This is the text of the keynote graduation speech given to the child and adolescent psychiatry residents at the Mount Sinai Hospital in New York City on June 18, 2020.

Let me begin by confessing that I am not a child psychiatrist.

I am an adult psychiatrist.

Or, as my mother says, I'm almost a real doctor.

One of the first things one learns as an ...

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I was recently asked to give a speech to the graduating residents in my department, and while preparing my talk, I reflected upon what I wish I had known when I had first embarked on a career in academic medicine -- and what nobody was willing to tell me.   So what follows are a few thoughts that I learned on the job, often without warning, sometimes too late.  I should ...

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