The PPC curriculum is based on the most common ways that patients present to a physician. These presentations provide the framework for the curricular structure. The Year 1 curriculum begins with a foundation course to provide basic mechanisms needed to understand the subsequent patient presentations and treatments. The year continues with relatively uncomplicated presentations organized by organ systems. Early clinical experiences are emphasized from the first week of instruction through the Clinical Skills, Osteopathic Principles and Practice and Early Clinical Exposure courses. Also in the first year, all students receive instruction important to WVSOM’s mission of training primary care physicians for rural medical practice, including a focus on the special health care needs in West Virginia.