Face Acute Fund Dearth Tribune Feb 20 57 New York Times Service NEW YORK, Feb. 19 Medical schools in this country face acute difficulties in maintaining adequate programs and need an additional 40,000,000 annually. This was the major conclusion announced by a committee of 12 physicians and medical educators after a twoyear study of medical school grants and finances undertaken for the United States surgeon general. Their report, made public by the Public Health Service, showed that 41 of the medical schools 33 out of the total of 79 recently had been forced to curtail one or more aspects of their teaching programs. The curtailments have weighed most heavily on the critical fields of public health and preventive medicine, the report found, with effects extending also to research and preclinical training. The physical plant of medical schools was termed grossly inadequate to carry on the vital national functions borne exclusively by these institutions. The report was issued as Congress prepared to consider a proposal to spend 41,000,000 annually in federal subsidies to medical schools to permit increased enrollments to meet the medical needs of the expanding armed forces and the civilian population. The American Medical Assn. has opposed the proposal as part of a program fro federalized medicine and has disputed the assertion of its supporters that the nation faces an increasing deficit in trained medical personnel.