I have found to make a change of scenery really helps the student attitude in class. It shows them that what we are talking about in the work world is real. I have used police officers that are friends come in and talk about law and ethics or pharmacology with drugs. Also taken the students to tour an emergency room to see what it is like to work as a medical assistant in a controlled and uncontrolled atmosphere. They are amazed and really respect our opinions when we tell them something about what it is like in clinicals. I have found they tend to do better.