Sooner in the clinics, more patient care sooner and more integrated clinical practice in first year and a half, also mpno residents or f3llows in between the students and the attending physicians during 3 and 4 year rotations unless in Danville, most northeast site hospitals have no residents, the students are directly working with the attendings, better to be taught all the time from an attend8ng rather than a resident all the time or most of the time