Medical informatics (MI) has been introduced to medical students in se
veral countries. Before outlining a course plan it was necessary to co
nduct a survey on students' computer literacy. A questionnaire was des
igned for students, focusing on knowledge and previous computer experi
ence. The questions reproduced a similar questionnaire submitted to me
dical students from North Carolina University in Chapel Hill (NCU). Fr
om the results it is clear that although almost 80% of students used c
omputers, less than 30% used general purpose applications, and utiliza
tion of computer-aided search of databases or use in the laboratory wa
s exceptional. Men reported more computer experience than women in eac
h area investigated by our questionnaire but this did not appear to be
related to academic performance, age or course. Our main objectives w
hen planning an MI course were to give students a general overview of
the medical applications of computers and instruct them of the use of
computers in future medical practice. As our medical school uses both
Apple Macintosh and IBM compatibles, we decided to provide students wi
th basic knowledge of both. The programme was structured with a mix of
theoretico-practical lectures and personalized practical sessions in
the computer laboratory. As well as providing a basic overview of medi
cal informatics, the course and computer laboratory were intended to e
ncourage other areas of medicine to incorporate the computer into thei
r teaching programmes.