1. work hard, be honest with yourself 2. take the good advice, take the poor advice out with the garbage 3. don't even think about trying to chase your evaluations. If they are legit take their advice. You'll see a trend. The good, happy with their own life attendings are usually the most honest, and will tell you when you've done good, will try to inspire your confidence. The unhappy, passive-aggressive attendings will try to make you feel like crap, all the time, no matter how hard you worked. Blow them off, completely. Or laugh at them....it's your career...remember you are under a contractual agreement with your program...you have certain obligations to fulfill, just as the program does. And they can't fire you without legit causes... Heard horror stories before???? who hasn't, ask around and you'll find for every supposed horror story you'll find a practicing physician who stood up for themselves, played the game, kept the dirt they witnessed, and used it if push came to shove. These people have more respect than any two bit underpaid attending or PD ever will 4. oh...and don't forget quietly to record every event and person who does something wrong...wrong med, attending doesn't return pages, etc....this might come in handy later. Everyone is out for themselves...Your an adult now, and yes this is how the world works. Don't believe me..go ahead pretend it's not like this and you are going to get screwed some day.