The Pediatric Department at Midwestern University/AZCOM participates in didactic teaching throughout the four medical school years by teaching, lecturing, and participating in workshops for Introduction to Clinical Medicine, as well as participating in Patient Care Experiences that utilizes standardized patients and simulated cases. During the second year, a Pediatric elective course is offered called Case Studies in Pediatrics: What's Your Diagnosis? This elective provides interested students didactic experience to apply clinical reasoning within a pediatrics focus prior to the third year core rotation. The department manages third and fourth year clinical rotations in the pediatric disciplines. The third year rotations in pediatrics consist of office-based pediatric, pediatric hospitalist-based and ward-based rotation opportunities. There are also rural pediatric offices rotations within and outside of the state of Arizona for interested students. The fourth year provides opportunities for electives in pediatric subspecialties, such as pediatric gastroenterology, pediatric cardiology, and neonatal intensive care unit.