This report traces the evolution of a medical school from its beginnings as a private college affiliation, through its transformation into a state supported College of Medicine and Dentistry, to its emergence in Newark as the College of Medicine and Dentistry of New Jersey, N.J. Medical School. The school has survived the Newark riots, political difficulties, and numerous confrontations involving the community, faculty, students, and administration. Although the admissions rate of minority group students has increased over the years, as have the recruitments of U.S. nationals and U.S. graduates into the local residency programs, still those individuals have elected to practice elsewhere in New Jersey than in Newark after completion of training. Three main responsibilities are seen for the school and for the medical profession: (1) to provide medical care for all by means of physicians; (2) to provide access to the medical profession without regard to economic or social status; and (3) to develop models for the delivery of medical care by physicians in underserved areas. Tuition free entry into medical school and a stipend for all admitted with the provision of an obligatory service period on completion of training is proposed. (Author/MA)