PUPUK is a part of medical program at University Malaysia Sabah. Medical students follow up a rural family for five years. This is a novel approach to medical education which brings benefits to both the student and the community. The project takes place in the region of Kudat on the Northern tip of Borneo. This are was chosen for the project since it was one of the most deprived areas of Malaysia. Families with health or social problems are identified by community leaders. Students see the families three times a year and during this time they assess their health related behaviors. The students are given a selection of questionnaires which they can administer to the family in order to understand them better. During the last two years of medical school the students can attempt to change health related behavior such as smoking or diet. This work is supervised by a member of the faculty who see the students three times a year.