Advanced Clinical Elective Criteria


Advanced Clinical Electives are for senior students who have successfully completed their clerkships. The purpose of the ACE is to better prepare the student for residency.


The ACE experience must be a minimum of 4 weeks and require the highest level of patient involvement allowed a medical student.

The ACE must require the student to exercise clinical thinking and patient care skills (e.g. diagnosis, prognosis, and management) while under the direct supervision of attending physicians and senior residents. The ACE attending and resident physicians will model the principles and commitments of the physician’s professional life.

ACE students will follow the care of assigned patients with the responsible physician. The student must be able to work up and manage together with the residents and attending physicians the medical or surgical care of these selected patients. The ACE may also entail the supervised follow-up of discharged patients.

The ACE will place the student in an important supportive role in the medical management of hospitalized patients under appropriate physician supervision and guidance. Students will be placed on the same call schedule as the intern and will participate with the intern on the assignment.  For example, this includes following the same night call, weekend call, and weekend rounds as the intern. The student needs to be present at all times to fully take advantage of educational opportunities.

The ACE must provide an opportunity for the student to learn and practice advanced H&P skills.

The ACE will provide ample opportunity for the student to become more proficient in patient presentations, selection of appropriate diagnostic studies, data gathering, data assimilation, and patient management.

The ACE will provide for the student an opportunity to learn the management of multiple, simultaneous clinical tasks and problems.

In the surgical and obstetrical specialties, the ACE student will assist the attending physician in births and in operations. The student will participate in the diagnosis, preoperative care, surgery, and postoperative care of these patients. They will receive advanced instruction in surgical techniques.

The ACE student will demonstrate qualities of trustworthiness, integrity, compassion, respect for the patient’s autonomy, confidentiality and need for information. The student will demonstrate professional attributes with regard to professional responsibility.