The early clinical exposure (ECE) has been introduced in the 1st MBBS curriculum as a part of vertical integration between the first year and the final year subjects. ECE gives a good exposure to the students, in gaining an insight into clinical and social aspects of patient care. In the second professional, the student gets to attend the clinics and starts applying the knowledge gained through the ECE chapters. Understanding the medicine through physiological basis of disease and its management will help the students to build a proper perspective that embraces the clinical content.