The fourth-year curriculum is organized into specialty tracks to allow students to align their program of study with an area of specialty interest. General requirements for fourth year students include 33 total curriculum weeks encompassing three mandatory track requirements, five elective months and a one-week Transition to Residency Course. Students must complete at least 20 weeks of clinical coursework; no more than three months in a single subspecialty can be applied for credit towards graduation. Students can elect to engage in research and/or independent study for up to three months. All specialty track requirements must be completed at a NYMC-SOM affiliated institution.