The Dr Goodluck Jonathan led administration recently announced the decision to conduct an audit and review of postgraduate medical training, otherwise referred to as residency programs in the nation. The objective of this among other things is to examine the reasons for the unacceptable low throughput rates, low pass rates, examine existing regulatory framework and alternatives for funding etc. So far, a one day stakeholders meetings to consider these have taken place. This initiative, is highly welcomed, and comes at a time these programs have become largely 'spinal' in medical parlance; self serving and obfuscated. Indeed, opportunities as these are rare. The question is, what ails us so bad to warrant what we get? The Medical field like other facets of the Nigerian life is a victim of the same general malaise, a so called Nigerian factor.This however does not preclude us from continuing to suggest sustainable solutions going forward. A cursory look at the reasons fo