Probably everyone here has been involved to some extent in the student revolt against examinations and grading systems. Many young people are not only disgusted with the whole structure of our life, but are even opposed to the vigorous pursuit of success. This nihilism arises in part from their correct observation that our successful technical and economic system is driving us rapidly and inexorably to the destruction of the earth's bounty and of its beauty. Logic supports the intensity of student reaction to the situation mankind has brought about, although one can easily disagree with some forms of the protest. The objection in medical schools to stiff qualifying requirements may be a spill-over from other areas. At least, in private conversations with students at Mount Sinai and other medical schools, I have found many of them to agree (sometimes reluctantly) that in preparing