Sir,?A meeting of the senior academic staff holding honorary consultant posts was recently held at this Institute to discuss the present situation as regards our terms of service (27 August, Supplement, p. 116). I have been asked to convey the disquiet we feel at the present situation, and to request that further representations be made on our behalf to the University Grants Committee and the Minister of Education. We recognize that we are a very small section of the medical profession as a whole, but it is no exaggeration to say that upon us the standards of British academic medicine, both in its teaching and research aspects, very largely depend. Our contributions to medical knowledge are, perhaps, one of the most im portant factors in the maintenance of that high prestige that British medical research currently enjoys internationally. One result of this prestige is the increasing drain from our ranks to senior research and teaching posts overseas. By any yardstick of professional merit and ability one may care to choose?whether possession of higher qualifications, publica tions, contributions to international meetings, or the standard of clinical teaching and care found in our teaching hospitals?we believe that we do not compare unfavourably with our colleagues in the Health Service. Yet we find ourselves penalized in terms of salary by amounts ranging from ?500 to ?1,000 per annum because we are employed by a university and work in a teaching-hospital setting. We regard this situation as quite irrational and completely indefensible. All of us on this Committee, which com prises all the staff of this Institute affected, would be most grateful if a further represen tation could be made to the University Grants Committee and the Minister on our behalf ; this would help to rectify a matter which is causing deep disquiet and one which has been outstanding too long.?I am, etc., Richard P. Michael, Chairman, Senior Medical Teachers-and Research Staff Committee. Institute of Psychiatry, University of London.