<p>I teach Surgical Technology. The students have to take a national exam at the end of the program. They are taught out of the book for the didactic portion of their education. They are told that on the certification exam it is comming straight from the book. That during the clinical portion of their education that if they see things that are not done the way the book says, to remember what they were taught in class. They also have a review class to remind what was in the book. We also have a jepardy game we made that is also a good review.</p>