An experiment is reported which utilized a professional medical care organization as the base for intern and resident education. The major reason for its failure was the rigidity of Medicare regulations. The data suggest the mechanism is feasible and could potentially obviate many problems of hospital-based programs. (Editor/JT)

A study to assess the value of the dean's letter of recommendation as a predictor of internship performance compared information in dean's letters with the evaluation made by clinical staff during internship and found no significant correlation between the two. (JT)

Designed to shorten the overall length of training and to restore a broad-based clinical experience to the period of intermediate patient care responsibilities, students in the program described observe and practice in a primary care setting. Analysis of their performance indicates they perform on a level comparable with first-year house officers.…