Electives/Selectives - Introductory
The Advanced Clinical Elective (ACE)
The Advanced Clinical Elective (ACE) is a required 4-week clinical
experience involving the highest level of patient care allowed a medical student.
The purpose of the ACE is to better prepare the student for residency.
of clinical thinking and patient care skills (e.g. diagnosis, prognosis,
management) under the direct supervision of attending physicians and senior
residents is central to the ACE experience. It is expected that a special
professional relationship develop between the attending and the student,
modeling the principles and commitments of the physician’s professional
life. The ACE must be one of the designated rotations.
• You may complete more than one Elective designated as an ACE.
You may not take time off during any Elective scheduled as an ACE.
An ACE must be 4 contiguous weeks in duration.
Any rotation that is designated as an ACE can also be scheduled as a non-ACE
rotation with approval of the elective supervisor.
o You may take pre-approved time to interview during the non-ACE Elective,
unless the description/supervisor indicates that no time off can be taken during
Each ACE is a clinical experience with primary emphasis placed on enhanced
involvement with medical or surgical patients. Each student will work up and
manage, together with the residents and attending physicians, the medical or
surgical care of selected patients. The ACE may also entail supervised follow-up
of discharged patients.
The goal of the ACE is enhancement of the student’s training in clinical
medicine by undertaking an important supportive role in the medical management
of patients under appropriate physician supervision and guidance. Students
will be placed on the same call schedule as an intern and will participate
with the upper level resident on assignment. For example, the student will
have, if possible, the same night call, weekend call and weekend rounds as
a. The student will participate in the exercise of advanced clinical thinking
and patient care skills under direct supervision of physicians.
b. The student will learn and practice advanced H&P skills and be taught
basic procedures depending on the selected ACE. The student will become more
proficient in patient presentations, selection of appropriate diagnostic studies,
data gathering, data assimilation and patient management. The student will
learn how multiple, simultaneous clinical tasks and problems are managed. In
the surgical and obstetrical specialties the student will assist the attending
physician in surgeries and in births. The student will participate in the diagnosis,
preoperative care, surgery and postoperative care of these patients. They will
receive advanced instruction in surgical techniques.
c. Students are expected to improve their knowledge base through individual
reading and didactic sessions. The experience is patient-centered and based
on the patients encountered by the student.
d. The student will demonstrate the qualities of commitment, trustworthiness,
integrity, compassion and respect of the patient’s autonomy, confidentiality
and need for information. The student will demonstrate professional attributes
with regard to professional responsibility.