Abstract
Increased federal interest in the health of the American people implies federal support not only of biomedical research but also of training the personnel competent to carry out that research. Mechanisms to implement support of biomedical research training include institutional training grants, individual fellowships, training grants, training as part of research grants and contracts, and self-support with assistance by federal loans when necessary. Of these, the institutional grants provide the best mechanism since they are most likely to produce stable, high-quality scholarly programs that are continuously under peer review, and since they allow central direction of the mix of disciplines based on monitoring of current and projected requirements. (N Engl J Med 292:290–293, 1975)

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