This course was highlighted by student independence in the choice of research topics, objectives, and study design, access to experts from a variety of relevant backgrounds, and supportive feedback from the instructor. Many students were hard pressed to think of a more beneficial and intellectually stimulating experience available at Hopkins. The tradeoff between preparing presentations and written assignments and time for technical development was one negative aspect in the class, as was the lack of structure. Some possible improvements to the course include access to software engineers and manufacturers, faster turn-around time for IRB approval, and faculty who has experienced firsthand being part of a medical device start-up. Prospective students should know this is a student driven course and you make it what you want it to be. This is a rare opportunity, and an amazing chance to start something life changing.