Immerses learners in the clinical environment through experiences core disciplines:

Anesthesia
Emergency medicine
Internal medicine
Obstetrics and gynecology
Pediatrics
Psychiatry
Rural Family Medicine
Surgery
*attendance is required; CH: 56

These experiences contribute to one course which promotes progression of learning and assessment across the full 12 months. The Anesthesia rotation is integrated as part of the Surgery rotation and students have three Anesthesia experiences.

Each discipline provides more detailed information at the beginning of each rotation; this is usually done through an orientation session. In addition, students are required to attend hospital orientation sessions.  

There are 16 possible streams in place to provide different orders of the above rotations within the Core Experiences course. Students may also complete rotations at the affiliated sites in New Brunswick and PEI. An algorithm matches students to the streams based on their choices and availability (the Lottery). Site and team choices from the Disciplines will be determined after students have been matched to streams.
 
Clinical experiences and mandatory procedures
For more information regarding the clinical experiences for each rotation and mandatory procedures, refer to the Mandatory Procedures & Clinical Experiences page. 

Assessment
Entrustable Professional Activities (EPAs) are used as the framework for learning and assessment in Phase 4. Electronic clinic cards, formative and summative In-Training Assessment Reports (ITARs) are the main assessment tools in Phase 4. Refer to the pages on EPA assessment, Phase 4 assessment plans and assessment types for more details.