Gohar P. Kyalyan, M.D., rector of Yerevan State Medical University in Armenia, met with Dean Robert J. Alpern, M.D., in March to discuss instruction in clinical skills using teaching methods practiced in the United States. Kyalyan visited Yale as part of a tour that included Boston University School of Medicine, Columbia University Medical Center, NYU Medical Center and UCLA Medical Center. She is seeking support for exchange programs between the Armenian school and medical schools in the United States.