OMS Years III & IV


The OMS-III curriculum has been developed by the faculty and designed to ensure that all students obtain the osteopathic core competencies required to move toward Graduate Medical Education and to allow success on national competency examinations such as COMLEX. The curriculum is designed to cover the major components of the principle medical disciplines but is not inclusive of all aspects of each general discipline. The required curriculum, in addition to the clinical experience provided at the rotation site, consists of assigned readings requirements from a designated text and faculty selected journals, the completion of on-line case-based clinical modules for the discipline, procedure logs, end of rotation examinations, and the completion of assigned study in OMM topics correlated with the rotation.

Hospital Core Rotations

The goal of clinical education at ARCOM is to provide experience in the major core disciplines of medicine and graduate well-rounded physicians that are prepared to enter any specialty discipline for resident training. To this end, students will also be able to choose Selectives in Internal Medicine and Surgery as well as select two Electives and one Non-Clinical Elective. Clinical experiences will be available at hospital based core rotations and community based rotations.

The following rotations are scheduled to be completed during the OMS-III year:

Core OMS-III Rotations

  • Internal Medicine I (4wks) – must include inpatient service.
  • Internal Medicine II (4wks)
  • Surgery (4wks)
  • OB/GYN (4wks)
  • Pediatrics (4wks)
  • Behavioral Health (4wks)
  • Family Medicine (4wks)
  • Surgery Selective (4wks)
  • Internal Medicine Selective (4wks)
  • Rural Primary Care (4wks)
  • Community Hospital (4wks)
  • Non-Clinical Elective (4wks)
  • Vacation (4wks)

Community Core Rotations

Based in a community and outpatient setting, this portion of the core education of the OMS-III student is designed to expose the student to the practice of medicine originating outside of the hospital and academic settings. With an emphasis on public health, preventive medicine, wellness, primary and secondary care of acute and chronic illness, and emphasizing a holistic approach to the patient, the student will have opportunity to follow the physician from the clinic to the hospital and back, which provides an opportunity to participate in the total care of the patient regardless of where the care originated. All students will spend one block during their OMS-III year with a family physician in office-based practices. In addition, they will have opportunities for a selective rotation in surgery and medicine. OMS-III students will also have two electives and one Non-Clinical Elective. Some students may have a portion of their rotation during family medicine, psychiatry, and pediatrics rotations on hospital services.

Procedures for OMS-III Students

At the end of each semester, students will return to campus for Days at the Fort where they will complete sessions in: OMM, Career Counseling, Simulation Lab, and Standardized Patient Lab.

Clinical students are to follow the work schedule and calendar governing the clinical service they are assigned to each block and not strictly the COM calendar. For the sake of continuity, quality clinical education and patient care requirements, the student may be required to work on holidays or other days differing from postings on general COM calendar. The normal workweek while on clinical service is 60-72 hours. Students normally will not be assigned to work more than 12 hours each day nor more than 12 out of 14 days unless patient care conditions dictate otherwise. Students are to have two consecutive days off every two weeks, but they are not required to be weekend days.

See the Clinical Medicine Handbook for a more detailed description of each of the clinical rotations, objectives, evaluations and expected outcomes.


The OMS-IV core curriculum, like OMS-III, includes an educational curriculum established by the COM and developed by the faculty. The curriculum is designed to ensure that all students obtain the minimal competencies required to move into GME. The curriculum is designed to cover components of each discipline not previously covered and which are more applicable to preparation for clinical practice. Due to the diversity of rotations allowed, it may not be inclusive of all aspects of any discipline.

To successfully pass the rotation, each student must pass the preceptor’s evaluation of the student, their end of rotation examination (if applicable), online modules, and procedure/OMM logs. Students must document 10 (ten) OMM procedures during their OMS-IV year

Unique to the ARCOM curriculum and consistent with our mission, each student must complete a community hospital and rural primary care rotation.

Selectives and Electives

Selectives and electives may be used to explore a variety of medical interest and GME opportunities.

OMS-IV Rotations

  • Emergency Medicine (4wks)
  • Surgery Selective (4wks)
  • Internal Medicine Selective (4wks)
  • Other Selective II (4wks)
  • Elective I (4wks)
  • Elective II (4wks)
  • Elective III (4wks)
  • Elective IV (4wks)
  • Elective V (4wks)
  • Elective VI (4wks)
  • Vacation (4wks)

Days at the Fort

General Information:

Each student will be welcomed back to the Fort Smith campus twice a year (once a semester) to complete multiple onsite sessions including: Standardized Patient sessions, OMM Sessions, SIM Sessions, Clinical Skills Sessions, and Career Counseling. Due to the nature of the sessions, small groups are preferred for each of the Day at the Fort session. As such, there will be three (3) Days at the Fort sessions available each semester and fifty (50) students on average will be assigned to each.

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