Most of my medical student teaching takes place during patient care. The student and I care for the patient together, and the patient is both the mission and the lesson. Students usually speak with and examine patients first, and often know patients best. Faculty evaluate medical students not only on their written exam performance, but also on their ability to recall medical knowledge quickly and apply it by developing specific patient care plans. Students are also expected to consistently demonstrate a positive attitude, compassion, and a willingness to work hard. The high value placed on clinical performance is changing the structure of medical education. Students are being placed in clinical settings earlier, in the first and second years rather than in the later years…