Student-Led Medical Service Learning: Theory and Practice is designed for National Tsing Hua University’s post-baccalaureate medical students (including publicly funded trainees), helping them connect student-led service with the contemporary realities of health inequity in rural and remote settings. The course places medical service-learning within its wider social and policy context, introducing how Taiwan’s health promotion, primary care, and long-term care systems work together—alongside key rural health strategies such as IDS and medical-centre support—to address unequal access to care. Students progress through three linked stages: (1) building a grounded knowledge base through literature and comparative case studies (Taiwan and international examples), with attention to health inequalities and rights-based advocacy; (2) a guided field visit and community enquiry (including preparatory sessions with local clinicians) to understand context and needs; and (3) a capstone, project-based design of a student-led medical service team plan tailored to publicly funded post-baccalaureate trainees. Teaching combines short thematic talks, case discussions, and hands-on project work, with assessment based on individual case comparison and reflection, a group service-team proposal (before and after fieldwork), and active participation.