This course continues to develop the practical skills necessary to diagnose and treat patients with weekly lectures and laboratory experiences. The course progresses into the pathophysiology of additional musculoskeletal system and structural-functional disturbances that can occur and introduces additional history and physical exam skills. Physical exam of the HEENT/Neck Physical Exam, sports medicine, and specific ophthalmologic eye exams are introduced. Delivery of healthcare to the LGBTQI population is discussed via a lecture and speaker panel format. Normal and abnormal clinical and physical exam findings are emphasized and illustrated through clinical cases. Students will continue to learn how to take a complete history from a patient and practice the skill of patient presentation. Students will be taught further components of physician documentation and will practice patient care documentation multiple times throughout the course. The laboratory sessions reinforce lecture content and diagnostic and osteopathic manipulative treatment procedures will be taught and practiced in the laboratory setting. The development of clinical reasoning skills is emphasized, and training is enhanced by guest lecturers, peer table-trainers, osteopathic scholars, cultural competency modules and history and physical experiences. Students are evaluated by graded history and physicals, written examinations, laboratory participation, integrated osteopathic physical exam practical examination and two Osteopathic Core Competency Assessment (OCCA).