Both medical and nursing schools have undergraduate and graduate courses. The undergraduate schools accept women only. The graduate schools and internship at the university hospital are open for both genders. A learner-oriented education is provided. Our university was a pioneer among Japanese medical schools in revolutionizing the traditional education system. In 1990, our educational policy changed from teacher-centered education to learner-centered education. Under the new policy, the curriculum has been altered from "knowledge provided education" to a "learning-to-learn education". The new education system included problem-based learning (PBL) tutorial. In the PBL tutorial, students find problems from given cases, analyze and solve the problems in small study groups assisted by the facilitator of discussion, called a tutor. Class-style teaching and practical work experience are combined with PBL tutorials.