Another potential site for the training of medicalf assistants is that of Papua, New Guinea where there is a training pwogram that is reported to place a greater emphasis on the practical spects of mid level medical care as compared to the program at the Uni ersity of the South Pacific that may emphasize the academic aspects a ittle more. On each atoll the clinic nearest the large populat on 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 tside the two hopsitals. In some atolls with a large distance betwee islands or a long island separating major population densities it wil be necessary to set up two health centers, each one staffed with a qua ified medical assistant. assistant To and staff to each have of these health centers medical assistants to run th a medical t e outpatient departments of the two hospitals will require approximat ly 35 medical assistants. It is recommended that approximately 10 medi al 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 assist nt be located on each of the following atolls or islands: Ebon, Waliut, Kili, Namorick, Mili, Arno, Laura (on Majuro atoll), Ailinglapaflap, 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 sdme atolls and islands do not seem to warrant a full-time medical assis cases continued use of a health assistant is recommendedl nt. 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 Bikar Rongeub Erikub Taka