Curriculum
Curriculum
The Burnett School of Medicine brings together the world’s best practices in medical education and the latest advances in technology to forge new boundaries in medical student education and training.
This progressive approach to medical education creates and shapes Empathetic Scholar® who are both adept at caring for patients and able to meet the health care challenges of tomorrow. The student is central to the educational program. Student success is at the heart of the school’s design and has been incorporated in everything from the creation of significant learning experiences and education spaces to the launch of a highly individualized team-based framework for ongoing student coaching and support. The curriculum is divided into three phases across four years and has been carefully crafted to promote learning and student success.
Phase 1 provides students with an integrated foundation in basic and clinical sciences in order to understand the underpinnings of medicine and prepare students to succeed in clinical training.
Phase 2 consists primarily of clinical learning opportunities in a longitudinal integrated clerkship model that will guide students to become proficient clinicians and effective members of a health care team.
Phase 3 provides students with skills in preparation for residency, additional inpatient clinical experiences, and an opportunity to explore career options in critical care, sub-internship electives, and a number of student-selected electives.
Across the curriculum, students experience a highly-integrated, comprehensive curriculum with content in communication, critical thinking and design, and health care delivery systems, among many other themes, to prepare them for the realities of physician practice in the 21st century. The school aims to optimize each student’s experience and performance by using proven strategies in self-directed learning, harnessing new technologies and incorporating longitudinal clinical learning opportunities. Patient care begins at the time students enter the program and integrates across the curriculum to provide immersive clinical training experiences and the opportunity for students to develop meaningful relationships with patients and faculty over time. With 24 identified educational program objectives across 7 domains, students can be sure they are receiving the highest quality preparation to excel in the art and science of medicine.
Requirements for M.D. Degree
The Burnett School of Medicine at TCU has required standards for the graduation of medical students. All students who have successfully completed the requirements for the MD degree will be recommended for graduation by the Student Progression and Promotion Committee.
Credit Hours
The Burnett School of Medicine uses the credit hour as a measure of progress toward the M.D. degree.
The school calculates credit hours according to the federal Higher Education Act, Regulation 34 CFR 600.2, which states “…a credit hour is an amount of work represented in intended learning outcomes and verified by evidence of students achievement that is an institutionally established equivalency that reasonably approximates not less than: (1) One hour of classroom or direct faculty instruction and a minimum of two hours of out of class student work each week for approximately 15 weeks for one semester or trimester hour of credit… (2) at least an equivalent of work as required in paragraph (1) of this definition for other academic activities as established by the institution including laboratory work, internships, practica, studio work, and other academic work leading to the award of credit hours.”
The Liaison Committee on Medical Education (LCME) is an accrediting body for medical education programs leading to the MD degree. The LCME requires a minimum of 130 weeks of instruction for the MD degree. The School of Medicine curriculum exceeds this minimum.
The Southern Association of Colleges and Schools Commission on Colleges is the recognized regional accrediting body in the 11 U.S. Southern states (Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Texas and Virginia) and in Latin America for those institutions of higher education that award associate, baccalaureate, master’s or doctoral degrees. The SACSCOC requires at least 30 semester credit hours for a doctorate. The School of Medicine curriculum exceeds this minimum.
Our student-centered approach limits structured classroom time to approximately 20 hours in a given a week. Students have the flexibility to structure 20 additional hours a week for both self-directed and independent study.
- At the beginning of Phase 1, students are introduced to the requirements and rigors of medical school and clinical practice in the Introduction to Medicine course. The course provides students a low-stakes opportunity to acclimate to expectations and learn success techniques before embarking on the medical education journey. After this first course, we use an organ-based approach to teach basic clinical, and behavioral sciences primarily using structured small group learning in the remainder of Phase 1.
- In addition to the integrated basic/clinical sciences organ-systems content, students are enrolled in five longitudinal courses in Phase 1: Clinical Skills, Longitudinal Integrated Clerkship: Foundational Experience, Future Accelerators of Medicine and Beyond (FAB), Scholarly Pursuit and Thesis, and Preparation for Practice.
- Finally, students are enrolled in a six week course which offers test-taking techniques and additional study materials to prepare students to sit for the USMLE Step 1 Exam.
