Purpose. To update the results of previous surveys of medical schools
in the United States concerning their courses in introductory biostati
stics and to acquire additional information about these courses. Metho
d. In 1993, the authors sent a questionnaire to each of the 125 U.S. m
edical schools listed in the 1992-93 AAMC Directory of American Educat
ion. The questionnaire sought information about biostatistics courses
and the subjects covered therein. Results. One hundred of the 125 medi
cal schools (80%) responded to the survey. Of those, 74 required a cou
rse in biostatistics as part of their undergraduate medical curriculum
. The courses had large enrollments (median, 134) and a median of only
20 hours of instructional time. Most courses included a large amount
of material, with 25 possible topics covered by at least 75% of the sc
hools with required courses. Conclusion. While efforts have been made
to incorporate innovative instructional techniques into these courses,
most still follow the traditional lecture format and mako minimal use
of computers. Nevertheless, medical students appeared to have a favor
able attitude toward these courses at over half of the schools surveye
d.