The Early Learning in Medicine (ELM) programme (years 2 and 3) continues the medical science learning which began in Health Science First Year (HSFY), while introducing students to patients, their communities, and their points of view. The learning emphasis in ELM is: active and collaborative, integrated, contextually and community based. The introduction to patients and patient context take place in a combination of the Healthcare in the Community (HIC), Integrated Cases and Clinical Skills Programme Modules. Within HIC, students visit patients in their own homes, work in a nursing home and interview volunteer patients from the Friends of the Medical School. Clinical Skills sessions provide opportunities to learn and practise clinical skills (consultation skills, physical examination and practical procedures), and to develop basic clinical reasoning. The Integrated Cases programme offers examples of the medical sciences in a context that emphasises their clinical relevance. All tutorials emphasise an active small group collaborative working environment.In ELM, students spend about 45% of their time in formal teaching situations (lectures, labs), about 15% in small groups (case tutorials, supervised patient contact), with the remaining 40% of non-contact time allocated to independent learning.