A change in grading from letter grades to pass/fail in the first two years of medical school conferred distinct advantages to medical students, in terms of improved psychological well-being and satisfaction, without any reduction in performance in courses or clerkships, USMLE test scores, success in residency placement, or level of attendance.

A network of connected electronic mail (e-mail) systems now links most univer sities in the United States. These sys tems can be used to support the student teaching process by linking university faculty, student teachers, and supervis ing teachers in the schools. They can also be used as a tool for school-univer sity collaborations that benefit the schools as well. Bull and his colleagues explain how e-mail is a part of the edu cational culture of the Curry School at the University of Virginia.

A day hospital sister was suspended and given afinalformal warningfor obeying the request of her consultant to give a patient tranquilising medication in disguise. Though a disciplinary inquiry exonerated the consultant, the action on the nurse has not been rescinded. This case questions the authority of the multidisciplinary team and the role of nursing managers. We asked two geriatricians andforensic scientists to comment on the case.

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