I haven't started yet but I plan to enroll next year. You do need a preceptor from the beginning, you can't start without one. Your tuition to the school is $5,000, and the suggested tuition to your preceptor is $500 a month. I plan to go year round to be done in 2 years that would total $17,000 for tuition. Taking summers off you should be done in about 3 years, I believe they give you up to 5 years to complete in case you have to take time off or you have to pay that $5,000 again.