This program profile describes an initiative to meet the college reading and writing requirement for undergraduate students in a premedical program at St. George's University (SGU) in Grenada, West Indies. Two courses were developed in response to concerns that the existing curriculum was not meeting the specific needs of premedical students. The existing courses were literature-based and provided minimal feedback or other opportunities for development. Additional concerns involved a varied range of abilities among students that was not being addressed, large class sizes, and lack of investment on the part of premedical students. Solutions include the incorporation of a task-based curriculum focused on the medical profession in order to increase engagement, division of students into small cohorts with small teacher/student ratios, integration of skill building into all activities, and implementation of process writing to allow for intensive feedback and student development.