In medicine, this is the time when one season ends, and another begins. New doctors graduate medical school. They are excited and, at the same time scared, as they enter into residency training. Interns become residents. Senior residents celebrate moving into attending positions or look forward to subspecialty training in fellowship programs. It’s the excitement of completion combined with the uncertainty of charting a new course in medicine. Each new ...

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What if each doctor in contact with medical students and residents acknowledge that they are a diverse group with their own inherent strengths and weaknesses? Some residents will have mastered the knowledge within the pages of the textbook and can easily recite it during attending rounds.  Others will have a natural bedside manner making patients feel comfortable, so that the admission history and physical exams are more complete. Others will be ...

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At this place again. Place: Neonatal ICU. Time: 3 a.m. Location: Bedside of a sick preterm female. She is intubated and on the ventilator. Antibiotics course through her veins. Blood transfusions, IV fluids and vasopressors support her in the fight of her life. Lab tests are checked and adjustments are made to meet her needs. Her parents sit beside her isolette. They watch the monitor, silently begging the numbers to give them some sign, ...

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Every July, recently graduated doctors from medical school transition into hospitals, clinics and surgical rotations. Doctors completing their internship year welcome second year with additional leadership roles. This period of transition is coupled with the pressure of doing well, the stress of proving your competency on attending rounds and the desire to receive respect from your team. It is easy to get caught in a sea of confusion and frustration as ...

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