Sep 21, 2023  
Graduate Record 2020-2021 
Graduate Record 2020-2021 [ARCHIVED RECORD]

Doctor of Medicine (M.D.)

Return to:  School of Medicine: Departments/Programs  


General Requirements

  • All applicants must have completed a minimum of 90 semester hours of course work, at the time of application, in an accredited in a U.S. or Canadian or United Kingdom college or university.
  • Applicants who are not U.S. citizens or permanent residents of the U.S. are eligible to apply provided they have completed at least 90 semester hours of coursework, at the time of application, in a U.S. or Canadian college or university.
  • We strongly prefer a bachelor’s degree from those that have attended college in the U.S.

Admissions Policies and Procedures (PDF)

Course Recommendations

The University of Virginia School of Medicine no longer has required pre-requisite courses

We have no science or humanities requirements. However, it is recommended that students consider courses in Cell Biology, Biochemistry, Human Behavior and Statistics as students find these courses to be helpful during medical school.

MCAT Requirements

The Medical College Admission Test (MCAT) is required of all applicants. We will accept the current version of the MCAT and the future version of the MCAT.  We will not give preference to either.  All applicants must present scores from tests taken no later than September 30th of the year prior to matriculation, and no earlier than April 1st of the three years prior to matriculation.

Information regarding the MCAT and registration materials are available from premedical advisors or from MCAT Registration, phone: (202) 828-0690,

AP Credit

The University of Virginia will accept AP credit, provided your undergraduate institution awarded you credit towards graduation (not just exemptions) and those credits appear on your official transcript.

Technical Standards

All matriculants and current students (“Candidates”) must possess the physical, cognitive, emotional and interpersonal capabilities necessary to complete the medical education program and to provide highly effective patient care within the medical education program. These capabilities are called Technical Standards, the essential functions that all medical students must demonstrate to meet the requirements of a general medical education. Candidates whether for admission, academic promotion, or graduation must meet these Technical Standards, with or without reasonable accommodation. See for details of these capabilities.

These technical standards are predicated on the school’s learning objectives that are considered essential for completion of the M.D. degree. They have been approved by the Curriculum Committee and the Dean of the School of Medicine.

Criminal Background Check Requirement

If legal or criminal proceedings are filed against you prior to matriculation, or if you are the recipient of any institutional disciplinary action, it is your responsibility to inform the Admissions Office immediately. Additionally, all students must undergo a mandatory criminal background check as a condition of acceptance to the School of Medicine. See the full Criminal Background Check Policy here.

Requirements Doctor of Medicine

The “Next Generation” Curriculum

The Practice and Science of Medicine

Throughout the four years, the “Next Generation” Curriculum combines the practice and science of medicine. Patient contact begins on the first day of the first year and increases throughout the four years. At the center of the curriculum is the patient, the science of medicine, and the physician’s role in improving the health of individuals and communities. The curriculum is a thoughtful balance of team-based learning, problem and case-based learning, small-group activities, hands-on laboratories, lectures, and hospital and community-based clinical experiences.

Integrated Clinical Sciences

The pre-clerkship phase of the Next Generation Curriculum comprises the first three semesters of the educational program.  This phase consists of ten graded courses, each assigned a pass/fail grade at the end of the course.

The preclerkship courses which must be successfully completed in order to progress to the clerkships are as follows:

Fall of Year One:

Spring of Year One:

Fall of Year Two:

Integrated Systems I consists of the following course components or “systems”: Cells to Society, Foundations of Medicine (FoM), Cells, Blood and Cancer (CBC) and Microbes, Immunity, Transfusion and Transplantation (MITT).  Integrated Systems II consists of the following course components: Musculoskeletal Integument System (MSI), Gastrointestinal System (GI) and Mind, Brain and Behavior (MBB).  Integrated Systems III consists of the following course components: Cardiovascular System (CV), Pulmonary System (Pulm), Renal System, Endocrine-Reproductive System (Endo-Repro) and Hematology (Heme).  In order to receive a passing grade for an integrated system course, a student must have an average score for all systems of 70% or above.

Foundations of Clinical Medicine 1 (FCM-1) is three discrete courses.Students must pass the FCM 1 C Objective Structured Clinical Examination (OSCE) in order to pass FCM 1C.

Patient Student Partnership 1  (three courses) runs in tandem with Foundations of Clinical Medicine 1 and introduces students to a longitudinal patient experience. Performance is assessed in at each semester by a P/F grade.  Students must achieve an 80% or greater on the requirements for this course in order to pass.

