English: Medical students study all subjects at a distance (e.g., normal anatomy, function and behaviour) in phase 1 of the curriculum through a system-based approach. They revisit the same systems in phase 2 when they look at abnormal anatomy, function and behaviour, building on what they have learned about the normal in phase 1. Students revisit the systems for a third time in phase 3, when they relate their studies to clinical practice, applying what they have learned in phases 1 and 2. The spirals broaden as the students pass from phase 1 to phase 3 in the curriculum. In a fourth spiral students, as pre-registration house officers, put the theory into practice.