The proceedings categorize 55 papers on research in medical education in 12 sections: standards and standard setting (including equivalence-testing methods, standardized examinations, and foreign exams); predicting career outcomes (career choice and satisfaction); teaching clinical skills (student-patient relations and interview skills); teaching in the clinical setting; continuing medical education and participation in it; measurement perspectives on the impact of residency programs (faculty perceptions, test performance, and patient instructors); enhancing student/faculty environment interactions (medical student needs, affective learning, study skills counseling and techniques, and a program to improve instructional skills); evaluating continuing medical education; clinical problem solving instruction; the predictability of predictive techniques of student performance; development of patient attitudes (in medical students, primary care physicians, and intensive care unit residents); and symposia. Topics in the last category include definitions of competence in graduate medical education; cost awareness education; educational models in primary care; education for rural practice; clinical reasoning; teaching patient examination skills by simulation; rural and primary care physician recruitment and selection; medical school learning environments; senior clerkships; and notes on the standards developed by the Joint Committee on Standards for Educational Evaluation. The conference schedule and list of participants are appended. (MSE)