WITHOUT question, the ruling by the joint commission on accreditation, requiring foreign-trained students to pass the council examination before being given full-house staff responsibilities, has had a profound impact on hospitals throughout the country. Boards of trustees, many for the first time, are coming face-to-face with the "what," the "why," and the "how" of a house officer training program. This particular aspect of hospital care has been one of many that we, as lay trustees, have left to the administrator and the organized staff. We have known little or nothing about the need for these men, what their role was, or how well they were trained. We were assured they were needed, we knew they cost money, and we approved a budget provision for them, but all other decisions concerning them we left to others.
What the final solution will be for many hospitals is still uncertain, If the average