In Radiology, like all of medicine, nothing is constant. Continually, new techniques beseech our attention, some have become essential to our practice whereas others fade fast and are quickly forgotten. At the same time; threats from our colleagues, or should I say competitors, are a constant challenge differing in quantity and urgency so as to make for us each year a unique list of agenda items for problem resolution. Need I say much more about the intrusions of government regulators, insurance companies, malpractice providers and plaintiff’s lawyers? And to top it off, the education of our residents, at least how that education is organized, has once more come under close inspection for possible alterations if not a complete metamorphosis.

Now some of you, many years beyond training, may look back fondly at your residency. Perhaps through rose-colored glasses, you may recall that in those halcyon days the curriculum was predictable, stable and ordered. Or was it? Actually, abrupt change has been more profound than serene equanimity. In the early 1970s a 3-year residency encompassed education and training in diagnostic radiology, the emerging discipline of nuclear medicine and at least 10 months spent in clinical work_.

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