Abstract: The certification program is reviewed and questions as to the validity of the existing three grades of certification are raised. Large institutions which employ many medical librarians do not officially recognize the certificates. The three types of certificates should be replaced with one certificate or diploma. Problems of meaningful examinations, lack of training facilities, and revision of the curriculum require attention. A program is proposed for the improvement of education for medical librarianship. Public identification of medical librarianship is presently difficult.