During the third year, all students are required to do a 12-week clerkship in Ambulatory Medicine. This rotation allows students to work with community faculty in Family Medicine, Internal Medicine, Pediatrics and various outpatient subspecialties. The student is immersed into a full spectrum primary care setting 4 days a week with relevant outpatient didactic topics at the school of medicine 1 day a week. Six weeks are spent in an Adult Primary Care site (either Family Medicine or Internal Medicine). Through a collaborative partnership with the Area Health Education Centers (AHEC) there is an option for students to spend their adult primary care time in a rural setting with a family physician. The supplementary six weeks are spent as half days in a pediatric office and the corresponding half days in outpatient Dermatology, Ophthalmology, Orthopedics, Otolaryngology, Palliative Care and Urology. Students are assessed by direct observation by the preceptors, written evaluations, oral exams, reflection papers, quality improvement papers and logbooks. This clerkship is not open to visiting students.