The presenters have been asked by the American Academy of Family Physicians to update the residency curriculum guidelines in the areas of musculoskeletal medicine and sports medicine curricula. The authors are also members of the STFM Working Group on Sports Medicine. While we are all challenged by shrinking resources and increasing demands on faculty, programs, and departments, the Residency Review Committee (RRC) requirements in the areas of musculoskeletal and sports medicine training have actually doubled in terms of required hours. As faculty members with a special interest in these areas, we applaud the RRC revisions but recognize the challenges; all of us are responsible for designing and implementing this curricula area for our own programs (which span the spectrum from community based to university affi liated to university based).