Applying the new medical model: intervening in the environment of children who are multiply disabled

schools worldwide. Changes in training were brought about in part because continuing advances had led to the increasing specialisation of treatments (Albanese & Mitchell, 1993; Williams, ~ 092). Those involved in delivering undergraduate medical training were faced with a dilemma. How could they continue to represent the breadth and depth of knowledge required of medical practitioners within a fairly brief period in which to deliver an undergraduate training programme?