Most students complete clinical training and graduate in 2 or 2.5 years after completing the Basic Sciences. These students usually take USMLE Step 2 after completing all Year 3 requirements. However, students may choose a three-year Clinical Studies schedule (a fifth year in the Four-Year MD program).
Students following this schedule may take USMLE Step 2 after four years of medical school, allowing additional preparation time. During this period, students may also complete an individually tailored schedule of electives and/or conduct research.
The Office of Career Guidance (OCG) may advise students to consider a fifth year if they meet one or more of the following criteria, which are predictors of poor performance on USMLE Step 2.
- Academic difficulties in the Basic Sciences phase (including CR, LOA, F)
- Failing USMLE Step 1
- Negative comments or a C/Pass in the Clinical Skills component of clerkships
- Failure on the NBME Clinical Subject Examinations
Students who meet these criteria are expected to delay USMLE Step 2 until completing additional fourth-year training and study. The SOM can assist in developing an individualized educational plan. Students may then enter the next residency application cycle with a stronger academic profile. They may graduate at the end of the fourth year and then take USMLE Step 2 afterward or postpone graduation and remain in medical school for a fifth year.
During the fifth year, students may enter an SGU dual degree program (MPH, MBA, or MScBR), complete up to 8 weeks of additional electives at affiliated or unaffiliated hospitals, an advanced sub-internship, research, or a teaching assistantship. These fifth-year opportunities are available at no additional tuition cost when arranged through SGU. Academic advisors help students determine the clinical schedule that best aligns with their career goals.