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1991 2000 incoming medical students mis school medicine virginia commonwealth university surveyed written questionnaire computer literacy surveys purpose learn students levels knowledge skill experience computer technology guide instructional services facilities questionnaire administered mi orientation mailed students homes matriculation evolved sixteen questions 1991 twentythree questions 2000 fifteen questions common average survey response rate 81 average 177 students six major changes introduced based information collected surveys advances technology production cdroms distributed students containing required computerbased instructional programs delivery evaluation instruments students via internet modification lab mostly pcbased environment development electronic curriculum website development computerized examinations medical students prepare computerized national board examinations initiation personal digital assistant pda project students evaluate pdas usefulness clinical settings computer literacy survey provides snapshot students past present use technology guidance development services facilities