A curriculum is much more than a syllabus with medical school content—it is about the interaction of teaching and learning processes under the various conditions that exist at the Bonn Medical School. We ask ourselves questions such as “Are we adapting well to the students' prior knowledge during the course of their studies?” and “Do we have an optimal fit between teaching and the various forms of examination?” We are constantly developing the Bonn medical program and adapting it to current challenges such as the rapid growth of knowledge and digitization in medicine. However, changing federal regulations must also be implemented, such as the anticipated amendment to the licensing regulations and the associated mandatory National Competence-Based Learning Objectives Catalog (NKLM). We want to shape the further development of medical studies in Bonn for and with students and teachers.