDT 496Directed Independent Study4
PDT 498Pediatrics Extramural4
Physical Medicine and Rehabilitation (PMR)
PMR 421Physical Medicine and Rehabilitation4
PMR 498Physical Medicine & Rehabilitation Extramural4
Preventive Medicine and Public Health (PMH)
PMH 470Preventive Ophthalmology (Dominican Republic)4
PMH 496Directed Independent Study4
Psychiatry and Behavioral Sciences (PBS)
PBS 410General Hospital Psychiatry4
PBS 414Pediatric Psychiatry (PRC)4
PBS 420Special Topics in Psychiatry4
PBS 445Outpatient Psychiatry4
PBS 462Clinical Psychopharmacology4
PBS 463Child and Adolescent Psychiatry4
PBS 463AChild & Adolescent Psychiatry2
PBS 464Psychiatry Research4
PBS 467Geriatric Psychiatry4
PBS 467AGeriatric Psychiatry2
PBS 472Adult Inpatient Psychiatry4
PBS 472AAdult Inpatient Psychiatry2
PBS 474Mood Disorders and Their Treatment4
PBS 474AMood Disorders & Treatment2
PBS 475Consultation/Liaison Psychiatry4
PBS 476Special Topics in Psychiatry4
PBS 479Addictions4
PBS 479AAddictions2
PBS 482Trans-Cultural and Community Psychiatry4
PBS 482ATrans-Cultural/Comm Psychiatry2
PBS 483Domestic Violence Practicum4
PBS 486Narratives in Illness4
PBS 496Directed Independent Study4
PBS 498Psychiatry Extramural4
Radiology (RAD)
RAD 450Interventional Radiology4
RAD 460Diagnostic Radiology4
RAD 463Diagnostic Radiology4
RAD 464Radiology Oncology4
RAD 465Angio/Interventional4
RAD 468Diagnostic Neuroradiology4
RAD 496Directed Independent Study4
RAD 498Radiology Extramural4
Surgery (SUR)
SUR 401Selective in Trauma4
SUR 401ASelective in Trauma2
SUR 405General Surgery - Red4
SUR 405ASelective in General Surgery2
SUR 411Orthopedic Surgery4
SUR 412Advanced Surgical Prep4
SUR 414Selective in Plastics and Reconstructive Surgery4
SUR 415Urology4
SUR 416Surgery Research4
SUR 420Selective in Trauma/Acute Care Surgery4
SUR 422General Surgery4
SUR 424Selective in General Thoracic Surgery4
SUR 425Selective in Otolaryngology4
SUR 431Selective in Pediatric Surgery4
SUR 432Selective in General & Oncology Surgery2
SUR 432ASelective in Oncology/Surgery2
SUR 433Selective in Urology4
SUR 434Comprehensive Ophthalmology4
SUR 435Otolaryngology4
SUR 436Urology/Gynecology4
SUR 450Otolaryngology4
SUR 460Vascular Surgery4
SUR 468General Vascular & Orthopedic Surgery4
SUR 472Selective in Neurological Surgery4
SUR 472ASelective Neurological Surgery2
SUR 474Selective in Ophthalmology4
SUR 475Orthopedic Surgery4
SUR 475ASelective in Orthopedic Surgery2
SUR 476Selective in Otolaryngology4
SUR 477Selective in Pediatric Surgery4
SUR 478Elective in Pediatric Surgery4
SUR 479Selective in Plastic and Reconstructive Surgery4
SUR 481Selective in Orthopaedic Surgery4
SUR 485Surgical Intensive Care Unit4
SUR 486Burns4
SUR 489Selective in Pediatric Ophthalmology4
SUR 490Urology4
SUR 491Selective in Plastic and Reconstructive Surgery4
SUR 492General Surgery4
SUR 494Selective in Neurological Surgery Sub-Internship4
SUR 495Surgery Capstone4
SUR 498Surgery Extramural4
SUR 795Directed Independent Study4

Assessment and Evaluation

Clinical Education & Simulation Center

The mission of the Simulation Education Center shall be to assist health sciences faculty in the development, implementation, and evaluation of educational sessions for Creighton University health sciences learners at various levels of training.  We exist to enhance the learning process and increase learner satisfaction with their educational experiences. We promote faculty development and are committed to the advancement of excellence in education at Creighton University so that graduates are able to provide comprehensive and safe patient care.  The goals and objective for all of our activities are designed to provide learners with opportunities to demonstrate clinical competence in a safe and constructive environment.  Learners are given opportunities to demonstrate proficiency in a variety of skills, while showing compassion and sensitivity to patient needs and concerns. Learners are taught to work as a team and are encouraged to reflect upon their experiences.  Educational sessions are designed to promote an awareness of, and responsiveness to, the larger context and system of health care and the ability to call upon system resources to provide quality patient care.  It is our goal to foster professional behavior that acknowledges the mission and vision of Creighton University.

