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There are a lot of important things to learn, but most residencies do a decent job of addressing them. It's the things most programs don't think to really teach that can be a kicker -- you'll be able to survive, sure, but it's not the same as having had a strong educational background in certain things first. But, as people have suggested in another thread regarding PGY-1's, when you first get an attending job there will be a whole new learning curve, and no matter what, when you're "on your own" for the first time there will be bumps. That's where I really agree that you need to know when you don't know something, what to do when that happens, and how to give your clinicians confidence that you'll do the best possible for them and their patients.