The School of Medicine was established as a 2-year basic sciences institution in 1907. In the 1970s it converted to an MD degree-granting program, graduating its first class of MDs in 1977. The mission of the school is to provide the opportunity for South Dakota residents to receive a broad-based medical education with an emphasis on family practice. advanced basic medical sciences including Microbiology and Pharmacology, as well as Laboratory Medicine, Introduction to Clinical Medicine, and Advanced Behavioral Sciences. At the end of year two, students have a one-month preceptorship in a primary care clinic. Third year: 48 weeks of required clerkships, plus 3 weeks of Clinical Colloquium. Fourth year: Required courses are Rural Family Medicine, Emergency Medicine, and Surgical Specialties. There are 23 weeks remaining for electives.