Background Medical resident scheduling is difficult due to multiple rules, competing educational goals, and ever-evolving graduate medical education requirements. Despite this, schedules are typically created manually, consuming hours of work, producing schedules of varying quality, and yielding negative consequences for resident morale and learning.

Because of the present high cost of producing the Journal, and the great pressure on our space, correspondents are asked to keep their letters short. Modern Treatment SIR,-A Victorian physician, whose name I have forgotten, used to say that "it took a strong constitution to stand a health resort, a convalescent home, a sanatorium, or an autumn holiday." Were he alive now I think he would add to this list "modern therapy." Our old friend " treatment" seems to be harmless enough; indeed, I notice that the word is hardly ever used by those clever people who send you articles on the scientific aspects of medicine-articles most of which, I confess, mean almost nothing to me, and, I strongly suspect, to the majority of your readers also. (I note that you hint at this in a leading article in your issue of February 28, p. 496.) No, it is "therapy" which is the danger, and especially modem therapy, to be spoken of in reverential tones and written only in capital letters. I propose to refer. to it as M.T. in accordance with the prevailing fashion of obscuring things