This paper describes the first two years of an attempt to introduce a
problem-based approach into the teaching of oral diagnosis. The most s
ignificant features of this approach were the involvement of the stude
nts in setting course goals, the use of student journals to encourage
reflection on learning, the encouragement of self-assessment, and an a
ttempt to relate clinical practice to problem-solving seminars. The pa
per reports on student reactions to the course and discusses further d
evelopments in the course, in particular attempts to develop a more ex
plicit understanding in students of their own learning processes, and
more attention to factors in the learning environment which engender c
onfidence, reflection and self-evaluation.