Attitude, experience and competence (broadly covered by the European Computer Driving Licence syllabus) in information technology (IT) were assessed in 846 1st-year Medical Sciences Division undergraduates (2003-06) at the start of their first term. Online assessments delivered during induction workshops were presented as an opportunity for self-evaluation and to provide performance-related recommendations for training. Results were consistent over 4 years. There was no difference in attitude between years or programme of study and the majority selected "competent to use a range of applications". Nor were there any differences in competence between all students in any year; however, male Medical Science students performed significantly better than females (2006). Students with a recognised IT qualification also did significantly better than those without. There was a discrepancy between measured skill and individual self-evaluation of competence; in particular, weaker students overestimated their competence. In all years, some students showed a fundamental lack of understanding of basic IT skills. Introducing online diagnostic testing raised the profile of the importance of IT skills to both academic staff and students.