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Abstract
Due to dissatisfaction with the existing clinical skills course a new model was designed. The key problems were lack of feedback from the teachers, too little involvement, students' feelings of insecurity and inadequacy, being overwhelmed by the task, and insufficient follow-up. The new course was built on a personal relation between student and teacher, reduction of tutor's patient workload during the 4 weeks of the course, a personal responsibility for the progress of the student and an individualized, gradual increase of the task from a limited history and physical examination to a complete, usable patient journal. Each student was given a personal tutor, who spent at least 1 hour daily with the student and a patient. Both students and tutors show great satisfaction with the new course. The students feel adequately prepared for further patient work after the course and the results of examinations, in the form of a skills test, compare favorably with those of previous courses.