Technology enhanced learning in medical education is proving to be an asset in the training of future physicians.  Already the use of realistic medical tools such as CDs with heartbeats and rhythm strips are used on a regular basis by students, and many schools are using “virtual labs” as simulations in microbiology.  Despite these advances to incorporate technology into the curriculum, students are demanding even more technology be implemented to facilitate their learning.  The Wayne State School of Medicine has created a system for using Personal Digital Assistants (PDAs) in the preclinical and clinical setting.  They are moving from a lecture based format to a more interactive classroom where students are involved through the use of wireless handheld devices.  Through these devices, students are questioned on material being presented, and using this real-time feedback, the professor can steer the lecture toward those areas the students do not seem to understand.  During the clinical years students continue to use PDAs for patient tracking and as a valuable learning tool within the hospital.