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Doing a 4th year isnt a research year. I do not know why you guys keep calling it that. The 4th generally has rotations and sub-I's that students go through. A "research year" is a 5th medical school year where you literally just do research.
In this curriculum, it appears that they give you the option to make your fourth year a research year. I assume that's what they mean by "Research--Intensive Concentrations". I believe that the idea is that they've condensed the curriculum enough so that you would have done all of the typical fourth year stuff by the end of third year.
Also, it's not necessarily a fifth year in general. Like I said before, it could be done between M2/M3 or M3/M4 at other schools. Research done in the fifth year is usually for people that didn't match the first time around. It's either that, or a prelim year.