As the director of an internal medicine training program in a large urban academic medical center, I have mixed feelings about the regulations proposed by the New York State Health Department to modify the hours and supervision of house staffs.I often find myself trying to balance the educational content of residency training with the escalating demands of patient care. I am acutely aware of the effects of burgeoning service requirements - at the expense of time devoted to education - on house-staff morale. I compare my own house-staff training in the mid-1960s with the program I now administer, and . . .