In those States in which the facilities for securing a medical education are abundant, and where the time and money to be expended are within the reach everyone, there is always the danger that an undue proportion will forsake trade in order to join the profession. This is especially the case when times are bad. Many persons seem to be possessed of the idea that the practice of medicine as a means of livelihood should be regarded as a something to fall back upon when other resources fail. Accordingly, when trade is depressed and money is scarce, there is a rush to enter its ranks. That this view of the matter is altogether an erroneous one is too self-evident to need any demonstrative proof. Again, although the question of a universal four years' course is a most important one, it must not be forgotten that examination takes almost as conspicuous a place. It is desirable that every one entering on medical studies should possess a general education. With the exception of a few unimportant schools, the entrance examinations would appear to afford the necessary test. Then comes the much more vital point of how to gage, in the fairest possible manner, the extent of the medical knowledge of those who have undergone their full term of study. For various reasons the conducting of the final examinations by professors in the school in which the student has been taught is open to many and grave objections, more especially when these professors are themselves teachers in that school. As has been pointed out in The Medical Record on more than one occasion, the most obviously fair regulation is that of independent examination by an unbiased State board. If this plan were carried into execution, medical education in America generally would rest on a firmer basis than in Great Britain, in which country the standard, although nowhere so low as in parts of the United States, still varies very considerably in the different schools. The General Medical Council of England has arrived at the conclusion that competition must be checked, and has lately brought into force two drastic measures calculated to attain this object; one is the lengthening of the course to five years, and, more recently, the abolishing of the unqualified assistant. The medical profession of America is quite as conscious of the disastrous results of competition as are its fellow practitioners on the other side, and should use every legitimate means to sweep away the evils of the present system.--Medical Record.