All the following hospitals, with which the College of Physicians and Surgeons has major affiliations, are teaching centers with fully accredited residency programs and attending staffs that hold faculty appointments at Columbia University. Starting with the Clinical Practice course in the first year, students may rotate through some - or all - of the hospitals. The institutions offer an extraordinary range and diversity of experiences for students - from a rural hospital in upstate New York, to a municipal hospital in Harlem, to one of the leading medical centers in the world.