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London.—A time-honoured feature of the medical scene that must appear strange to American eyes is our "Finals"—that intimidating initiation rite to which our final-year students submit willingly and, in not a few cases, more than once. With the number involved, a similar undertaking in the United States would be formidable, but here it is still a practical proposition. Our students have a choice of graduating with a university degree such as Bachelor of Medicine and Surgery or a diploma of one of the Royal Colleges whose charter to grant licenses to practice preceded the universities by many years. Some students take both, not so much for the imposing array of letters (eg, MB, BS, MRCS, LRCP) this may entitle them but for the practice gained in the technique of taking examinations. The two examinations are similar in standard and cover approximately the same ground. Both require candidates to write