M.D. Program Curriculum

Integrating biomedical science with clinical practice

At the University of Nevada, Reno School of Medicine (UNR Med), our M.D. program curriculum is designed to integrate biomedical science with clinical practice through a systems-based block format. From early on, students will engage in clinical training to develop key skills such as patient interviewing, doctor-patient relationships and physical examination.

What will I learn as a medical student?

In the first and second years, students will work closely with community physicians in outpatient settings, gaining practical experience and exploring research opportunities in both biomedical and clinical sciences. This hands-on approach continues into the third and fourth years, where students will balance ambulatory and inpatient medical education across various settings in Reno, Las Vegas and rural Nevada.

Our Foundations curriculum uses a "Case of the Week" approach to connect scientific concepts with real-world clinical contexts, reducing lecture hours and focusing on strategies for lifelong learning. Each block is designed with clear objectives and includes assessment weeks for clinical skills and comprehensive exams to solidify your understanding.

The curriculum also incorporates longitudinal courses in the “Practice of Medicine” and “Advanced Clinical Skills,” featuring community-based preceptorships and preparing you for clerkships with practical experience. This integrated and dynamic approach ensures that our students are well-prepared for residency and a successful medical career.

Year 1 Structure - Blocks

The Year 1 curricular structure includes 40 weeks of instruction. The five blocks for Year 1 include cardiovascular, respiratory, renal, gastrointestinal, endocrine, reproductive, musculoskeletal, integumentary, human behavior and the nervous system. The “Practice of Medicine” runs concurrently with the blocks for both fall and spring, which includes ambulatory care experiences.

Year 2 Structure - Blocks

The Year 2 curricular structure includes 31 weeks of instruction. The five blocks for Year 2 include the whole body, the nervous system, human behavior, cardiovascular, respiratory, renal, gastrointestinal, endocrine and reproductive systems. The practice of medicine runs concurrently with the blocks for the both fall (which includes ambulatory care experiences) and the spring.

Year 3 Structure - Clerkships

Clerkships mark the transition to the predominantly clinical component of the medical education program. Students are immersed in clinical experiences and clinical reasoning practice throughout the community and surrounding areas. Students work full-time at a designated site during each four- to twelve-week rotation period and are at times assigned on-call duty on scheduled nights and weekends. 

Note: Students must take and pass Steps 1 and 2 of the United States Medical Licensing Exam (USMLE) to graduate. A passing score on Step 1 is required before advancing to the third year, and passing Step 2 is necessary for graduation. 

Year 4 Structure – Clinical Electives

Students complete a minimum of 32 weeks of electives in addition to a required four-week advanced clinical rotation in rural health. Students are encouraged to complete a well-rounded clinical schedule, augmented by non-clinical credits in research or other areas of interest.

Explore our clinical electives

Electives are taken in Reno, Nevada and at accredited residency programs across the country.

Rural rotation

Our required rural rotation emphasizes the importance of health care in small, rural and frontier communities. This part of our curriculum allows students to experience clinical immersion in these settings, where they tackle complex medical issues with limited resources. Over a four-week period, students live and work alongside their preceptors, gaining firsthand insight into the realities of rural health care. This rotation enhances clinical knowledge, problem-solving skills, and understanding of community health challenges, while also providing opportunities for interprofessional learning and in-depth exploration of health disparities.