Hi Jack and all, On item #10, I have an idea that can help the manpower, now that rheumatology is more competitive (which means that many qualified applicants are not matched): How about having funding from community rheumatologists? We can have sort of an extra matching program involving interested community practice, program directors, IM residents to work it out, so we don't have to wait or depend on federal funding only. Also, maybe we can have more training programs outside traditional medical schools, like Scripps Clinic, Geisinger Health,... Thuan Vu, MD