Are medical students missing out?

Increasing discontent, even boredom, shown by many clinical medical students is in marked contrast to the enthusiasm of school children interviewed for a place at medical school. The roots of the problem are sown in the pre-clinical years with too much teaching that is of little relevance to clinical practice and insufficient contact with clinical problems that are needed to keep the youthful flame of idealism alive. In clinical years disillusion continues with less time available for teaching by NHS colleagues because of clinical directorates and other administrative chores and a far from ideal balance between teaching and research activities amongst academic staff. To help enthusiasm return we recommend greater clinical involvement in the pre-clinical years, teaching to be better valued and teaching and examination methods reassessed. More self-directed learning, though desirable, will be difficult unless adequate resources are made available. At a time of increased pressure on all sides if we cannot meet the challenge of modern undergraduate clinical education disillusion amongst our students will continue with serious implications for the whole continuum of medical education.