This paper will first summarize briefly some results from parallel stu
dies of first-year medical students at the University of Edinburgh, Sc
otland and University of Houston, Texas, USA. These findings have been
presented more fully elsewhere (Surtees & Miller 1990; Miller & Surte
es 1991; Miller & Lloyd 1991; Miller 1994) and here the emphasis will
be on the Edinburgh results. Following this, some new material will be
set down, reflecting the Edinburgh students' comments to the intervie
wers about their courses.