All learners at the Northern Ontario School of Medicine University complete a longitudinal integrated

clerkship experience in their third year, which serves to improve learner experience with community and clinical acute

and chronic health needs. Early in the program, Muskoka faculty (two of the 15 LIC sites of NOSM U) became aware

that learners never had the occasion to complete a full history and physical exam on a real patient with complex

needs. Recognizing this as a critical experience, a program was initiated to provide learners with this opportunity.