Year 4 Medical Students
Welcome to your final year of medical school! This year is a time to decide upon a specialty, choose to take elective courses in the medicine you are interested in exploring, travel to other medical schools or out of the country for learning experiences, interview for residency, learn where you'll be for the rest of your training and finally, graduate. The 4th Year Class page has links to many of the resources you will need in preparation for residency and graduation.
Be in close communication with your clinical advisor and clinical mentor to set up your Year 4 schedule.
Plan a home school sub-internship in your specialty choice early in Year 4.
Timing of USMLE Step 2:
- Most students should plan to take Step 2 early in year 4. You are most prepared for the content at the end of Year 3.
- If your Step 1 score was above 250, students can postpone USMLE Step 2 until later in the fall. You won't need it to get interview invitations. Remember, programs must have this exam score well before ranking lists are determined. Time your test so your score is reported no later than January 1. USMLE Step 2 scores usually are reported within three weeks of your test date, but are not guaranteed to be reported in this time.
- Talk with your clinical advisor and Student Affairs for more information and advising based upon your academic record.
Away electives are required for competitive specialties. Plan two away electives, possibly three, depending upon your competitiveness for your chosen specialty.Prioritize programs for your away applications.
- Strength of program
- Faculty/alumni connections
- Academic versus community based
- Geographic considerations: Students applying to competitive specialties will need to apply nationally. Geographic bias can impact students. Plan at least one away elective outside of the Western region to show programs you are serious about relocation.
- Make sure you'll have exposure to chief resident or program director at your away
- Call or email program to make sure you meet with elective screening criteria - usually USMLE Step 1 scores.
- Be confident in your preparation from UNR Med. Most UNR Med students "shine" and perform very well while on away electives, which is why our Match looks so good each year!
Remain in constant contact with Student Affairs regarding your application strategy, interview preparation, rank order lists and parallel planning. When applying to a competitive specialty, it is imperative that you are aware of your match risk and are open to discussions regarding a parallel plan.
Strategies for Success
- Metrics aligned with specialty
- Interview preparation
- Proactive communication with advisors and Student Affairs
- High level of professionalism
- Open to feedback
- Seeks out feedback
- Seeks information and diverse viewpoints
Presentations and Resources
- Scheduling Your 4th Year: please review the Office of Medical Education for information on electives, year 4 structure and rural rotation information.
- Applying to Residency: you should have already reviewed the timeline for scheduling year 4 and applying for residencies in year 3
- ERAS - Electronic Residency Application Service
- NRMP - National Residency Matching Program
- Early Match (San Francisco Match) and Military Match
- American Urological Association - Urology Match (early)
- Outcomes of the Match - Characteristics of Matched Applicants as tracked by the NRMP
- Students can attend workshops, receive career advising, and other services from the Office of Student Affairs, Reno and Las Vegas campuses, as they begin their final year of medical school.
- AAMC Organization of Student Representatives (OSR) Applying to Residency Advice
- Interviewing for Residency
- Curriculum Vitae (CV)
- Personal Statements
- Letters of Recommendation
- Medical Student Performance Evaluations (MSPE)
- The Ultimate Fourth-Year Guide
Financial Exit Interviews - debt management workshops are required for all senior medical students who took out federal loans during medical school. These workshops are held each March or April of senior year.
January - March 2019
January 30, 2019
|Attend Specialty Advising Workshops|
|Schedule 1st meeting with Career Advisor to discuss specialty choice and fourth year schedule|
|Explore options for away electives, if desired|
|Attend Year 4 Elective Planning Workshop|
|March - May 2019||Rural rotations finalized by March 15, 2018|
|Begin applying for away electives through VSLO|
|Plan Step 2CK and CS exam dates|
|April 9, 2019||Electronic Residency Application Workshop & Tutorial|
|May-June||Schedule MSPE meeting|
|Work on your personal statement and CV|
|Ask for LoRs|
|Complete assessments for MSPE meeting|
|Finalize Year 4 Away Elective Decisions|
|Finalize Step 2 CK and CS exam dates|
|July -September||Schedule 2nd meeting with Career Advisor to review program selection, application strategy, and personal statement prior to MSPE meeting|
|Work on ERAS application, finalize program selection|
|Check-in with LoR writers|
|Order transcripts from UNR and USMLE|
|Register for NRMP|
|June - October||Monthly Interview Preparation Workshops|
|August 15, 2019||ERAS Q&A - online chat|
|September 15, 2019||Submit ERAS application|
|September 25-30||Review draft MSPE prior to release on October 1|
|October - December||Respond to Residency Interview Survey Requests #1 and #2|
|November 30 = Deadline to Register for NRMP|
|December 1 - Deadline to change 4th year schedule for Fall|
|December 15, 2019||Deadline to take Step 2 CK and CS|
|January- February||Schedule 3rd meeting with Career Advisor to discuss Rank List|
|January 10, 2020 - SF Match Results Released|
|February 1 - Deadline to change 4th year schedule for Spring|
|February TBD||Preparing your Rank List Workshop|
|February 28, 2020||Submit Rank List|
|March 20, 2020||Match Day!|