Of the many professions necessary for the smooth functioning and steady advance of medicine today one of the least understood is that of medical record librarian. This person is not to be confused with the medical librarian, who works with the medical books and periodicals in a hospital, school, or research center. The record librarian is responsible among other things for the organization and management of the medical record department of a hospital; maintaining a disease and operation index, a patient index, and a physicians' index of clinical records; and observing the state medicolegal requirements regarding medical records. Although there are many advantages to this type of work the field is not overcrowded but rather there are fewer trained record librarians than there are vacancies. The advantages are pleasant surroundings, association with persons of high intelligence, good working hours, sufficient variety to prevent boredom, and a chance to use initiative.