Fourth year students function as subinterns under the supervision of a senior medical resident and teaching attending. Students are responsible for the initial history & physical, assessment, plan and orders on their newly admitted patients. Students also have ongoing responsibility for the patients they admit, including communication with the attending physician, daily progress notes, orders and follow-up of all lab studies, diagnostic tests and consults ordered on their patients. Students work as part of a team and are expected to participate fully in morning work rounds, teaching rounds, literature searches and sign-out rounds.

Students admit one to two patients per day and have ongoing responsibility for three to five patients. Students take overnight call with their intern every fourth night. Students are expected to attend curriculum conference, firm conference, and Benjamin Gouley, MD Medical Grand Rounds.