- Importantly, the School of Medicine provides a network of individuals who offer personalized academic and professional coaching to students in order to ensure success. Students have access to both academic and executive coaches through our coaching initiatives program. These coaches provide support and coaching during this critical time of adjustment and development in a medical student’s professional formation.
Phase 1 Course Descriptions
- Introduction to Medicine
Introduction to Medicine
Course Director: Jo Anna Leuck, M.D.
Course Weeks: 2
Launches the incoming medical student on the successful professional journey from student to physician. The course introduces the student to the curriculum and learning environment, emphasizing the mindset and tools to encourage lifelong learning and professional development.
- Mechanisms of Health and Disease 1
Mechanisms of Health and Disease 1
Course Directors: Imran Siddiqui, M.D. and David Goff, M.D.
Course Weeks: 12
The first course of the MHD sequence establishes foundational understanding, integration, and application of the sciences of human systems in clinical care over twelve weeks. This course addresses normal and abnormal structure and function of the human body and rationale for investigation, treatment, and other key clinical decisions. Course content is encompassed in three sections: “Health and Wellness,” “When Things Go Wrong,” and “The Body’s Sentinels.”
- Mechanisms of Health and Disease 2
Mechanisms of Health and Disease 2
Course Directors: Sandeep Bansal, M.D., and Justin Fairless, D.O.
Course Weeks: 7
This seven-week course establishes foundations of human form and function along with understanding, integration, and application of the sciences of human endocrine, musculoskeletal and integumentary systems in clinical care. The course is designed to address normal and abnormal structure and function, and rationale for investigations, treatment, and other key clinical decisions pertaining to the disorders of the listed organ systems. The first two weeks are focused on the endocrine system (Section 1), followed by two weeks of hands-on experience in the anatomy lab (Section 2). The last three weeks are focused on the musculoskeletal and integumentary systems (Section 3).
- Mechanisms of Health and Disease 3
Mechanisms of Health and Disease 3
Course Directors: Swapan Nath, Ph.D., and Jim Furgerson, M.D.
Course Weeks: 10
This 10-week course takes the learner through the continuum of learning experience of integration of complex biological, more specially, physiological communication and feedback, mediated via structural, functional, cellular, and biochemical mechanisms, between the heart, the lungs, and the kidneys. The course is designed to address normal and abnormal structure and function, and rationale for investigations, treatment, and other key clinical decisions pertaining to the disorders of the cardiovascular, pulmonary, and renal systems. The first four weeks are focused on the cardiovascular system (Section 1), followed by three weeks on pulmonary system (Section 2). The last three weeks are focused on the renal system (Section 3).
- Mechanisms of Health and Disease 4
Mechanisms of Health and Disease 4
Course Directors: Eric Gonzales, Ph.D., and Jay Crutchfield, M.D.
Course Weeks: 10
Mechanisms of Health and Disease 4 is a 10-week course that begins with a one-week deep dive into anatomical structure and function of various organ systems. It is followed by a dedicated seven weeks, split into two sections, that covers the nervous system structure and function, including normal and abnormal clinical presentations. The final two weeks of the course will cover behavior and psychiatry, giving students foundational content integrated between the basic and clinical sciences.
- Mechanisms of Health and Disease 5
Mechanisms of Health and Disease 5
Course Directors: Veronica Tatum, M.D., and Jim Cox, M.D.Course Weeks: 8
The final course in the MHD sequence, this eight-week course consists of two components. First, students spend three weeks exploring integrated content related to the structure and function of the male and female reproductive systems. Then the students will finish the course with five weeks dedicated to the gastrointestinal system and nutritional science.
- Clinical Skills
Clinical Skills
Course Director: Sandra Esparza, M.D.
Course Weeks: 27
The Clinical Skills course prepares a student to become an empathetic member of medical care team by instilling the necessary skills in areas of history taking, physical examination, communication, documentation, oral presentation, and clinical reasoning, through the use of standardized patients and small group teaching by a cohort of seasoned clinicians.
- Future Accelerators of Medicine and Beyond (FAB)
Future Accelerators of Medicine and Beyond (FAB)
Course Director: Stuart D. Flynn, M.D.
