This book is informed by the findings of a study that sought to evaluate the effectiveness of Guidance and Counselling in Moi University's School of Medicine, Eldoret, Kenya. Dr. Njoka takes the reader through a step-by-step discussion on factors that impinge on the effectiveness of Guidance and Counselling. The author argues for the need to promote the level of counselling in the School of Medicine by utilizing strategies which reach all students such as seminars, workshops and orientation of students on topical issues as well as peer counselling. This would, in turn, provide the required support necessary for students to remain academically focused and well adjusted so as to ensure successful course completion. Moreover, appropriately guided medical students would effectively acquire knowledge, attitudes and skills that would facilitate competent discharge of their professional services. This book is recommended for scholars and students interested in Guidance and Counselling in the higher education sector.