bandit, The program is really very well run. Its very clear and to the point about what is expected of the student. I am in the pbl program but every once in a while we do systems in isp module form when we need to cover topics that we don't get a lot of from our normal pbl cases such as geriatrics and human sexuality. At LECOM Erie all three pathways ldp, pbl and isp all take OMM and OMM Lab together. Any other specifics I can try to answer for you.