Financing Graduate Medical Education

To the Editor: Although the problem of financing graduate medical education (discussed by Knapp and Butler in the October 4 issue) appears to be growing more complex every year in the United States, in Quebec it has become simpler. This is not to say that there are no problems, but the financing mechanism and its administration are easily understood. About 10 years ago, after intensive study, it was concluded that graduate medical education was predominantly an educational activity. All house-staff posts were made the responsibility of the four faculties of medicine in the province; all members of the house staff.