
Clinical
After a rigorous 15 months in the classroom, students will transition to real-world application through immersive, hands-on clinical training.
During supervised clinical practice experiences (SCPE), students will apply medical knowledge, clinical and technical skills, interpersonal communication, professional behaviors, and clinical reasoning with problem-solving abilities developed during the didactic phase of the program.
Clinical Phase Curriculum
Under the supervision of clinical preceptors, you will acquire the competencies needed for clinical PA practice. You are exposed to diverse patient populations across the lifespan in the disciplines of family medicine, internal medicine, pediatrics, surgery, obstetrics and gynecology, emergency medicine, and behavioral health.
You will participate in eight supervised clinical practice experiences (SCPEs) and one public health field study over approximately 15 months. The eight clinical rotations focused on family medicine, internal medicine, pediatrics, obstetrics and gynecology, behavioral health, surgery, emergency medicine, and one medicine elective. Each student will also complete a public health field study based on their chosen track. Each rotation is 6 weeks in length, ensuring our students are immersed in the clinical setting and specialty. Clinical rotations are assigned by the program: students are not required to provide or solicit clinical sites or preceptors.
During each SCPE (clinical rotation), you gain patient experience through medical or surgical disciplines. As an integral part of the interdisciplinary healthcare team, the PA student is assigned to and supervised by a clinical preceptor. The PA student obtains medical histories, performs physical examinations, develops working differential diagnoses/assessments, orders and interprets appropriate laboratory and other diagnostic tests, performs therapeutic procedures, determines a final diagnosis, and develops a comprehensive treatment plan.
Our supervised clinical practice experiences take place in diverse outpatient and inpatient settings, including hospitals, clinics, private practices, emergency departments, and long-term care facilities. We offer a wide range of excellent clinical sites across California, including a few out-of-state, that provide students with opportunities to interact with varied patient populations.
A key mission of our program is to ensure students gain experience in medically under-resourced areas or with medically underserved populations. This includes rotations at sites designated as Health Resources and Services Administration (HRSA) rural sites, Federally Qualified Health Centers (FQHCs), Medically Underserved Areas (MUAs), and Indian Health Service (IHS) facilities. On average, each cohort will rotate through at least three clinical sites with these designations.
Students should be prepared to travel for clinical rotations, both within California and if needed out of state. While we strive to make individualized placement plans, we cannot guarantee that all rotations will be within a specific geographic area. Travel and accommodation expenses for clinical rotations are the responsibility of the student.
Clinical Rotations (Semester VI-VIII)
You must complete all rotations listed below, but the order in which you complete them may be different than how it is outlined below. Assignment of rotations is the responsibility of the Director of Clinical Education, Clinical Coordinator, and the PA/MPH Program. You are not required to develop or arrange your own clinical sites. You will have the opportunity to request rotation assignments and recommend potential preceptor sites through the Student Preceptor/Rotation Request Form.
PASC 606A Primary Care 1 (6 units)
This required clinical rotation places students in an outpatient and/or inpatient setting with a licensed provider practicing in family medicine and/or internal medicine. Students gain foundational experience in primary care, managing patients of all ages and varying health statuses. Emphasis is placed on comprehensive patient care, including acute and chronic disease management, health promotion, patient education, and disease prevention across the lifespan. Students develop skills in psychosocial aspects of healthcare, clinical reasoning, and medical decision-making. Additionally, they learn to coordinate outpatient care, recognize indications for hospital admission, and facilitate appropriate referrals.
PASC 607A Primary Care 2 (6 units)
This required clinical rotation places students in an outpatient and/or inpatient setting with a licensed provider in family medicine and/or internal medicine, where they engage in all aspects of patient care, including history taking, physical examination, diagnosis, and treatment planning across the lifespan. Emphasis is placed on patient education, chronic disease management, and preventive care. Students further develop clinical reasoning, medical decision-making, and problem-solving skills.
