For the medical studies, the first three years consist of pre-clinical training and is more lecture oriented. The preclinical subjects are taught completely in the English language. However, there are Russian language classes as a part of the curriculum from the first year itself. This is necessary since from the fourth year, the student would start his / her clinical subjects, which would require him / her to attend the clinics and hospital as part of training and would have to interact with the local Russian patients and hence would require knowing the local language. Also the knowledge of the local language in an added asset for the student to interact with local population.