A&M Integrated Medicine (AIM) students will attend the introduction of the required third-year clinical orientation. AIM students will also receive an additional skills orientation to include basic instruction in the areas of surgery, OB-GYN, pediatrics, family medicine, internal medicine and psychiatry.

Ambulatory Practices

AIM students will work for a half day and/or a full day in each of the following types of community practices: family medicine, internal medicine, pediatrics, psychiatry, OB-GYN and surgery. Each student will have a cohort of patients to follow through the system over the course of the academic year. Students will have three to four half days built into their schedule each week for self-directed learning (opportunity time). The students are expected to follow their cohort of patients through the system, accompanying them for consultations, hospitalizations, surgeries, therapies and diagnostic evaluations.

On-Call Experiences

AIM students will be scheduled weekday call from 6 to 11 p.m. in the emergency, labor and delivery, or surgery departments. Students will be on call from 8 a.m. to 11 p.m. one to two weekend days per month. This experience is designed to expose the students to the acutely ill, undifferentiated patient so that the student learns from pattern recognition the presenting symptoms and signs of common urgent conditions. Students will be encouraged to learn common procedures in the emergency department such as suturing, incision and draining of abscesses, L.P.’s and other required lists of procedures.

AIM Teach - Case Based Learning

Once a week, AIM students will meet as a group with a clinician/facilitator to discuss active patient cases. Students will have the opportunity to present their cases, discuss possible differentials, plans of treatment and family impact of proposed treatment plan.

NBME Shelf Exams

AIM students will take the required NBME shelf exams during the last four months of the academic year.

OSCE Exams

AIM students will participate in OSCEs during the last months of the academic year.


Each student will be expected to maintain an electronic reflective portfolio throughout their M3 year. Each student is required to keep a reflective journal of at least seven of their cohort longitudinal patients. They will be asked to focus on the patient’s experiences in our complex health system, record them, and explore solutions.

AIM Threads