It was not always like this before. Not at least in radiology. Like the matinee movies, it was a case of “daily change”. We never had more than two or three faculty in the department running the show with residents. Sure, the modalities were less, but the patient load was the same. Someone or the other ended up doing more work.. And then, after a few months, when things seem to have be somewhat settling down, there would be a change. Some one chose to leave KEM for greener pastures in a private practice or a private hospital. The wheels of this cycle never seemed to stop.…or so it seemed.