Course Weeks: 3
This unique course exposes students to emerging or predicted concepts and ideas that are likely to have a significant impact on the delivery of healthcare during their career. Using design thinking and other strategies, students will learn about and contribute to the use and development of novel approaches for applying technology to improve the health of patients and populations.
- Longitudinal Integrated Clerkship Phase 1: Foundational Experience
Longitudinal Integrated Clerkship Phase 1: Foundational Experience
Course Director: Yun Tran, M.D.
Course Weeks: 21
This introductory clinical course exposes first-year medical students to the clinical environment through regular experiences with a designated primary care provider preceptor, including a panel of continuity patients. The focus of patient care in Phase 1 is communication, patient education and advocacy.
- Preparation for Practice 1
Preparation for Practice 1
Course Director: Erin Nelson, Psy.D.
Course Weeks: 13
This novel course prepares students for multidimensional aspects of the medical profession and provides students with practical tools and information to solve real-world problems. Topics include the business of medicine, medical ethics, health equity, healthcare policy, patient safety, informatics, public health, global health, communication and the compassionate practice, and team-based care.
- Scholarly Pursuit and Thesis 1
Scholarly Pursuit and Thesis 1
Course Director: Mike Bernas, M.S.
Course Weeks: 19
The Scholarly Pursuit and Thesis course provides students with tools to become a life-long learners and skills to perform initial steps in a scholarly research project. Phase 1 of SPT includes choosing a research mentor and creating a prospectus for a 4-year research project.
- USMLE Step 1 Preparation
USMLE Step 1 Preparation
Course Director: Angela Cantrell, Ph.D.
Course Weeks: 6
The USMLE Step 1 preparation course is a six-week course in which medical students pursue directed independent study with faculty support and identify resources to prepare for the USMLE Step 1 Examination.
Students have the opportunity to be an integral part of the health care team in both inpatient and outpatient settings as part of the hallmark Longitudinal Integrated Clerkship (LIC). Students experience each of the core disciplines of Emergency Medicine, Internal Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Psychiatry and Surgery. Students are paired with clinical preceptors in each specialty who will mentor the student over course of the LIC. While most of the clerkship year occur in outpatient settings, meaningful inpatient experiences are essential. Inpatient LIC Immersion experiences at the beginning of Phase 2 orient students to the hospital environment and their role on the care team as well as help them learn to care for acutely ill patients. Students experience inpatient immersions in the Internal Medicine, Obstetrics and Gynecology, Pediatrics and Surgery clerkships. Additionally, students complete other shorter inpatient immersion experiences at various intervals for each clerkship, work multiple emergency medicine shifts, and work a weekend of inpatient call per month to expose them to inpatient medicine and the acute conditions that their patients will face. The schedule provides flexible time during the year to integrate and allow students to explore a wide variety of fields of medicine including Anesthesiology, Pathology and Radiology.
- The advantages of longitudinal clinical training are many. The LIC model is both patient-centric and learner-centric; it is a progressive curriculum that enables students to maintain continuity with patients and expand their ability to understand and manage the contemporary complexities of patient care. Clinical teachers are essential members of the educational team and key role models for students. Our clinical faculty have excellent professional reputations; the highest skill and regard for quality and patient-centered care; and a contagious spirit of learning.
- For the student, being an integral part of the health care team fosters meaningful learning about patient care and the health care system from faculty who become student advocates over time. Students have the opportunity to enroll and manage the progress of their own patient panel for each discipline. Additionally, there are weekly opportunities to connect with faculty in small-group learning sessions, called Learning and Pondering Sessions (LeAPS) to focus on connections between the basic science and clinical skills in a supportive team-based learning environment.

Phase 2 Course Descriptions
- Transition to Longitudinal Integrated Clerkships
Transition to Longitudinal Integrated Clerkships
Course Director:Sandra Esparza, M.D.
Course Weeks: 3
The Transition to LIC course prepares students for the clinical years of their medical education through the development of knowledge and skills to transition becoming empathetic scholars in various clinical learning environments.
