In Reply.— We agree with Dr Greenberg that implementation of sounder educational principles would be of value in the education of medical students. However, we believe that the past experiences of the resident or faculty member guilty of abusing students, the abusive behavior they may have experienced when they were medical students, and their early upbringing and personality, as well as the current stresses they are experiencing, are more important as underlying factors precipitating episodes of abuse. Ms Matkovich's suggestion that the personal growth and maturity that develop among other young adults may fail to occur among students of medicine is consistent with our finding that there is a greater appreciation of abuse among older than younger students in the freshman and sophomore classes. As a follow-up of Ms Rawlins' comments, it would be of interest to find out whether student nurses report an appreciably different pattern of abuse than