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There is plenty of structure for those who want it. Some people never go to anything on the schedule (some clinical skills courses are mandatory once or twice per week though) and some go to everything. The beauty is you choose how you want to learn based on the premise that you are an adult and will do the work one way or another. Yale would not be a good place for someone who needs extrinsic motivation to learn medicine. The idea is that by removing the constraints of a traditional hand-holding curriculum there becomes space to pursue what you are really passionate within medicine (or interdisciplinary for that matter) from day one. Guidance and resources are here in abundance, you just have the option as to how much you want to use them. (e.g. no memorizing research minutia in an area you aren't interested in for a test)can someone help clarify about the "Yale system"? Is it so loose in structure that students don't know what to do? It's the only thing that concerns me about this program.