- Longitudinal Integrated Clerkships
Longitudinal Integrated Clerkships
Senior LIC Director Kollier Hinkle, M.D.
During the Phase 2 Longitudinal Integrated Clerkship (LIC), students will participate over time in the comprehensive care of patients in the ambulatory and hospital environments with dedicated preceptors to acquire core clinical care knowledge and skills. The LIC experience consists of 8 clinical discipline clerkships (Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics & Gynecology, Neurology, Pediatrics, Psychiatry, and Surgery). The LIC begins with 12 weeks of inpatient hospital immersions followed by 38 clinical weeks of ambulatory LIC rotations. During the ambulatory portion of the LIC, students will meet every Thursday afternoon for didactics known as Learning, Application and Pondering Sessions (LeAPs). Students will also participate in short clusters of inpatient time known as Bursts and additional short clusters of outpatient time known as Experiences.
Each clerkship has a different number of required sessions, Bursts and Experiences, but all have content occurring across 38 weeks, in addition to the clerkships with the inpatient immersions.
LIC Guiding principles
- Continuity relationships with patients
- Continuity relationships with faculty
- Continuous learning community
- Continuity of setting
- Longitudinal development pedagogy
- Experiential learning
Emergency Medicine Clerkship
Students on the Emergency Medicine Longitudinal Integrated Clerkship will learn to care for undifferentiated and critically ill patients in local emergency departments. They will perform history and physicals, procedures, and generate differential diagnoses and plans under the supervision of an emergency medicine physician. During this clerkship, students will learn essential concepts in patient triage, acute resuscitation, outpatient vs. inpatient management, health care disparity and non-compliance. Additionally, the student will begin to develop a framework to make decisions based on limited information, which can lead to life-saving interventions in acutely ill patients. Students also will learn about common procedures encountered in the emergency department to include airway interventions, intravenous access, wound management, and effective interpersonal and inter-professional communication skills.
Course Weeks: 38 weeks
Clerkship Director: Chinmay Patel, M.D.Family Medicine Clerkship
The Family Medicine clerkship is centered on the long-lasting and caring relationship between physician-patient and family relationship. The clerkship highlights the importance of comprehensive, ongoing care for patients of all ages and genders as well as the benefits of integrating the biological, clinical and behavioral sciences to patients and the health care system. Students will understand the role of serving as patient’s or family’s advocate in all health-related matters in a variety of clinical settings. The clinical experience will focus on outpatient primary care but will allow students the opportunity to also see the full depth and breadth of family medicine in other clinical environments. This clerkship will provide opportunities for each student to acquire knowledge of community resources available for patients and families. A solid understanding of the social determinants of health is a main goal of the clerkship as students work with health care teams to eliminate barriers to access and care.
Course Weeks: 38 weeks
Clerkship Director: Nolan Mischel, M.D.Internal Medicine Clerkship
The Internal Medicine Clerkship is designed to expose students to in-patient and ambulatory experiences that will serve as a foundation throughout their professional lives as physicians, by integrating Phase 1 basic and clinical science knowledge with direct patient care. It will introduce the student to the varied aspects of medical care for adults across the life-span with emphasis in enhancing the skills of taking a history, performing a physical examination, presenting these findings, developing a differential diagnosis for common clinical presentations and problems, and developing evidence-based plans. The skills of data analysis and critical thinking about diseases in patients are also a key component of this clerkship.
Students will be exposed to patients with common chronic medical conditions, including diabetes mellitus, obstructive and restrictive pulmonary disease, common cardiac conditions, thyroid disease, and common chronic gastrointestinal, liver and biliary tract diseases, among others. The Internal Medicine clerkship will also encompass knowledge in several subspecialties.
