This year the Commission on Graduate Education published its report,1 in which the history, present illnesses and prognosis of internship and residencies were thoroughly reviewed. Here arguments for and against including a year of hospital service in the requirement for the degree of Doctor of Medicine were presented. However, two more aspects of the responsibility of medical schools toward the appointment of interns deserve study, since they apply not only to the fifth year problem but to present defects in the appointment of interns throughout the whole country.
Certain undesirable situations arise whenever the dean or the administrative office of a medical school is actively concerned with obtaining appointments for senior students. These bad effects are most strikingly seen when the fifth or intern year is required for graduation. There the school must intervene not merely to supervise the choice but actually to guarantee the placing of the student.