The transition from school to university education and a medical schoo
l environment can be difficult even for the very best students. Howeve
r, little appears to be done to assist students in making this transit
ion and in developing study skills during the early stages of their tr
aining. This article outlines a scheme which has been called supplemen
tal instruction. Although developed for medical students in the United
States, it is particularly well suited to developing essential study
skills in first-year medical students in the United Kingdom. The schem
e has been successfully introduced into some degree and diploma subjec
ts in this country, with improvement in course grades and lower attrit
ion rates, but has yet to be introduced into medical education. Evalua
tion data for nonmedical courses show that student participation in su
pplemental instruction significantly improves overall course marks and
could be of significant value in the medical curriculum.