Tutorials are held at least once a week, for two to three hours per session. They are attended by all clerks, the tutor, and, on many occasions, a co-tutor (CMR). The tutorials allow the clerks to distance themselves from the minute-to-minute management of patients on the medical wards and gain a better perspective on the strategies of patient problems and management. The objectives for the medicine rotation should be used as a guide by the tutorial group in setting weekly objectives. The tutor and the students should set the objectives together. Priority problems not covered on the ward, or of sufficient importance to be re-emphasized, should be reviewed during the tutorials. During tutorials, more time can be spent on particular learning issues than is appropriate during a ward round. Therapeutic issues (i.e., pharmacological and non- pharmacological management) are often emphasized in tutorials. Tutorials can also be used to improve oral presentations, group and communication skills, and to develop a deeper understanding of the principles of bioethics.