THE two home medical care programs described below are attempts to expand the teaching of medical students and house staff beyond the hospital walls into the home and community. The need for this expansion is a matter of sharp debate. On the one hand are those who point to the heavy load of the present curriculum and to the high level of current clinical teaching and research. These people say that the chief aim of medicine is to study, diagnose and treat disease and this objective must not be diluted by concern with such things as health supervision and the influence of socio-economic factors in the home and community. These things can be learned after the physician starts practice. On the other side are those who believe that the changing content of medical and public health practice requires some addition to present teaching and research and that this is best accomplished in a family care program. They point out that the work of the clinician and of the public health officer is coming closer and closer together. The content of medical practice has changed and is changing so that approximately half of the time of the general practitioner, the internist, the pediatrician and the obstetrician is concerned with normal physiology and with emotional stresses which are so common and predictable that they too must be considered normal.