This paper offers an analysis of and some predictions for the fields of library education and medical librarianship. The recent past of education for medical/health sciences librarianship is outlined, with emphasis on the changing nature of the library school, its faculty, and its students. The present situation is described, with specific reference to faculty, curriculum, and accreditation issues. A future agenda is proposed, identifying the need for interdisciplinary and cooperative efforts within the larger realms of medical informatics, high technology, a variety of health professions, and the community of contemporary library practice.