Educational programmes were evaluated by 84 students. The students reported increased gain from the course parallel with more teaching outside the university hospital and teaching in small groups. When the original hospital-based programme was resumed, there was a marked reduction in profit. Of 21 students who followed the modified programme, all except one recommended that it should be continued. Of the 25 students who followed a programme based on lectures and teaching exclusively in hospital, all except one recommended a change of programme.