Office of Clinical Affairs

The Office of Clinical Affairs is dedicated to providing meaningful clinical experiences for our learners throughout their educational experience at UIWSOM.  Our clinical education curriculum is designed to enable our students to integrate the knowledge, skills, and experiences gained on campus to clinical settings to master the science and art of osteopathic medicine.  Our mission is to develop physicians who not only have outstanding clinical knowledge and skills, but are also compassionate and dedicated to social accountability.

Early Clinical Experiences

During Phase I and II of the curriculum, learners will engage in periodic, early clinical experiences (ECX).  Early clinical immersion augments integration of skills and knowledge in preparation for clinical practice.  ECX helps prepare learners for patient contact and enhance interpersonal communication skills.  Through preceptorship, ECX strengthens retention of the biomedical and social sciences and builds upon knowledge gained from classroom didactics.  ECX provides early exposure to clinical medicine in addition to the ancillary and public health services that make up our healthcare system.  ECX will be a primary method of providing interprofessional experiences and learning for UIWSOM learners.

These experiences include:

  • Primary Care Physicians
  • Nursing / school nursing
  • Optometry
  • Dental practices
  • Senior Centers
  • Community outreach organizations
  • Physical Therapy
  • Pharmacy
  • And other members of the healthcare system

Clinical Clerkships 

Beginning in Phase 3, clinical clerkships build upon not only the knowledge, skills, and attitudes gained through case-based learning, but also the experiential learning gained from early clinical and community experiences throughout the first two Phases of the curriculum.  UIWSOM students will use this foundation of knowledge to communicate with, diagnose and manage patients with both acute and chronic medical conditions.  Equally important, students will learn to appreciate the human side of medicine, to understand patients’ rights and accept differences.  They will also learn how to coordinate healthcare delivery, be an advocate for their patients, and work efficiently in interprofessional teams.  Lastly, clerkships reinforce students’ value of continuous self-improvement and life-long learning as physicians.

UIWSOM has affiliation agreements with hospitals, ambulatory groups, and physicians throughout San Antonio, as well as other parts of Texas such as Laredo, Abilene, San Angelo and Kerrville.


Phase III Clinical Rotations

In Phase III, students build upon their previous introductory clinical experiences in Phases I and II, taking a more active role in evaluation and management of patients under the supervision of UIWSOM faculty and adjunct clinical faculty physicians. Phase III of the UIWSOM curriculum is comprised of eight, six-week core rotations:


Family Medicine


General Internal Medicine

Psychiatry/Behavioral Medicine

General Surgery

Hospital Medicine

Women’s Health

Medically Underserved/Rural/Military


Osteopathic Longitudinal Integrated Clerkship:

This clerkship spans all of Phase III and the Emergency Medicine clerkship in Phase IV, and provides students with a clinical environment to apply their osteopathic skills and critical thinking learned in Phases I and II.  It reviews, enhances and deepens the student’s understanding of osteopathic medicine through integration and application in a clinical setting.  A combination of onsite and web-conferencing tools will be used for learning in each core clerkship.


Phase IV Clinical Rotations

Phase IV consists of 10 rotations (4-weeks each) continued board preparation and successful completion of COMLEX Level 2 CE and PE, and a Readiness for Residency unit.

Emergency Medicine (Core clerkship)

4 weeks

Two Medical Selectives

8 weeks (4 weeks each)

One Surgical Selective

4 weeks

Six Electives

24 weeks (4 weeks each)

Readiness for Residency

3 weeks


Emergency medicine and selective rotations must be done at a UIWSOM-affiliated site.  Inpatient electives may be completed at sites with an accredited residency programs in the related specialty, or at outpatient locations (including research and public health), both with prior approval by the Department of Clinical Affairs.