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Core Clinical Rotations

Clinical Core Rotations

The Core Clinical Rotations that begin in the spring of the 2nd year are a part of the joint clinical curriculum that is shared by both the University and College Programs.

In all Core Clinical Rotations, students experience both the breadth and depth of health and disease, with opportunities to reinforce, build upon, and transfer knowledge and skills. Clinical learning is integrated across disciplines whenever possible, and the roles of basic science, civic professionalism, scholarship, and population health in clinical care are addressed. Students have patient care responsibilities that are progressive in complexity and increase as their level of clinical skill and knowledge increases. Learning objectives and assessment methods are the same for a given rotation, regardless of the clinical site.

University Program students have the option of participating in either the traditional Core Clinical Rotation schedule, or in the Cleveland Clinical Longitudinal Clerkship (CCLC).

Traditional Core Clinical Rotations

Beginning in March of their second year, students undertake their core clinical rotations: Core 1 (Family Medicine, Geriatrics and Internal Medicine), Core 2 (Pediatrics and OB/Gyn), Core 3 (Neuroscience and Psychiatry), and Core 4 (Emergency Medicine and Surgery). Cores 1 and 2 are twelve weeks in duration and Cores 3 and 4 are eight weeks. Each of these clinical rotations is offered at the School of Medicine's hospital affiliates, University Hospitals of Cleveland, MetroHealth Medical Center and the Louis Stokes VA Medical Center.


March of 2nd Year

Core I: Medicine, Family Medicine, Geriatrics
(12 weeks)

basic science

Core II: Pediatrics, Obstetrics and Gynecology
(12 weeks)

Core III: Neuroscience, Psychiatry
(8 weeks)

Core IV: Surgery and Emergency Medicine
(8 weeks)

June of 3rd Year


Cleveland Clinical Longitudinal Clerkship (CCLC)

Beginning in July 2018, University Program students have the option of completing their clinical rotations as part of a 12-month longitudinal clerkship experience at the Cleveland Clinic. The educational learning objectives remain the same for all Case Western Reserve University students on their core rotations; however, the structure of the CCLC experience will offer some unique features aimed at increased learning, longitudinal experiences with faculty, and creation of a longitudinal learning community. Students will complete all 40 weeks of their core rotations within the Cleveland Clinic Health System and have 8 weeks of electives that can be taken at other core hospitals in Cleveland or as a visiting student at another institution. The structure of the core rotations will differ from other sites in order to integrate a Longitudinal Ambulatory Block (LAB).

  • Inpatient Experience in three 12-week Blocks:
    o Internal Medicine/Surgery: 12 weeks
    o Pediatrics/Obstetrics & Gynecology: 8 weeks (+ 4 week elective — see below)
    o Neurology/Psychiatry: 8 weeks (+ 4 week elective - see below)
  • Longitudinal Ambulatory Block (LAB) as fourth 12-week Block:
    o Outpatient Experiences
    o Additional Experiences (e.g. Palliative Care) and Flexible Time in the LAB weeks
  • Clinical Electives/Research (two 4-week blocks) — Any clinical site in the city or other institution
  • Longitudinal Didactics and Learning Groups — Students participate in a community of learning over the year. Topics such as quality/safety, high value care and palliative medicine will be covered as part of a year-long curriculum.
Team Based Care 1
12 Week Rotation
Team Based Care 2
8 Week Rotation
4 Week Elective/Research
Team Based Care 3
8 Week Rotation
4 Week Elective/Research
Longitudinal Ambulatory Block (LAB)
12 Week Rotation



   ● Internal Medicine

   ● Surgery



   ● Pediatrics

   ● Obstetrics

   ● Gynecologic Surgery


(any elective, any place)


   ● Neurology

   ● Psychiary


(any elective, any place)



   ● Internal Medicine

   ● Family Medicine

   ● Geriatrics

   ● Pediatrics

   ● Women’s Health


  Emergency Medicine

L O N G I T U D I N A L  L E A R N I N G  G R O U P




The Longitudinal Ambulatory Block (LAB) will include outpatient components of Family Medicine, Internal Medicine, Ob/Gyn, Pediatrics, Emergency Medicine, Palliative Medicine and Geriatrics. LAB will also provide exciting opportunities for students to explore disciplines and possible areas of career interest and establish longitudinal experiences by working a half-day a week with the same preceptor over 12 weeks.

12-week Longitudinal Ambulatory Block (LAB) Rotation

Sample weekly student schedule in LAB. Will be developed individually for each student.










12:00 pm


Internal Medicine




Family Medicine


Women’s Health

Rotation Didactics
or LLG

Rotation or


1:00 pm


Palliative Med
or ER




Family Medicine






Additional Clinical Requirements

Students must have a total of 96 weeks of required activities in the last two years of the medical program.

  • 72 weeks of clinical training consists of:
  • o 40 weeks of Clinical Cores (either traditional or CCLC)
    o 8 weeks of Acting Internships
    o 22 weeks of Clinical Electives
    o 2 weeks of clinical training will be credited to students for completion of Community Primary Care Preceptorship (CPCP) in years one and two
  • 10 weeks of clinical/non-clinical training
  • 16 weeks of research and scholarship.

Reading or research electives do not qualify as clinical electives.