Course Weeks: 3 weeks of inpatient immersions + 38 weeks
Clerkship Director: Suresh Kankanala, M.D.Obstetrics & Gynecology Clerkship
The Obstetrics and Gynecology Longitudinal Integrated Clerkship exposes students to the care of women throughout their life cycle. The Ob/Gyn clerkship will start with a 3-week inpatient immersion experience within the hospital and on labor and delivery. Students will learn the essential management of women during the labor and delivery process. During this time, students may also have exposure to emergent gynecology admissions and surgeries. After the inpatient immersion, students will complete their longitudinal experience with an Ob/Gyn physician. Students will experience the care of women in the ambulatory setting, including well woman exams; contraception; work up, evaluation, and treatment of gynecologic conditions; and the care of patients throughout pregnancy and postpartum. They will follow their pregnant panel patients into the hospital for delivery as well as their gynecologic panel patients for gynecologic surgery or emergencies. They may have the chance to follow their patients into the sub-specialty services as well. Students will also have to complete 2 experiences in Ob/Gyn sub-specialties. This can include experiences in gynecologic oncology, maternal fetal medicine, pelvic reconstructive surgery, reproductive endocrinology and infertility, family planning, pediatric and adolescent gynecology, and ultrasound.
Course Weeks: 3 weeks of inpatient immersions + 38 weeks
Clerkship Director: Melanie Lagomichos, M.D.Neurology Clerkship
The Neurology Longitudinal Integrated Clerkship equips medical students to develop a systematic approach to the evaluation, diagnosis, and management of neurologic problems and conditions. Using an understanding of neuroanatomy, students will develop fundamental localization skills and the ability to recognize common neurologic conditions and neurologic emergencies. Students will work primarily in the outpatient setting and will evaluate patients and develop assessment and management plans under direct supervision of a senior practitioner. Students will be exposed to inpatient neurology either through specific inpatient burst immersion experiences or in continuity care for their panel of patients who require inpatient hospitalization for diagnosis and/or treatment.
Course Weeks: 38 weeks
Clerkship Director: Claudia Perez, M.D.Pediatrics Clerkship
On the Pediatrics Longitudinal Integrated Clerkship, medical students will gain an understanding of the pediatric patient from birth to adolescence. The student will appreciate the importance of regular health maintenance visits to physical and emotional wellbeing and child development. Learners will recognize the relationship between pediatric patients and their caregivers and the implications of this interdependent relationship. Through the course of this clerkship, medical students will learn to care for pediatric patients with common acute illnesses as well as chronic conditions in the inpatient and ambulatory settings.
Course Weeks: 1 week of inpatient immersions + 38 weeks
Clerkship Director: Ryan Gates, M.D.Psychiatry Clerkship
The Psychiatry Clerkship is designed to create meaningful experiences that complement the educational objectives from all specialties. This clerkship will introduces students to the care of psychiatric patients with the goal of helping students recognize, diagnose, and treat psychopathologies using empathetic, patient-centered care. It is primarily conducted in the outpatient setting, but also includes inpatient experiences, including shifts in the psychiatry emergency department.
Course Weeks: 38 weeks
Clerkship Director: Cheryl Hurd, M.D.Surgery Clerkship
The General Surgery Longitudinal Integrated Clerkship will expose students to the foundations of surgical disease. Learners will explore the presentation, work-up, and surgical management of patients with emergent, urgent, and elective surgical disease. The students begin with a three week in-hospital experience, with a focus on emergent and inpatient management of surgical problems. This will include learning the principles of treatment of surgical conditions including urgent care through the emergency department and trauma. The student then completes the longitudinal experience, spending the majority of their surgical experience paired with a surgeon and having time both in the clinic and the operating room. The aim is to teach the basic principles of surgical evaluation and treatment, and also to gain prolonged exposure to a surgical faculty mentor.
Course Weeks: 3 weeks of inpatient immersions + 38 weeks
Clerkship Director: Jennifer Grant, M.D. - Scholarly Pursuit and Thesis 2
Scholarly Pursuit and Thesis 2
Course Director: Mike Bernas, M.S.
Course Weeks: 51
During this second year of SPT, students will perform specific research activities related to individual SPT projects under direction of the research Mentor, utilizing the skills of life-long learning, data collection and analyses, and collaboration with a research team to accomplish the goals of a 4-year research project.
