The Fall course of CSI is taught in the second year and builds upon, and reinforces, content taught in the first-year classes with a focus on abnormal findings. Topics include toxicology, endocrinology, ENT, pulmonology, neurology and rheumatology. Within this class, students will be guided to a higher level of clinical thinking. Presentations from physicians representing a variety of clinical fields incorporate prior academic subject material and build upon it with a clinical focus. This class will incorporate real-world patient management techniques and skills critical for a smooth transition from student to clinician.