Aquifer provides both subscription-based and free online virtual patient cases. As of 2018, you can now create customized courses, picking cases from all available sets of cases and assign any customized course to single or multiple learners. This poster presents data about 3 types of customized courses created: 1. FM CLERKSHIP: Provide guidance for at-risk students to pass NBME FM Subject Exam2. GERIATRICS ELECTIVE: Augment rotation3. EXTERNSHIP: Augment weekly seminarThe poster presents case use data, learner satisfaction data, and, from the FM Clerkship customized courses, performance on the final exam, the NBME Family Medicine Subject Exam.