Advanced hospital clerkships provide the opportunity for students to assume greater responsibility for patient care of the hospitalized patient, with oversight from supervising residents and attending physicians. Students expand upon competencies they develop during the third year as they care for one to two patients at a time. Additional expectations include responsibility for developing management plans, writing orders, patient handovers and transfers of care, recognizing the policies that support patient safety, and developing competency in procedures that they will perform independently as residents. Fourth year students also assist in teaching third year students.

Advanced Adolescent Psychiatry is an experience during which time students work as part of a treatment team including an attending psychiatrist, resident, social worker and therapists. Students will engage with faculty and staff in the process of psychological testing, group therapy, individual therapy, family therapy, and activities therapy. The site available is Borgess Medical Center.