The honorable JPP states in a recent post: "We (residency programs) could be turning out better, faster, stronger residents who LEAP into private practice instead of crawl." As an upcoming CA-3, I feel that our academic institutions are staffed by attendings who have never been in private practice or have left private practice on bad terms. No disrespect to these physicians; they make huge committments to our field often at great personal and financial loss. The attendings at academic institutions who have actually had successful private practice experience are rare so it's hard to get a sense of how to set yourself up to "leap" rather than "crawl" into the private sector. To the private practice folks, what are some rookie mistakes that you made or your junior colleagues currently make that beg the question: "what the heck was he thinking?" What particular skills or techniques do you wish greenhorns would have been better at fresh out of residency? What is the one thing you wish you had known or had been better at your first month out?