In the fourth year of a traditional medical school, students typically transition from classroom-based learning to more advanced clinical training. The curriculum includes the following components:

1. Clinical Rotations: Students participate in a series of clinical rotations in various medical specialties, including Internal Medicine, Surgery, Pediatrics, Obstetrics and Gynecology, Psychiatry, and others. These rotations offer hands-on experience in different healthcare settings.
2. Sub-Internships: Some students may opt for sub-internships, where they take on a more active role in patient care, similar to that of an intern or first-year resident.
3. Elective Rotations: Students have the opportunity to choose elective rotations in areas of specific interest, such as Cardiology, Oncology, Neurology, or any other specialty they wish to explore further.
4. Continuity Clinic: Students may have continuity clinic experiences, where they follow patients over an extended period, learning about longitudinal care and patient management.
5. Clinical Conferences and Seminars: Attendance at clinical conferences, seminars, and grand rounds provides exposure to ongoing medical research, new treatment modalities, and complex medical cases.
6. Residency Application Preparation: Students begin preparing for the residency application process, which involves selecting specialties, gathering recommendation letters, and writing a personal statement.
7. Step 2 Examinations: Students take Step 2 of the United States Medical Licensing Examination (USMLE) or similar licensing exams in other countries to assess clinical knowledge and skills.
8. Residency Interviews: Students may start attending residency interviews at various hospitals and healthcare institutions to secure post-graduate training positions.

The fourth year is crucial for students to gain practical experience, refine clinical skills, and solidify their future career paths. It also marks the transition from being a medical student to becoming a medical professional, as students prepare to embark on their journey into residency training and specialized medical practice.