In reply
It is true that the widely varying levels of computer interest and ability of the pediatric residents at the Johns Hopkins Children's Center is "neither surprising nor worrisome"; however, pediatric residency programs should consider these differences when incorporating computer-aided instruction into their curricula. For example, the finding that women are less likely to own computers or to have accessed the Internet should not be simply put down to learning preferences until we are certain that this sex difference is not due to unrecognized barriers to access.1