First twelve weeks of anatomy block is the traditional lecture format. After that, you switch over to being an ISP student. If you like LECOM, I would advise you to take the spot. If you don't like ISP, you can easily switch out to LDP (there's never an LDP waitlist but always a long waitlist of students wanting to switch into ISP from LDP.) ISP really isn't bad at all though. You get a module, which lists chapters to read and objective questions to answer for each. Exams are written straight from the objectives. If you have even the slightest amount of self discipline when it comes to studying, you'll be fine.