To the Editor: The revision of the Diagnostic and Statistical Manual of Mental Illnesses, 4th Edition (DSM IV-TR) has been a captivating topic, not only in the psychiatric world but also in the media. What we now use as our guide for diagnosis, the DSM IV-TR, will soon be outdated. The diagnosis of illnesses ranging from somatization disorders to personality disorders will be transformed, giving rise to a new way of thinking about these illnesses. This raises an interesting question in the minds of those involved in residency training. Are trainees being taught material that is already obsolete; and, for trainees, will they be entering a psychiatric world where they are not adequately trained in the guidelines to diagnose and treat patients? Also, was the perspective of the trainees considered, and was this subject discussed before the decision to revise the manual? To our understanding, the attempts to involve residency training programs in the early stages of change have been minimal. There have been multiple editorials written by experts in the field, but, to our understanding, this is the first written from the perspective of a trainee.