Hi all. I am having trouble figuring out the extent to which I can be myself in the hospital setting. I have so many add-ons, jokes, and witty things to say in my head but I hold back for fear that, being at the bottom of the totem pole (med student), saying more than I should could have repercussions. Could you please answer the following questions: 1) To reiterate, to what extent can I be myself in terms of humor/comments with attendings/nurses? I am confused as to whether playing the submissive puppy is appreciated or if showing confidence by joking back gains other people's respect. On the other hand, I have heard that joking back can be considered talking back. here are some scenarios below: please let me know if which are acceptable (sorry if these sound petty; I seriously don't know): i) Nurse throws her checkbook out at me. My reply, "I mean I know I could use the money, but keep it." ii) Dr. tells me there better be pizza at an event he is going to or else I am going to be in trouble. My response: "well even if there isn't, at least you won't get diabetes" iii). Dr. comments that the lesion was on this area of of the mouth, rather than the other part. My response: defensive- that's true, I had though it was in so and so location because that's what the referring doctor had written"- this is a big one: to what extent am I allowed to defend myself? iv). After learning history of pt, Dr. comments - 'teenage girls and complicated problems- tell me something new." My response: well teenage boys do have their own issues too 2) Also, for the socially adept or the inept who became adept (especially the latter group), what are social tips and tricks that you use or have learned that help you become more liked in the wards setting? I am in the habit of asking others about themselves, their lives (i.e. good listener). So I think I'm considered nice, but I don't think my personality stands out as being charismatic. Any way I can bump it up a few notches? Thanks for reading and thanks for your help!