 Third-year students continue to take didactic instruction but spend more than half their time in clinical training and direct patient care.Third and fourth-year students also participate in off-campus community outreach programs through which they provide vision care services in satellite clinics to serve segments of the local population who have limited access to health care due to lack of health insurance, low income, disability, or other restrictions.Fourth-year students train full-time in clinical rotations locally and throughout the United States.