The authors describe a prospective study of medical students' identificatio
n of the presence and importance of psychosocial information. They investig
ated the development of these skills over time in two successive academic c
ohorts, exploring the potential relationship of students' performance on a
cue-identification task to their self-reported interest in patients' psycho
social concerns and to their academic performance in medical school. The ab
solute number of psychosocial cites students identified varied with the stu
dents' training, but the importance that the students attributed to psychos
ocial cues increased over the time of their training. Their recognition of
psychosocial cites as important correlated with academic performance in adv
anced clerkships and election to Alpha Omega Alpha. The results suggest tha
t students are able to attend to psychosocial issues while performing well
on traditional biomedical education measures.