Relying upon grant-supported salaries, many medical schools have greatly expanded their faculties; but if new funding devices are not discovered, retrenchment will occur. Physicians, who are trained to look at the big picture, must continue to be an essential element in the biomedical research team. (MLW)

A discussion of the National Institutes of Health grants peer review system suggests that, while the system is the most effective for assuring support for high-quality medical and nursing research, serious erosion in confidence in the system has occurred and must be resolved within the biomedical research community. (MSE)