The authors determined whether positive perceptions of integrating lecture and lab in Anatomy and Physiology courses persisted from 2015-2018. Students (843) and instructors (56) completed the Student Assessment of Their Learning Gains survey; perceptions were positive and consistent between both groups. Participant narratives identified the ability to immediately apply theoretical knowledge in lab as an important positive attribute in improving student learning. The authors also determined whether student performance rates, including unsatisfactory grades (C-, D, F, W), improved during integrated years. Results showed that unsatisfactory grades fell in the integrated years, while results for quiz and exam grades, compared between integrated and traditional years, were inconclusive.