THE average physician cannot boast of great familiarity with the conduct or interpretation of roentgen examinations, or of adequate comprehension of the possibilities of diagnostic aid to be obtained from X-ray studies. His contact with X-ray problems consists in the main of emergency cases in which fractures or dislocations are suspected, and occasional reference of cases to X-ray laboratories for a “picture” of the lungs, stomach, or urinary tract. He has not appreciated that, in addition to skeletal diseases and injuries, roentgen studies may be applied with advantage to nearly all visceral disorders, including many diseases of the nervous system. He does not stop to realize that examination with the X-rays is much more complicated than the simple taking of a “picture”; that it is really no more a simple laboratory procedure than an ophthalmic examination or a urinary tract examination or a gynecologic study, and that a clinical knowledge of the conditions entering into his problems is a necessary part of the preparation of the radiologist. The “picture” of the stomach turns out to comprise a careful fluoroscopic investigation supplemented by anywhere from three to a dozen or more roentgenograms in various positions and under various circumstances according to the individual case. The “picture” of the lungs proves to be much more involved, the patient requiring fluoroscopic study in the erect position at various angles, with films to record whatever may be questionable or of especial interest; and sometimes it is advisable to make a screen study of the patient in the horizontal, prone, supine or lateral position, and to record the results with the necessary films. All of which sounds, and in actuality is, much more complicated than the simple word “picture” would imply, and yet to the layman who hears the X-ray study spoken of as a “picture,” the physician's use of this term only serves to strengthen his impression that a roentgen examination is nothing more than some sort of glorified photography. The remedy lies in some measure in the widening of the horizon of the general practitioner in relation to X-ray matters by having the radiologists of the country enter into a campaign of education through staff meetings, county society and other medical meetings. To a certain degree, perhaps as rapidly as possible, this is being carried on at the present time; but the logical and most important step is to carry this education to the young graduates of medical schools while they are in their intern year. Medical students receive a certain amount of instruction in radiology, mostly in connection with X-ray investigations made in relation to the various patients with whom they come in contact during their clerkships and clinics.