Just recently I was talking to one of my mentors about the fourth year of medical school and what it should entail. During the fourth-year students are mainly applying for residency, going on interviews, and completing audition rotations (see the previous post) for their desired residency of choice. Some institutions have core clerkships that need to be completed such as Intensive Care Unit, Emergency Medicine, or Cardiology. Other institutions allow students to take online courses while on the interview trail in addition to some courses that they need to complete prior to graduation. So, during my conversation with my mentor, we discussed these aspects of fourth-year but also the difficulty of managing courses while on the interview trail. The number of days needed for travel, the stressors of completing assignments, and the need to complete a certain number of rotations for fourth-year can cause a lot of complications. So, what is exactly the solution? I am not sure if there is an exact answer to that question, but it is an important one for institutions to consider as they begin to revisit their curriculums annually. A possible solution would be to survey current students and alumni who might have ideas and suggestions which could then be incorporated to help suffice requirements for medical school but also allow for less stress on students as they journey through residency applications and interview process. What are your thoughts on how a fourth-year medical school curriculum should be? Comment down below!