Planning Your Fourth Year

Priority Scheduling

You need to complete your Medicine Sub-Internship (Sub-I or MICU) early (blocks 9-12) to allow comments from the rotation to be included in your Structures Evaluative Letter (SEL-departmental letter). This means scheduling the Sub-I in June, July, August, or September.

Suggested Interview Months

Peak interview months are November and December. Some programs interview through January. Local programs may offer interviews as early as October. Highly competitive programs generally do not begin notifying applicants until late October.


Additional Recommendations

General Advice – Do not completely front load your schedule.

  • You do not want to have done all meaningful electives in the first half of the year so that you have the lightweight electives from January-graduation. You will be out of practice evaluating and making decision and not in the best shape for your Medicine internship.
  • Consider doing EM or ICU at the end of the year. You will be able to apply all that you learned and be prepared for your Medicine internship.