This supplement to the California Business Education Program Guide for Office and Distributive Occupations is designed to assist office education teachers of secondary, postsecondary, and adult students to update their business education curricula in light of new technology and increasing demand for skilled office workers. Focusing on medical secretaries, the guide is comprised of nine competency modules. Module topics include (1) medical terminology, (2) general medical office procedures, (3) medical office bookkeeping, (4) patient reception, (5) telephone interactions, (6) medical ethics, (7) interpersonal relationships, (8) automated office equipment, and (9) career advancement. The first pages of each module contain performance objectives which indicate to the instructor and student what can be taught/learned to meet entry-level medical secretary occupational standards. Following the list of performance objectives in each module are possible instructional strategies, pre/post tests, and possible instructional materials. A cross-reference section is included which outlines the main interrelationships between modules. The California Business Education Program Guide for Office and Distributive Occupations along with common core units of instruction are also available--see note. (LRA)