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master adaptive learner model used develop students become selfregulated adaptable lifelong learners practice medicine complex everchanging environment hackensack meridian school medicine hmsom proposes new course patient presentation problembased learning curriculum pppc dynamic integrated course goes beyond scope traditional problembasedlearning pbl pppc allows students build domaingeneral skills tandem domainspecific content learned preclerkship curriculum integrated case provides weekly scaffolding course takes place throughout week isolated rest curriculum students receive iterative feedback structured assignments allows development selfdirected learning skills along integration consolidation weekly curricular content layered analysis approach used outline philosophies principles techniques link course objectives techniques used could easily translated preclerkship curriculum promote development selfdirected learning clinical reasoning skills well promote meaningful learning basic clinical health system science content