Clinical Science
At the Virginia Tech Carilion School of Medicine, clinical science begins with real patient interaction in the first week of school. Students receive ample time during their pre-clerkship years to learn and practice clinical skills with interprofessional faculty and standardized patients in a suite of on-site examination rooms as well as in a new state-of-the-art simulation center. These patient-centered clinical experiences are the foundation that ensures progressive development of competent interview, physical exam, ultrasound, clinical reasoning and patient management skills. These early, intensive clinical experiences effectively prepare students for their clinical clerkships, elective rotations and the national board exams.
Early patient exposure and frequent clinical science skills practice in an integrated, longitudinal process across ALL four years.
Year 1
Interview Skills Utilizing a Patient-Centered Approach
Physical Exam Skills Across the Lifespan*
Oral Health Curriculum
Bedside Ultrasound*
Longitudinal Ambulatory Care Experience
*Aligns with anatomy curriculum to maximize integration
Year 2
Expanded Interview Skills
Abnormal Physical Exam Findings
Clinical Reasoning Skills
Communication Skills: Oral and Written Presentations
Transition to Clerkships: Pre-Clerkship Procedural Skills
Bedside Ultrasound: Common Abnormal Findings
Longitudinal Ambulatory Care Experience
Year 3
- Emergency Medicine or 4 weeks of Electives
- Family and Community Medicine
- Internal Medicine
- Neurology
- Obstetrics and Gynecology
- Pediatrics
- Psychiatry
- Radiology
- Surgery
All students are assessed at the end of Year 3 with a multi-station objective structured clinical exam to assess clinical skills and provide formative feedback.
Year 4
10 weeks of Required Electives (ICU, Medicine Subspecialty, Research, Surgery Subspecialty, Transition to Residency I)
18 -22 weeks of Additional Electives (18 if takes Emergency Medicine in Yr4)
2 weeks of Transition to Residency II - Phase II ends with "Transition to Residency II,”
Opportunities in Clinical Science
- Bedside Ultrasound Training Integrating Anatomy and Clinical Science (Years 1-4)
- Standardized Patient Encounters (Years 1-4)
- Longitudinal Ambulatory Care Experience (LACE) (Years 1-2)
- Nationally Recognized Comprehensive Longitudinal Oral Health Curriculum (Years 1-4)
- Transition to Clerkship Curriculum (Year 2)
- New State-of-the-Art Simulation Center (Years 2-4)
- Exposure to a Large Volume of Patients with a Variety of Presentations (Years 3 and 4)
- Training at a Level 1 Trauma Center (Years 3 and 4)
- Annual Disaster Drill (Year 3)
- Interdisciplinary Curriculum - Domain Days. (Year 3)
- Opportunities for Acting Internships and Multiple Electives Offered by Each Clinical Department (Year 4)
- International Electives (Year 4)
- Transition to Residency Curriculum and Assessment (Year 4)
Clinical Science Success
100% match rate* for our graduates
Step 1 and Step 2 Exam Scores above National Mean*
First time pass rate:
Step 1: 98%
Step 2 CS: 100%
Step 2 CK: 95%
*From 2014-18, based on five graduating classes with a total of 200 graduates.