We start out 1st semester with Intro to Clinical Veterinary Medicine (ICVM)- just a basic overview. We had labs on dog physicals and cat physicals, and a homework assignment where we had to do an additional physical on a dog and cat.
There is also an elective - Wildlife - that takes a field trip over to the TriState Wildlife Rehab center first semester - those folks got to do PEs on pigeons!
3rd quarter we are in ICVM II - along w/ all the classroom stuff, we've had more labs on things like euthanasia, communication, lab animal handling (got to play with bunnies and guinea pigs!), cardiology (got to listen to dogs w/ different heart problems), behavior (got to practice clicker training), blood draws (got to practice on fake legs), catheter placement (again on fake legs), etc.
4th quarter is ICVM III - we spend 2 full days out at NBC learning all kinds of hands on stuff on large animals, along w/ classroom lectures.
For my equine nutrition elective, we are taking a field trip to a competitive trail ride to learn about BCS, feeding, etc and do TPRs.
There are lots of opportunities outside of class as well - every club has tons of wetlabs, there are volunteer opportunities at local dog shows/horse shows, there is New Bolton (large animal) and Ryan (small animal) emergency shadowing, we had a MLK day free clinic for the community, etc.
As for business/communication, we cover a lot of that stuff in the ICVM classes, but we also have the VBMA certificate program. Around 1x per month, there is a required evening lecture (with free dinner!) that you attend on topics like negotiation, exam room skills, understanding debt, etc. It isn't required, and is an extra $300/year, but I'd say around 80-90% of my class is enrolled in it.
Not really sure about 2nd year yet. Sounds like it is pretty heavy on the classroom time though.
I know we start surgery (spays) 1st semster of 3rd year. 2nd semester you either do Large Animal Block followed by Small Animal Block (learn clinical skills like how to do a uterine biopsy, how to collect semen, etc) - or can do early entry into clinics.