Medical residency programs are in a state of flux, and even health care professionals wonder how this essential part of a physician's professional development will shape up in the new century. What are the opportunities and challenges for these programs in the United States -- today and in the future? How will the Accreditation Council on Graduate Medical Education's new duty hour standards affect residents and residency programs?

Those are among the questions that a panel of physicians and scholars will discuss at the September 25 symposium, "On Call: The History and Future of Medical Residency Programs." The ACGME and the University of Michigan's Center for the History of Medicine are jointly sponsoring the free symposium, which is geared to physicians, residents, nurses, hospital administrators and anyone interested in graduate medical education. The program includes three presentations:

* David C. Leach, M.D., ACGME executive director, will speak on "Resident Duty Hours: Complicated or Complex?"

* Siddhartha Mukherjee, M.D., an oncology fellow at Dana Farber/Partners Cancer Care and a clinical fellow at Harvard Medical School, will discuss "The Residency Legacy: Working Hours and Reworking Ours."

* David Rothman, Ph.D., will discuss "Residency Training and Medicine as a Profession: Match or Mismatch?" Rothman is the Bernard Schoenberg Professor of Social Medicine and director of the Center for the Study of Society and Medicine at Columbia College of Physicians and Surgeons, as well as a history professor at Columbia University.

Howard Markel, M.D., Ph.D., and Alexandra Minna Stern, Ph.D., will moderate the discussion. Markel is the George E. Wantz Professor of the History of Medicine and professor of pediatrics and communicable diseases and of history at the U-M, as well as director of the university's Center for the History of Medicine. Stern is the center's associate director, and an assistant professor of obstetrics and gynecology and American culture at the U-M.

The symposium will be held from 1 -- 5 p.m. at the University of Chicago's Gleacher Center, 450 N. Cityfront Plaza Drive in Chicago. Admission is free, but space is limited.

This is the first in a series of symposia to be sponsored by the U-M Center for the History of Medicine. Organized around themes relating to health, society, culture and policy in modern America, symposia participants are selected because of their timely and topical expertise. Afterward, presenters' materials will be edited to become readable and engaging texts for publication that appeal to physicians, historians, policymakers and lay readers. These texts will be added to the ongoing series of books Conversations in Medicine and Society, which are edited by Markel and Stern and published by the University of Michigan Press.

The ACGME is a private, non-profit organization that accredits about 7,800 medical residency programs in 26 medical specialties involving nearly 100,000 medical residents. Its mission is to improve the quality of health care in the United States by ensuring and improving the quality of graduate medical education for physicians in training.

The U-M Center for the History of Medicine conducts research on the history of medicine and promotes dialogue on issues pertaining to health and society. Its website is located at http://www.med.umich.edu/medschool/chm/.

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