September checkup on the people and organize and carry out the annual medical survey in March-April. The Trust Territory would, hopefully, fill in for the other quarterly visits to the outer islands. 3. As in 1, except recruit a paramedic instead of a physician to be in the islands, and make the quarterly visits including assistance to the physician on the September trip and the annual survey. Alternative 3 seemed to be favored. | The concensus was that quarterly trips should be continued if possible. BNL would explore further these possibilities. It was pointed out that if the quarterly trips were abandoned an explanation to the people would be necessary. In any event, a letter to Oscar deBrum concerning the future status of the medical program would be desirable. The question was raised as to whether, from the research point of view, ERDA might have gotten "nearly all the mileage" out of the program and another organization might take over. It was pointed out that with the increasing development of hypothyroidism in many exposed people and the continued development of thyroid nodules there was, if anything, an in- crease in research interest in the program. It was agreed that ERDA should support further training of one or more Marshallese personnel, perhaps at the University of Hawaii, in the medical program in the islands. to participate Such training would be primarily for general health care, but also include some aspects of radiation and ‘its effects. Further exploration of this program should be pursued with the Trust Territory.