I read one of tommys comments on a prior thread, but didnt want to highjack that thread about family-friendly programs into one about Duke. Essentially, Duke seems to be making a fair number of changes to the curriculum which will affect the incoming intern class in 2009. I was hoping a current resident could comment on what exactly these changes include. Thus far, here is what I have gathered: 1. Duke is eliminating overnight call on the 4-5 subspecialty rotations (I assume this includes cards, heme/onc, renal, and the pulmonary months?). Just curious what the new system would be for interns. Also, does this mean that an intern will not be taking overnight call alone since gen med overnight call is with a JAR/SAR? 2. The 3 months of overnight gen med call will be q5 instead of q4, and will be 24 hours as opposed to 30 hrs 3. Addition of a 1 month elective opportunity for incoming interns 4. The total number of overnight call months is 4 (3 for gen med and 1 month of CCU which is q4) 5. Also, no short white coats for interns, which doesnt matter to me, but some people care about 6. More hospitalist help for cross-cover issues Interns get night-time one-on-one signouts with a chief resident while on gen med. I didnt add this above, since I believe this has been going on for some time already. Tommy, I didnt understand the details of the 70hr/wk maximum type of schedule Duke is trying to implement. Is this something which Duke expects will happen naturally with addition of more hospitalists? Thanks for any input!