Examines the concrete problems, issues, and paradoxes encountered while establishing and implementing a teacher preparation program based on critical reflection. Contrasts the standardized, controlled atmosphere of most classrooms with a transformative vision of teaching as an artistic, political, and human act. Cites 13 references. (MLH)

Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on issues raised among residents and physicians: time required for system use; changes in work responsibilities, patterns, and priorities; and attitudes. Recommendations are made for institutions…