The first two years of the osteopathic medical curriculum focus on basic sciences. The third and fourth years emphasize clinical work, with much of the teaching in community hospitals, major medical centers and doctors’ offices. During the clinical years, students study general medicine and are involved in research. They rotate through urban, suburban and rural settings, gaining exposure to all areas of medicine. Osteopathic principles and practices, which emphasize the relationship between body systems, are integrated into the four-year curriculum. Students learn osteopathic manipulative treatment for prevention, diagnosis and treatment of disease.