Students have been divided into quartiles based on the performance in the entry surgical examination. A] This shows the usage of the surgical computer education package by students in different class rank quartiles. Significantly more use was made of the computer package by students in the lowest entry rank quartile (ANOVA P = 0.042). B] This shows the change in class ranking between entry examination and final examination in surgery. Initially low ranking students showed the greatest improvement in their class position (Kruskal Wallis P = 0.01). Mean and standard error. * P < 0.05, ** P < 0.01; compared to lowest class quartile at entry test.