It is bittersweet to write my final Message from the Program Director for the Forum. This publication is one example of the passion, talent, creativity and scientific inquisitiveness of our Jefferson residents. As a completely resident run journal, what follows in this journal helps prove to me that the future of medicine is in good hands.

In my time as program director, we have seen many changes in the healthcare landscape, both nationally and locally at Jefferson. We have launched the Milestone evaluations in the Next Accreditation System for the ACGME and are embarking on major curricular reform at the UME level to better align training as a continuum. We are having real and meaningful conversations about quality, safety and value and thinking critically about those aspects of our care of patients. Wellness is a concept that no longer only conjures yoga and crystals, but is taking shape in our curriculum to train doctors who can cope with the difficult situations they watch their patients endure every day and the stressors that being a physician piles onto their lives. The new EMR is increasingly seeming like a reality and more of our patients are insured and taking ownership of their health.