Ancther potentia! site for the training of medical assistants is that of Papua, New Guinea where there is a training program that is reported to place a greater emphasis on the practical aspects of mid level medical care as compared to the program at the University of the South Pacific that may emphasize the academic aspects a little more. On each atoll the clinic nearest the large population center and nearest the airport would be upgraded to a health center. This would be the site of the major part of the primary care rendered outside the two hopsitals. In some atolls with a large distance between islands or a long island separating major population densities it will be necessary to set up two health centers, each one staffed with a qualified medical assistant. assistant To and staff to each have of these health medical assistants centers with to run a medical the outpatient departments of the two hospitals will require approximately 35 medical assistants. It is recommended that approximately 10 medical assistants begin their three year training each year for the next three years and following that a continuing requirement would be for 3-5 to begin training each year. It is recommended that one full-time medical assistant be located on each of the following atolls or islands: Ebon, Jaliut, Kili, Namorick, Mili, Arno, Laura (on Majuro atoll), Ailinglapalap, Maloelap, Aur, Nami, Wotje, Mejut, Ailuk, Likiep, Ebadon (on Kwajalein atoll), Ujae, Utirik, Rongelap, Enewetak, and Ujelang for a total of 21 Medical Assistants. The extremely small population group on some atolls and islands do not seem to warrant a full-time medical assistant. cases continued use of a health assistant is recommended. In these These would include: Lae, Lib, and Wotho. The following atolls/islands are at present uninhabited and would not require a health facility: Jemo Knos Bikini Rongeub Erikub Bikar Taka