Overall satisfaction with the Web site was explained by the time of year the clerkship was taken, owning a computer and the number of sites with Web access (R2 = .067). CONCLUSION: Students found value in an ambulatory clerkship Web site as an information resource. It could be made more useful to them by assuring better access to a computer at their clinical sites and providing a personal computer. While comfort in using a Web site as a resource improved by the end of the clerkship, this can been enhanced by training prior to the beginning of the clerkship and again assuring better computer access. Given the relatively low frequency of use however, it cannot yet suffice as the sole curricular resource. The curriculum consisted of 10 one-hour case-based seminars, including two devoted to pain management. We reviewed consecutive billing and pharmacy records of patients of medical residents (n=733) and a comparison group of patients of neurology and rehabilitative medicine residents (n=273) who received an opioid during two 8-month periods before (1/1/ 97 ± 4/30/97) and after (1/1/99 ± 4/30/99) the implementation of the curriculum. The data abstraction protocol was validated by standard chart review of a random subsample of 50 charts (concordance = 89.9%). Three outcomes were measured:1) % opioid orders for meperidine in non-gastrointestinal patients (excluded because of a longstanding belief that meperidine should be used in biliary disease);2) % opioid orders accompanied by a bowel regimen (to prevent constipation); and 3) % opioid orders accompanied by adjuvant nonsteroidal anti-inflammatory drugs (to achieve the``additive effect''). RESULTS: We had a power of 80% to detect a 10% difference at a= .05, two-tailed. Percent change before/ after for each outcome for each group was assessed by t-testing. Logistic regression models were developed for each of the outcome measures in order to control for independent variables that could be confounders and to assess the magnitude of effects. The models used controlled for age and race. Significance is noted by * if p < .05. CONCLUSION: These data suggest that a palliative care curriculum can improve the opioid prescribing practices of medical residents, over and above a secular trend among other house officers. Larger samples and further research are needed to understand these findings and how palliative care education can improve patient care. Delayed and incorrect diagnosis can lead to needless suffering, be potentially life threatening, and also be costly to society as physicians spend significant health care resources to work-up presenting symptoms. Because of increased public awareness of DV, and reports of underdetection by practicing physicians, many have sought to improve DV education at the medical student and residency levels. Have these educational interventions improved residents'