In the middle of all this angst, what good things have happened? Here's mine. Ten years ago we had an off-cycle position open. One of our graduates sent out a Doc who had been working for her. He was an FP who was working EM, but wanted to get the ticket. So he showed up for an informal interview while I was on duty. We talked for about 1/2 hour, then my team showed up with a CT. I flipped it up and decided to pimp him a little. "What's your reading, Dr?". "I think there's a small SAH with a little blood in the cisterns of the middle fossa." I was pleased and said so. 5 Minutes later he had to leave, had to catch a plane. Later he told me that the whole team had gone behind my back and said "Leave, you're golden, you could only screw up by sticking around!" He did make a very fine resident.