Order of vaccine injection and infant pain response.

Objective: To determine if acute pain response after administration of the diphtheria, polio, and tetanus toxoids and acellular pertussis and Haemophilus influenzae type b (DPTaP-Hib) vaccine and the pneumococcal conjugate vaccine (PCV) is affected by the order in which they are given.

Design: Single-center, double-blind, randomized clinical trial.

Setting: Outpatient pediatric clinic in Toronto, Ontario, Canada.

Perils of the hidden curriculum revisited.

Medical schools are beginning to better define, teach, and assess professionalism for students. While there are many positive aspects of medical school training some students encounter poor modeling, unresolved ethical dilemmas, unnecessary and debilitating academic stresses, and emotional and physical harassment. This may undermine current trend to create programs that develop professionalism in students.