The clinical phase of instruction is designed to allow students to integrate and apply information presented in the first year. The emphasis in all rotations is the evaluation and management of patient problems likely to occur in the primary care setting. These rotations occur at major teaching institutions, long term care facilities, private practices, and clinics in our region familiar with the PA role. Most of these settings also train medical students, residents, and fellows, and PA students are expected to perform at a level consistent with this type of training. Many of these sites employ our graduates and have been involved with the Stony Brook Physician Assistant Program since its inception nearly 50 years ago.