Fourth Year Clerkship

Requirements and Availability

Completion of all major third year core clerkships (Surgery, Medicine, Obstetrics-Gynecology, Psychiatry, and Pediatrics) is required. For more information please visit the Boston University Office of the Registrar website or call them at 617-638-4160.

Students not from Boston University School of Medicine (BUSM) must be currently enrolled in a U.S. medical school and can register for the course using the Visiting Student Application Service (VSAS). Please read the VSAS application carefully and be sure to meet all requirements. Pay particular attention to the insurance requirements. Malpractice/Liability and Commercial General Public Liability documents must be approved by the BUSM Registrar’s Office before your application will be considered.

We also offer a Subsidized Visiting Elective Program for medical students from ethnicities that are underrepresented in medicine. Please email Justin McCummings ( for more information.

Positions are limited so early application is recommended. Preference is given to medical students seriously considering a career in Emergency Medicine.

For rotation dates and availability, please contact:

Lisa Stapleton
Coordinator of Undergraduate Medical Education
Department of Emergency Medicine, Boston Medical Center
Dowling 1, 818 Harrison Avenue
Boston, MA 02118
Phone: (617) 414-2801
Fax: (617) 414-7759

Inquiries and applications are accepted after April 1st for the following academic year.


This is a one-month elective for senior medical students. Students are involved in all aspects of patient care and are exposed to the fundamentals of Emergency Medicine through:

  1. Clinical experience in the Emergency Department
  2. Medical student lecture series and department didactic sessions/grand rounds
  3. Pre-hospital paramedic/EMT observation
  4. Independent reading
  5. Participation in simulations and practical laboratories on intubation, airway management, splinting techniques, and suturing

Goals and Objectives

  • To understand the history and development of Emergency Medicine as a specialty
  • To learn the approach to patient management in the ED, including ABCs, triage, diagnosis, and disposition
  • To learn the principles and techniques of basic wound management
  • To learn the basic principles and rationale for the initial management of patients with trauma
  • To become familiar with the evaluation of patients presenting to the ED with common complaints, including but not limited to: chest pain, dyspnea, abdominal pain, headache, fever, and altered mental status

Clinical Experience in the ED

Students are supervised by attending physicians and senior emergency medicine residents. They see patients independently (unless the patient is critically ill), and are primarily responsible for their patients while in the ED. Students are expected to see between one and three patients at a time, depending on their own level of comfort, the relative complexity of their patients’ problems, and the tempo of the Emergency Department. Students are encouraged to do all necessary procedures on their patients.

Shift Schedule

Students work approximately 14 eight-hour shifts per month in the Emergency Department. This includes approximately 3 “procedure shifts” during which students refine their procedure and resuscitation skills under the supervision of a PGY2 resident.

Boston EMS Ride-Along

One eight-hour ride-along shift with Boston EMS is optional. Comfortable, but neat attire is required (no ties, but no jeans or sneakers).

Lecture Schedule

Department Conference is scheduled every Wednesday from 7:30-12:30 pm. Breakfast and lunch are provided. Please wear scrubs or professional attire when attending conference. In addition to Department Conference, there are weekly lectures and one simulation session geared to students.

We look forward to working with you.


Jolion McGreevy, MD MBE MPH
Director of Undergraduate Medical Education

Vonzella Bryant, MD
Associate Director of Undergraduate Medical Education