The electives program at the University of Missouri at Kansas City School of Medicine was evaluated. The program provides opportunities for learning in community hospitals, physicians' offices and clinics, the main campus of the university, and other health-resources locations in western Missouri. The School of Medicine emphasizes primary care in its overall curriculum and its electives. Many of the primary care electives are located outside the Kansas City Metropolitan Area. At the completion of each elective, the physician is asked to complete an evaluation instrument which requests that he comment on how well the student achieved these objectives, and students rate the effectiveness of the experience and add explanatory comments. Students generally felt that they had performed well in their electives as compared with other students at the same level, and very few students perceived any aspect of their electives to be unsatisfactory. Students' responses regarding learning support materials indicate that improvements should be made in providing appropriate materials. The physician evaluations of students were similar to the students' self-evaluation in their generally high ratings on the 11 evaluation dimensions. Eleven student interviews were also conducted to obtain additional information. Some of the students' responses to the 12 interview topics are included. (SW)