In defense of Upstate, we don't have many required early clinical exposures but there are a number of them available. Two things I can tell you are that we're adding a "cases" course, which is essentially Pathophysiology 1 and is almost entirely problem-based. Also, we're looking to add a number of new clinical experiences to the Practice of Medicine course, which will probably translate to more clinical exposure in the first two years. As for the board scores, I can't speak to that (our intranet server's down for maintenance right now) but it's the first I've heard of that. As for the traditional curriculum, it's becoming more progressive but, since the curriculum is actually attractive to some people, I doubt if it'd ever change completely.