The fourth year of SIOM training is for students who have a particular vision for how they would like to refine and deepen their clinical skills and be awarded the Doctor of Acupuncture and Herbal Medicine (D.A.H.M.) degree. This means that each enrolled student needs to have a personal vision for the additional skills they seek in order to be a physician. Working with faculty advisors, students will form individualized programs that hone their clinical skills, their capacity to effectively critique their outcomes in patient care, their ability to communicate and teach others, their capacity for collaboration with other health care providers, and their skills in accessing appropriate resources for life-long learning in the field. Matched with mentors selected by the student and approved by the school, students will dedicate this year to attaining their chosen unique capacities to enhance patient care and their contributions to the profession and health care in general.