In order to progress to the third semester of the curriculum, a student must have achieved an average score of 70% or higher on Integrated Systems I and Integrated Systems II, and have received a P for FCM-1A and 1B, PSP-1A and 1B, as well as Social Issues in Medicine.  Failure to meet any one of these criteria will result in a referral to ASAC for review and action.  Any requirement for remediation must be completed prior to the beginning of the third semester.

Successful completion of the third semester requires an average score of 70% or higher in the Integrated Systems III course, and a grade of P in FCM-1C and PSP-1C.  Failure to meet any one of these criteria will result in a referral to the ASAC for review and action. 

After the successful completion of the above pre-clerkship phase, students must pass the United States Medical Licensing Examination (USMLE) Step One in order to progress to the clerkship portion of their medical education.

Steps 1 and 2 of United States Medical Licensing Examination (USMLE)

In order to advance to the clerkships, a student must successfully complete the pre-clerkship curriculum and must have taken USMLE Step 1 at least 10 days before the Transition course.A student may begin the clerkships pending notification of his/her Step 1 score.If notification of a failing score on Step 1 is received after a student has begun a clerkship, he/she generally will be allowed to complete that clerkship.The student then will discontinue clerkships in order to concentrate on retaking and passing Step 1.The Step 1 examination may be taken no more than three times.Three failures of Step 1 will result in the student’s dismissal from the School of Medicine, without recourse to the appeals process.The college deans in consultation with the Director of Academic Enhancement may determine, based on a student’s academic performance, that the student is at risk of failing USMLE Step 1 and may recommend that the student delay sitting for the examination in order to have more time for preparation.In this circumstance, the student should complete the Transitions Courseso the student can return to the third-year clerkships upon satisfactory completion of USMLE Step 1. After successful completion of the core clerkships, the student must take both parts of Step 2 of the USMLE (2 CK and 2 CS).Passing both Step 2 CK and Step 2 CS is required for graduation. Students are allowed a total of three attempts to pass each of the two Step 2 examinations; failure to pass either Step 2 examination for a third time will result in dismissal from medical school, without recourse to the appeals process.Students must pass all required clerkships and take USMLE Step 2 CS and 2 CK no later than November 1 of their last academic year in medical school to ensure an opportunity for remediation prior to residency match and graduation, should a failure occur.Students may register for but not sit for USMLE Step 2 components prior to completion of clerkships.

Promotion to Clerkships

Students who achieve a passing grade in Integrated Systems I, Integrated Systems II, Integrated Systems III, FCM-1A-B-C, PSP-1A-B-C,  SIM and have taken USMLE Step 1 may progress to clerkships.  If notification of a failing score on Step 1 is received after a student has begun a clerkship, they generally will be allowed to complete that clerkship.  The student will be removed from subsequent clerkships until a retest is completed.

Students in the dual MD/PhD degree program must take USMLE Step 1 prior to entering the PhD portion of the program and must pass Step 1 in order to continue in the graduate program.


The clerkship year (which begins in the early spring of the second year) is devoted to clinical training. Students take clerkships in medicine, surgery, pediatrics, family medicine, psychiatry, obstetrics and gynecology, neurology, perioperative , and surgery subspecialties. There is extensive direct contact with patients, and students work with a well-balanced patient population, which includes primary, secondary, and tertiary care. Teaching is related to the patient on rounds and in small tutorial seminars, lectures and group discussions. Emphasis is given to the principles of prevention, diagnosis, treatment, and the continuing integration of clinical medicine with medical sciences and the psychological factors that influence health.  Students work in small groups and rotate among many clinical services, gaining practical experience under supervision in the wards and outpatient clinics of the University of Virginia hospitals, the Veterans Administration Medical Center in Salem, the Western State Hospital, INOVA Fairfax Hospital in Northern Virginia, and Bon Secours Health System in Richmond. The teaching programs at the affiliated hospitals allow students to observe the practice of medicine in multiple settings and gain exposure to a somewhat different spectrum of illnesses than that seen at the University of Virginia. During their clerkships, all students spend an average of 10-12 weeks away from Charlottesville in affiliated clerkship locations.

Students must pass each of the following clerkships to procede to the Advanced Clinical Traning portion of their education:

Advanced Clinical Training

Following the clerkships, students complete electives tailored to their needs and pursue their own interests in the electives. Elective programs include a wide variety of programs at UVA and in other domestic and foreign settings. Under the guidance of a faculty advisor, students choose clinical rotations, basic science and humanities courses and research activities. Medical students are required to complete at least one Advanced Clinical Elective after the clerkships. There is a continuum of the science, clinical skills, and professionalism throughout the four-year curriculum. The student is presented within and across each period with multiple examples of knowledge, skills, professionalism, and decision-making. In addition to this Electives Program (completed over the final 3 terms) students will complete a clerkship in Geriatrics and DXRX Healthcare policy.