Student Evaluation of Curriculum

The participation of course, faculty, and curriculum evaluation is part of students' professional responsibility.  Constructively evaluating the curriculum ensures the best possible education for current and future students.  Student evaluations serve as a source of data for continual improvement and are regularly reviewed by course faculty, course/component directors, and the Evaluation Committee.  Student evaluations are anonymous and confidential.  Students are expected to complete all assigned evaluations within 14 days of course completion.

In the M1 and M2 years, students are required to complete all course, small group and end-of-year evaluations.  Student will be randomly assigned to evaluations for approximately 50% of course faculty and will be required to complete assigned evaluations.  In the M3 year, students are required to complete all clerkship and end-of-year evaluations, and 50% of preceptor evaluations per clerkship.  In the M4 year, students are required to complete all elective course and course director evaluations.  In all years, students will have the option and be encouraged to evaluate 100% of course faculty and preceptors.

Failure to complete an assigned evaluation will be considered a lapse in professionalism and result in a series of actions:

  1. The first three incomplete evaluations will result in an email notice of the lapse in professionalism and reminder of the policy.
  2. Each subsequent incomplete evaluation will result in an official letter noting the lapse in professionalism to be placed in the student's academic file.
  3. Excessive notices may be noted as a lapse of professionalism in the student's MSPE at the discretion of the Associate Dean for Academic Affairs.

The Director of Program Assessment will be responsible for 1) monitoring student adherence to the policy, and 2) notifying the Associate Dean for Medical Education of individual non-compliance requiring action.

Curriculum Assessment

Ongoing evaluation of all elements of the curriculum is essential to maintain continuous improvement of the curriculum. Evaluation of the curriculum is preformed by students, faculty and staff. The process is coordinated by the staff of the Office of Medical Education and is performed by the Evaluation Committee. The Evaluation Committee (six faculty and two students) is responsible for the evaluation of all required courses and clerkships and a representative sample of elective courses on an annual basis.. The committee determines what data are needed, including but not limited to:

  • Course or clerkship syllabus and handbook materials
  • Student evaluations of a course or clerkship
  • Student assessment and grading methods
  • Student performance in a course or clerkship
  • Interview with faculty and staff involved with the course/clerkship
  • Annual course/clerkship report (the course/clerkship director must submit a response to a series of course assessment questions at the completion of the course)

The Evaluation Committee recommendations are presented at an annual course meeting (including the Course Director, Component Director, the Assistant Dean for Medical Education, the Associate Dean for Medical Education, and the Director of Program Assessment) and utilized to generate action plans for making revisions to the course.  The culmination of these activities is presented in a final course review report that is presented to the course director and to the Educational Policy Committee at its regular monthly meeting. The EPC accepts the findings and recommendations of the Evaluation Committee or asks for a response from the course/clerkship director. After resolution of all outstanding issues, the amended report is approved by the EPC and sent to the course director for implementation of the recommendations.

The Educational Policy Committee monitors the curriculum by examining course, clerkship, elective, and component evaluations (when requested) provided by the Evaluation Committee. The Evaluation Committee performs program evaluation using data from the AAMC Year 2 Questionnaire, AAMC Graduation Questionnaire and surveys of first year residency program directors. Program evaluation is also aided by examination of USMLE Step 1 and 2 scores.

Assessment of Student Performance

Students are assessed in cognitive, affective, and psychomotor domains in all courses with an emphasis on formative assessment throughout the course providing frequent feedback to the student. Examinations and quizzes are coordinated in all components. Honors/Satisfactory/Unsatisfactory grading is used in all courses; written and narrative assessment of students is provided where appropriate. Students are evaluated individually against curriculum standards and are not ranked. The United States Medical License Examination (USMLE) Step 1 must be passed before progressing into Component III. Taking and posting a score for USMLE Step 2 CK and CS is required to complete Component IV.