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Medical Education
Medical Student Education

Graduation Requirements

Bridges Curriculum students in the Class of 2020 and subsequent classes need to meet all requirements of Foundations 1, Foundations 2, and Career Launch. For details, please see below and the Bridges Curriculum website.

Graduation requirements for Classes of 2017, 2018, and 2019 are listed below.

Competency Requirements: Classes 2017, 2018, and 2019

Upon graduation, students are required to have demonstrated competence in all of the MD Program Objectives. For each competency, a set of milestones defines the expected progress throughout medical school toward achieving competence.

Unit and Clinical Requirements for Graduation: Classes 2017, 2018, and 2019 

Students must complete a total of 239 units with a passing grade including all required courses prescribed in the curriculum of the UCSF School of Medicine, and must be registered in the quarter of graduation from the School of Medicine.

Essential Core Clinical Core Advanced Studies/Clinical Electives
Course Units Course/Clerkship Units Tier Type Units
Prologue 9 Family and Community Medicine (FCM 110) - 6 weeks 9 Tier 1A - 8 weeks minimum 12
Organs 16 Medicine 110 - 8 weeks 12 Tier 1B - 8 weeks minimum 12
M&N 10 Neurology 110 - 4 weeks 6 Tier 2 - 8 weeks minimum 12
BMB 12 Psychiatry 110 - 4 weeks 6 Discretionary - 14 weeks minimum* 21*
FPC Year 1 7 OBGYN 110 - 6 weeks 9 Coda - 3 weeks 4.5
I-3 11 Pediatrics 110 - 6 weeks 9    
M-3 10 Surgery 110 - 8 weeks 12    
Epilogue 14 Surgical Subspecialty Selective - 2 weeks 3    
FPC Year 2 + Transitional Clerkship 8 Anesthesia 110 - 2 weeks 3    
    IDS 112 Intersession 4    
    IDS 111 Longitudinal Clerkship Experience 3    
  97   76   61.5


  • Tier 1A clerkships are 4-week advanced patient care rotations at UCSF or a few of its affiliated sites on services that have interns or a clear role for 4th years to manage patients directly. Tier 1B clerkships are 4- or 2-week clinical advanced patient care rotations at UCSF or a few of its affiliated sites on services in which the student has responsibility for patient management as a member of the primary or consultant team. Tier 2 courses and clerkships have clinical content but not necessarily patient care responsibility. All extramural clinical experiences are classified as Tier 2.
  • *14 weeks of discretionary work assumes that 6 elective units were taken during the Essential Core. Students who did no EC elective work will need to complete 18 weeks of discretionary work during the clinical years.
  • No more than 6 elective units from the Essential Core can be applied to the total required for graduation.
  • MSTP Students: 28 weeks advanced clinical work (T1/T2) are required. Up to 6 units (4 weeks) of MED 160.04 or MED 170.36 can be applied to this requirement.
  • Medicine subinternships (MED 140.01) must be taken at a site other than where the student took the Medicine Core Clerkship (MED 110). Occasionally a student may be assigned to the same site twice for their Medicine rotations if there are no other subI slots at the time the student is available; this is an unusual event and will be decided with the MSE staff based on lottery results.
  • Off-campus elective courses taken by a registered student may be approved for credit toward the M.D. degree from institutions with whom UCSF has documented Training Affiliation Agreement (TAA) in place or in progress. Students may take a maximum of 22 weeks of elective courses/clerkships at another institution.

Competency Requirements: Classes 2020 and After


  • There is one set of requirements for Foundations 2 (F2). All students will have the same required amount of dedicated time in F2 to advance their clinical and foundational science knowledge and skills.
  • The primary entry point into F2 is at the beginning of block 1. A second entry point at the beginning of block 4 has been created to support students in special programs on a case-by-case basis.  Students will not be allowed to enter clerkships at any other time points during F2.
  • All students will have one day/week away from assigned block clerkships and CIExes; the longitudinal FCM clerkship and FCM Seminar/ADR and FS seminar will be scheduled during those days. All students will have flexibility to schedule CIExes and vacation during otherwise unassigned time occurring in their Neurology, Psychiatry, Obstetrics/Gynecology and Pediatrics clerkships. CIExes will be scheduled in 2- or 4-week blocks. Vacation will be scheduled in 2-week blocks.
  • Credit-bearing activity for block rotations (ARCH and block clerkships, CIExes) is a full-time (minimum 40 hours per week) endeavor. Credit for weekly activities (longitudinal FCM, FCM Seminar/ADR/FS-in-F2 Day) is awarded by number of sessions with a minimum requirement of 22 sessions exclusive of scheduled vacation and University holidays.
  • Full enrollment in a quarter is 12 units.


Foundations 2 Requirements in Weeks


Number of weeks/sessions

Number of units

8 Core Clerkships

  • 7 Clerkships block format
  • 1 Clerkship longitudinally

FCM 110 (1 full clinic day every- other week)

MED 110= 8 weeks


SURG 110= 8 weeks


PEDS 110=  6 weeks


OBGYN 110= 6 weeks


NEURO 110= 4 weeks


PSYCH 110= 4 weeks


ANES 110= 2 weeks


FCM 110= 22 full-day sessions*

 and FCM Seminar on FS-in-F2 Day

2 units (winter, spring, summer qtr.)

3 units (fall qtr.)

FCM Seminar/ADR/FS-in-F2 Day

(1 full day every-other week)

22 sessions*



2 weeks


Clinical Immersion Experiences (CIExes)

6 weeks


Flex Time (may be used as vacation or for additional CIEx)

2 weeks



2 weeks



50 weeks



*Students are not required to attend FCM 110 or the FS-in-F2 Day during scheduled vacation or on University holidays. 


Graduation requirements specific to each graduating class are posted in iROCKET.

For more details, please consult the full text of Section III of the Regulations of the Faculty of the School of Medicine, UCSF at

Updated: 9/26/2017