It has been 15 years since Dr Abraham Bergman wrote his poignant essay for Pediatrics on resident stress. In some ways, it seems little has changed in those 15 years in the area of resident stress. Many of the points raised in Dr Bergman’s article are still relevant today. However, pediatric residents have recently entered a new era in pediatric education and training led by the Accreditation Council for Graduate Medical Education (ACGME). The ACGME has established guidelines that limit the number of hours a pediatric resident can work per shift, as well as per week. The guidelines set new standards for “competencies” in which residents should be trained as well as new ways that administrators must track and evaluate residents’ progress. The ACGME expects full compliance with these guidelines beginning July 1, 2003. As residents look forward with anticipation and hope to what changes these new guidelines...

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