The Department of Internal Medicine participates in the student's didactic undergraduate medical education throughout the four years at AZCOM. The first year involves instruction in patient care experiences, including instruction in history and physical examinations. Clinical cases are also introduced by the faculty in collaboration with the Department of Physiology during the first year to facilitate integration of clinical relevance to basic science concepts. Second-year students are given presentations in Cardiology, Pulmonology, Neurology, Rheumatology, and Gastroenterology facilitated through the Introduction to Clinical Medicine (ICM) course. Faculty members collaborate with the Department of Microbiology in using clinical case correlates to demonstrate key principles as they relate to clinical care. Faculty participate in the Patient Care Experiences course with direct video monitoring of students, debriefing of their patient encounters, and SOAP note grading. Faculty also provide problem-oriented presentations prior to student participation in disease specific Observed Structured Clinical Exam (OSCE) experiences. The department is responsible for the required core clinical clerkship rotations in Internal Medicine during the third year in both ward and preceptor based General Internal Medicine, Cardiology, and during the fourth year; Critical Care, and one rotation within a medical subspecialty. The department is also responsible for fourth year clinical elective rotations in Cardiology, Pulmonology, Gastroenterology, Oncology/Hematology, Rheumatology, Neurology, Allergy/Immunology, Infectious Disease, Nephrology, Endocrinology, and Geriatrics.