The personal experiences as a student of the “New Pathway Program” at Harvard Medical School and one of its 17 affiliated institutions, New England Deaconess Hospital (March, 1988 and March and April, 1989), are reported. In a problem-based curriculum, students' learning occurs mainly around investigative and clinical problems. In the Department of Cardiology, the consultation service, intern conference, medical grand round, CCU, noon talk and cardiology conference are described. In the Department of General Surgery, under the “Blue Team”, team round, tumor conference, surgical grand rounds, surgical operation, morbidity mortality conference, chief conference, night duty and chief resident conference are described. In summary, the clinical clerkship of the students and teaching by the residents are much more intensive than those in Japanese medical schools.