To make yet another comparison, the total number of medical schools in Austria and Germany, with a population exceeding that of this country, is twenty-nine. Great Britain, with more than half the population, has seventeen; while Russia, with one hundred million inhabitants, has nine. Of course we do not argue that America, with her immense territory and scattered population, does not need greater facilities for the study of medicine than do thickly inhabited countries, as Germany and Great Britain; but we do contend that when a city of the size of St. Louis has as many schools as Russia, the craze for multiplying these schools is being carried to absurd and harmful lengths. However, that the number of schools and their yearly supply of graduates of medicine are far beyond the demand is perfectly well known to all. The Medical Record and other medical journals have fully discussed and insisted upon that point for a considerable time. The real question at issue is by what means to remedy or at least to lessen the bad effects of the system as quickly as possible. The first and most important steps toward this desirable consummation have been already taken, and when a four years' course comes into practice throughout the country, the difficult problem of checking excessive competition will at any rate be much nearer its solution. Why should France, Germany, Great Britain and other European nations consider that a course of from five to seven years is not too long to acquire a good knowledge of medical work, while in many parts of America two or three years' training is esteemed ample for the manufacture of a full-fledged doctor? Such methods are unfair both to the public and to the medical profession, and the result is that in numerous instances the short-time graduate has either to learn most of the practical part of his duties by hard experience, to starve, or to utilize his abilities in some more lucrative path of life. Taking into consideration the fact that the theory and practice of medicine have become so extended within recent years, it must be readily conceded that four years is barely sufficient time in which to gain a satisfactory insight into their various departments. For a person, however gifted, to hope to receive an adequate medical training in two or three years is vain.