Required courses for the final 2 terms include: 

Additional Requirements


Professional attitudes and behaviors are components of the 12 Competencies Required of the Contemporary Physician that enable the independent performance of the responsibilities of a physician and therefore are a requirement for the successful award of the degree of Doctor of Medicine.  The School of Medicine’s Professionalism Objectives ( establish general standards applicable to all students in the School of Medicine.  However, it is the responsibility of the faculty and the ASAC, as appropriate, to interpret and apply the general Professionalism Objectives to specific situations when concerns are raised about student performance or behaviors.

Evaluation of professional attitudes and behaviors is an integral part of a student’s assessment and generally is accomplished through observation and narrative recording.  Praise/Concern Cards and written narratives are assessment tools used to describe behaviors in areas of altruism; honesty and integrity; caring, compassion and communication; respect for others; respect for differences; responsibility and accountability; excellence and scholarship; leadership and knowledge and other skills related to professionalism.  These professional attitudes and behaviors are monitored and recorded throughout undergraduate medical education.

Any breach of professionalism resulting in a recorded observation, e.g., Professionalism Concern Card, letter, written report, etc., must be addressed with the student by their college dean and documentation of the discussion must be recorded. If a student receives three or more written observations of concern, or is reported for two breaches of the Health Insurance Portability and Accountability Act (HIPAA), or is cited for a single egregious breach of professionalism, notice will be sent to ASAC for review.  A student identified as having a pattern of unprofessional behavior may be directed to further counseling and /or to supportive remediation and/or placed on academic warning or academic probation (as defined below), or if the professional violations are severe, a student may be dismissed from school even if they have passing grades in all courses. ASAC will assess the severity of the problem, the management and the consequences, including possibly reporting the behaviors in the student’s Medical Student Performance Evaluation (MSPE).  Egregious behaviors, such as but not limited to assault on or threat to a patient, patient’s family member, student, GME trainee or faculty member, conduct that may constitute a felony, etc., regardless of whether criminal prosecutions are initiated or pursued, will be referred immediately to ASAC, irrespective of whether previous observations of concern exist, with the recommendation for dismissal from school. 

Technical Standards

Graduation:In order receive the recommendation from ASAC for graduation and conferral of the MD degree, a student must satisfy all academic and professionalism graduation requirements with no outstanding deficiencies.In addition, passing scores on the CPX, USMLE Step 1, USMLE Step 2 clinical knowledge and the USMLE Step 2 clinical skills are required for graduation.

Clinical Practice Examination

Students are required to take and pass the Clinical Practice Examination (CPX) after the completion of the clerkships.This is a requirement for graduation.Students failing the CPX are referred to ASAC and should review their performance and address their deficiencies prior to retaking the examination.Failure of the CPX will be reported on the MSPE.

Time Limit for Completion of the M.D. Degree

Students must complete the requirements for the M.D. degree within six years of matriculation in the School of Medicine. Special time arrangements are available to those in the dual M.D. /Ph.D. program.

Public Professional Licensure Disclosure

As a member of the State Authorizations Reciprocity Agreement, the University of Virginia (UVA) is authorized to provide curriculum in a distance learning environment to students located in all states in the United States except for California. (34 CFR 668.43(a)(6)& 34 CFR 668.72(n)).

Upon completion of the Doctor of Medicine at the UVA School of Medicine, graduates may be eligible for initial professional licensure in another U.S. state by applying to the licensing board or agency in that state.

Please visit the University’s state authorization web pages to make an informed decision regarding which states’ educational requirements for initial licensure are met by this program. (668.43(a)(5) (v)(A) - (C))

Enrolled students who change their current (or mailing) address to a state other than Virginia should update this information immediately in the Student Information System as it may impact their ability to complete internship, practicum, or clinical hours, use Title IV funds, or meet licensure or certification requirements in the new state. (34 CFR 668.402).

Dual Degree Programs


Students must be admitted to each program/plans within the two careers (Medicine, GSAS/MPH). Admission is to the M.D. program and then to the M.P.H.

