The Japan Accreditation Council for Medical Education has strengthened to promote horizontal and vertical integration of medical education, assuring the quality of medical education in Japan from an international standpoint. Pharmacology plays an important role as a central hub to connect basic medical education with clinical medical education. As part of promoting horizontal integration of medical education, Tokushima University has started a joint practice with four basic medical departments with Biochemistry, Physiology, Cell Biology, and Pharmacology for 2^nd grade medical students in 2019. Each department is in charge of 2 or 3 items of practice, and total 10 of items are performed for 2 weeks in integrated practice every year. This joint practice has become an official subject in 2022. In this symposium, we would like to introduce our experiences of the unique practice based on advantage and limitation.