PASC 603A Behavioral Medicine (6 units)
This required clinical rotation places students under the supervision of a licensed provider in an inpatient, outpatient primary care, behavioral or psychiatric setting. Students learn a biopsychosocial approach to psychiatric, cognitive, and behavioral health conditions. They perform psychiatric evaluations, mental status examinations, and patient interviews while integrating behavioral dynamics into clinical care. Students gain experience in medication management, treatment planning, and interdisciplinary collaboration.
PASC 604A Obstetrics & Gynecology (6 units)
This required clinical rotation places students under the supervision of a licensed provider in a primary care or OB/GYN setting to provide experience in reproductive health. Students gain experience evaluating, diagnosing, and managing reproductive health conditions, including exposure to prenatal and postpartum care, gynecologic conditions, and preventive health services. Students perform routine gynecological and obstetric exams and counseling on reproductive health, contraception, and menopause.
PASC 605A Pediatric Medicine (6 units)
This required clinical rotation places students in an outpatient and/or inpatient setting with a licensed provider in family medicine and/or pediatrics. Students gain experience caring for pediatric patients from infancy through adolescence, managing common childhood illnesses, and providing routine screening, immunizations, and preventive healthcare services. They learn to assess growth and development, counsel caregivers, and recognize variations in normal pediatric health patterns.
PASC 610A Surgical Medicine (6 units)
This required clinical rotation places students in the surgical setting, where they gain experience managing pre-operative, intra-operative, and post-operative patient care. Under the supervision of a licensed provider, students participate in patient evaluation, surgical procedures, and post-operative management. Emphasis is placed on the coordination of perioperative care, the application of surgical principles, and inpatient management.
PASC 611A Emergency Medicine (6 units)
This required clinical rotation places students in an emergency department, where they gain experience evaluating and managing patients with acute and emergent conditions across the lifespan. Students develop skills in systematic patient assessment and diagnostic and therapeutic procedures.
PASC 612A Medicine Elective (6 units)
This required rotation allows students to further develop clinical skills, reinforce their ability to analyze and synthesize medical information, and apply medical decision-making and problem-solving within a specialty. Students gain focused experience in a specific discipline, enhancing their competency in patient evaluation, diagnosis, and management.
PBHC600-4 Public Health Field Study (4 units)
The Public Health Field Study course is a structured and practical experience in a professional public health setting that allows students to apply and integrate the knowledge and skills acquired during the didactic period into public health practice. Joint and Dual degree students are required to complete 200 hours for PBHC-4 during a 6-week block. There are three concentrations available: Community Health, Global Health, and Health Equity and Criminal Justice. Through the Field Study, students apply their academic knowledge to “real world” situations that address public health issues. Students conduct fieldwork as interns at public health organizations, which serve as field study placement sites. The role of the MPH student intern is to assist partnering organizations with specific public health projects, locally and abroad. Student participation should contribute to strategic resolutions, be valued by the Organization, and contribute to meeting its mission and goals. Through their fieldwork, students help to build and strengthen working partnerships between field study placement sites and TUC.
PASC 614 MSPAS Summative Course (3 units)
This course is designed to provide the student with a review of the PA Program curriculum to prepare them to enter clinical practice as well as education related to PA practice issues. It allows a summative assessment of the student’s readiness to graduate and enter clinical practice.
PBHC 645 *MPH Capstone project (0 units)
Students conducting a Capstone project produce a substantial, original, independently written manuscript concerning a significant public health problem and share and defend their work during an oral presentation. The goal of the Capstone project should be to create a body of knowledge on which others can build. However, the overarching principle for determining the suitability of a Capstone project is whether it provides students the opportunity to apply the skills and competencies acquired in the MPH program to a problem likely to be encountered in public health practice. All Capstone projects will be conducted under the guidance of a faculty advisor, secondary faculty advisor, and the course coordinator.
*Students will take either PBHC 646 in Semester V or PBHC 645 in Semester VIII.
Total Program Credit Hours 142.5 (excludes Medical Spanish Elective & Additional Electives).