Students' attitudes towards medical informatics were evaluated with se
lf-administered questionnaires, answered by 140 (77%) first-year medic
al and dental students. Fourteen per cent classified their computer li
teracy as negligible and 49% as deficient. Ninety-six per cent had use
d a computer before and 59% used one regularly. Nineteen per cent had
computer education in secondary school and a further 16% attended cour
ses given by a computer company. Only 16% read regularly about informa
tics. These results are similar to those observed in more industrializ
ed countries, except that high-school education is more deficient. To
93% of these students, computer literacy is important for doctors, and
to 85% computers may be very useful in many areas of health care. In
the opinion of 66% of students, the computer-based patient record will
be available within the next 3 to 10 years. Women showed lesser compu
ter literacy (77% computer illiteracy to 39% in men), but there were n
o relevant differences in attitudes, behaviour and beliefs towards med
ical informatics between gender, for the same level of computer litera
cy. Computer education in the undergraduate curriculum was demanded by
92%, and 75% of these preferred an elective course. Weekly hours sugg
ested for lectures should be 1 (54%) or 2 (42%), and for hands-on prac
tice 2 (54%) or 4 (31%) hours. The curriculum should include medical a
pplications (83% of students), information science theory and technolo
gy (44%), micro-informatics (44%), bibliographic database search (27%)
, programming languages (23%) and statistical packages (23%). Gender,
computer literacy or course did not correlate significantly with stude
nts' opinions about the contents of undergraduate education.