In May 1976, under the auspices of the Macy Foundation, ten medical educators gathered at the Leeds Castle to examine the growth of the universities in the United States and England, their relationship to the medical schools, their contributions to medical research, and the future of these institutions. This volume contains their appraisals of these issues. The quality of the contributions varies, but anyone interested in the present and the future of medicine and medical education will find this a worthwhile book. The editors are to be congratulated for including the discussion that followed the specific papers, as the discussion was often more illuminating than the presentations.
For me, the two most interesting essays were on the present and the future of medicine in Great Britain, by John Lister, and in America, by E. Hugh Luckey. Arnold Thackray's essay on the American university in the past was enlightening, as was