Significant control of efficiency and quality in delivering training is achieved by specifically defining the target trainee in terms of prerequisite abilities and learning needs (learning objectives), measuring those abilities by prerequisite testing and pretesting, and responding to differences in planned ways. (CT)

Principles of quality management, focusing on defect prevention rather than correction, were applied to the design of a graduate biomedicine course in immunology. The principles require clearly stated course mission and objectives, numerous intermediate steps to achieving objectives, immediate feedback on student performance, and immediate…