Phase 3 begins in the third year and continues until graduation. Students will continue their professional development and scholarly pursuit as well as prepare for residency. Students begin with the “Develop” portion of Phase 3 where there is an emphasis on the 13 Preparation for Practice themes the school has designated as critical to a well-rounded physician practicing 21st century medicine. Groups of students will work with faculty and community partners to develop a focused project related to one of seven societal issues. Students will also continue to care for a small subset of their patient panel, including those they acquired during Phase 1, in order to maintain clinical acuity and allow for a continued connection with patients and clinical teachers through the Phase 3 LIC course. Finally, students will also have dedicated time to continue work on their 4 year project in the Scholarly Pursuit and Thesis course and to present data to each other in small groups to hone communication skills and collaborative thinking about research.
Students continue with the “Focus” portion, a truly individualized time of the curriculum that will include a 4-week sub-internship rotation in a specialty of choice, a 4-week critical care selective in a specialty of choice, and 28 weeks of elective course time to allow students to gain valuable clinical experience, explore career interests and prepare for the residency match process. Students are given a generous allotment of time to apply and interview for residency admission, as well as prepare for and take USMLE Step 2 CK.
Finally, the students enter the “Prepare” portion of Phase 3. Students participate in a final on-campus course, Transition to Residency, designed to prepare students for the next stage of their career as a first-year resident. The curriculum includes content on advanced clinical procedures, communication skills, leadership, team management, and other requisite skills. This course allows time for the students to reflect on their progress through medical school, what it means to be a physician and includes a final emphasis on communication, empathy, and the value of compassionate patient care. During this portion of Phase 3, the students present their Scholarly Pursuit and Thesis project at the annual research symposium.
Phase 3 Course Descriptions
- Longitudinal Integrated Clerkship 3
Longitudinal Integrated Clerkship 3
Senior LIC Director: Kollier Hinkle, M.D.
Course Weeks: 15
During the Phase 3 Longitudinal Integrated Clerkship (LIC), students will continue to participate in the comprehensive care of patients with dedicated preceptors to acquire more advanced patient care, knowledge and skills. The Phase 3 LIC includes clinical experiences in two of the following options: Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics & Gynecology, Neurology, Pediatrics, Psychiatry and Surgery.
- Preparation for Practice 2
Preparation for Practice 2
Course Director: Erin Nelson, Psy.D.
Course Weeks: 14
The Preparation for Practice course in Phase 3 builds upon the themes introduced earlier in the curriculum and allows for integrated sessions designed to allow students to apply prior knowledge to complex real-world situations. Additionally, students will participate in team-based community impact projects. There will be six projects – two teams each from each of the three communities. Projects are based on the needs of the community. The projects will be built around the intersectionality of one of the ten P4P themes with one of the key societal problems identified by the SOM as an area of potential impact. Students will work within their teams to develop and pilot or implement a focused project with a deliverable that applies to their assigned community. Students are asked to collaborate for the good of the community.
- Scholarly Pursuit and Thesis 3 & 4
Scholarly Pursuit and Thesis 3 & 4
Course Director: Mike Bernas, M.S.
Course Weeks: 50 and 38 weeks respectively
During the third and fourth year of SPT, students will perform specific research activities of advancing SPT projects in collaboration and under direction of their research mentor. Students will utilize developed skills of life-long learning, data collection and analyses, and result synthesis to perform final research activities related to their individual SPT projects, submit the SPT thesis, and present results in a poster session in a public forum.
- Electives and Selectives
Electives and Selectives
Phase 3 Electives and Selectives Director: Steven Gonzalez, M.D.
Course Weeks: 36
During the “Focus” stage of Phase 3, students are required to complete 8 weeks of selectives (4 weeks of critical care and 4 weeks of Advanced Inpatient Sub-Internship) and at least 28 weeks of electives. Students may take electives of their choosing for credit provided they meet Anne Burnett Marion School of Medicine at Texas Christian University requirements. The catalog of electives and selectives is available here.
- Transition to Residency
Transition to Residency
Course Director: Adam Jennings, D.O.
Course Weeks: 5
The Transition to Residency Course is the capstone to the Burnett School of Medicine four-year curriculum. The course provides an integrative experience that reinforces communication and clinical skills, provides hands on procedural practice, reviews and applies skills of self-directed learning and reflection, emphasizes team-based activities, and provides a universal foundation for entry into residency in the student’s desired specialty.