Enrollment, Tuition, and Financial Aid

Any student enrolled in the M.D./M.P.H. degree program has access to 8 semesters of medical school financial aid, will pay 8 semesters of medical school tuition, and will remain enrolled in the School of Medicine for the first three years, then GSAS for the fall and spring semesters (year 4), and then return to the School of Medicine for the summer session and for the remaining fall and spring semesters (year 5).

During year 4, the student will pay graduate tuition through the Graduate School of Arts and Sciences and is eligible for appropriate graduate financial aid.

Any student enrolled in the School of Medicine is required to meet the independent degree requirements of that program.

Awarding of Degrees

Both the M.D. and M.P.H. degrees, providing requirements have been met for both career plans, can be awarded at the May graduation.

Dual Degree Programs Overview


The School of Medicine and the School of Law offers a dual degree program in which as student may obtain an M.D and a J.D in six years.  The student is obligated to secure separate admission to both schools; the school of Law requires the LSAT. Students may apply to the School of Law in their first, second or third years of medical school. For more information, please see


The School of Medicine and the Darden School of Business offers a dual degree program in which a student may obtain both the M.D. and the M.B.A. degrees in 5 years. The student is obligated to secure separate admission to both schools. Once admitted to the School of Medicine, the student may apply to the Darden School of Business for admission. Students in the dual degree program begin their M.B.A. curriculum after completing the first three years of the medical curriculum. The total duration is 5 years. For more information, see and


The School of Medicine and the Data Science Institute offer a dual degree program in which a student may obtain both the M.D. and the Master of Science in Data science degrees in 4.5 years. The program is designed to accommodate the interests of students who desire to pursue careers in data-driven and digital technology focused healthcare.  The students in this degree will combine their medical education with computer programming, data wrangling, analytics and data science skills to creatively address difficult issues that use an increasing amounts of clinical, research, financial claims and cost, and behavior data, among others. Students will complete 3 years of medical education, followed by a summer, fall, and spring term in the Data Science Institute.  When they return to School of Medicine they will be able to satisfy graduation requirements with one term of additional medical coursework.

M.D./M.P.H. (Public Health)

The dual M.D./M.P.H. is designed to provide graduate professional training in quantitative and qualitative research methodologies, translational and community-based research, and community engagement strategies to improve the health of individuals and populations. The program focuses on the competencies professionals need to address population health and health care delivery issues and includes a range of interdisciplinary courses on social behavioral health, health policy, program planning and evaluation, and environmental health, as well as epidemiology and biostatistics.  Medical Students who decide to pursue the M.P.H. should expect to begin their M.P.H. courses after completing the core clinical clerkships and to extend their education by one year. The dual degree program must be completed within 6 years of matriculation in the School of Medicine. For more information, see

M.D./M.S. in Clinical Research

The dual M.D./M.S. in Clinical Research (M.S.-C.R.) is designed to provide graduate professional training in quantitative and qualitative research methodologies and  translational and community-based research strategies.  Medical Students who pursue the M.S./C.R. should expect to begin their M.S./C.R.  courses after completing the core clinical clerkships and to extend their education by one year. The dual degree program must be completed within 6 years of matriculation in the School of Medicine. For more information, see

M.D./Ph.D. (NIH Medical Scientist Training)

The goal of our M.D./Ph.D. Program is to train individuals who will be both outstanding physicians and scientists, and who will pioneer major advances in medical practice through research. M.D./Ph.D. students take an integrated curriculum combining basic science and research training with our highly innovative medical education “Next Generation” Curriculum. Ph.D. training may be done in one of our seven Biomedical Sciences (BIMS) Interdisciplinary Graduate Programs including:  Biochemistry, Molecular Biology, and Genetics; Molecular Cell and Developmental Biology; Biomedical Engineering; Microbiology, Immunology, and Infectious Disease; Molecular Medicine; Structural and Computational Biology, and Biophysics; and Neuroscience (see

We also offer a wide variety of NIH Funded Specialized Training Programs in the areas of Immunology, Cardiovascular Science and Medicine, Cancer, Biodefense, Neuroscience, Neurobiology and Behavioral Development, Cell and Molecular Biology, Biotechnology, Molecular Biophysics, Pharmacologic Sciences, and Infectious Diseases. A major emphasis of the program is to train physician-scientists who will lead the biomedical research community in efforts to discover the fundamental basis of human disease and to develop innovative new therapies for their treatment. Students in the dual M.D./Ph.D., degree program must complete the requirements for both degrees. The program typically takes 7-8 years to complete.  For more information see:

Additional Information

For more information, contact Katherine Yates, Registrar, School of Medicine, 200 Jeanette Lancaster Way; 434-924-5200;;