A totally built-in curriculum is characterized by spiral integration encompassing the two horizontal and vertical integration combining integration across time and across disciplines [22].

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The best with the article-Flexnerian third wave is a fully integrated curriculum in place of the standard curriculum comprised of a definite pre-clinical ingredient with topic-primarily based programs along with a subsequent scientific component [22]. First implementation requires partial integration comprising horizontal integration outlined as integration across disciplines but inside a finite length of time and vertical integration representing integration throughout time with breakdown of the normal barrier amongst primary and scientific sciences.

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