A questionnaire dealing with some future policies for Departments of Medicine, in administration, teaching, research, and patient care, was submitted to the Head of the Department of Medicine in each medical school in the United States. A similar one was sent to each full-time staff member in a Department of Medicine who is between the ages of 38 and 50, with membership in the American Society for Clinical Investigation and/or the Association of American Physicians. The questions were answered in the light of certain premises embodying some reasonably ideal facilities. Despite natural differences of opinion and some questions difficult to answer categorically, some of the more pertinent points favored by the majority of respondents are presented. Examples of subjects covered are: number of staff members considered desirable in a department of medicine; number of specialists desirable in each area; department or division status for the specialities of medicine; amounts of time to be allotted to administration, teaching and research by chairmen of departments and by non-chairmen.