Fourth Year Course Directory

Fourth Year Elective Requirements

During the fourth year, a student is required to complete a Medicine Acting Internship, a Surgical Acting Internship, a Humanities Elective, a Neurology Clerkship,  four, four-week elective months of his/her choice and a one week island course.

The Medicine and Surgical Acting Internships must be completed at the Penn State College of Medicine, Lebanon VA Medical Center, York Hospital, Reading Hospital and Medical Center, or Lehigh Valley Hospital.  Please note:  not all of the Acting Internships are offered at each of these locations.

All electives at the affiliate institutions listed below must be arranged and coordinated with the Office of Student Affairs:


  • Lebanon VA
  • Lehigh Valley Hospital
  • Pinnacle Health System
  • Reading Hospital and Medical Center
  • York Hospital


Electives at institutions other than those listed above must be formally approved.  Please see the “Away Electives” Policy.