Just some musings from a study break on a rainy day off.... 1. I don't care if you were the valedictorian at BMS, you WILL struggle your first few days. I used to get tons of compliments on my presentations and how well I knew my patients.... All FOUR of them. Suddenly I have 15, most of whom have been known to the service since before I even submitted ERAS. And I feel like a first-class idiot. 2. Things that used to be easy- pre-rounding, writing basic notes... Become exponentially more difficult when you don't know what unit is where, where the bathroom is, how to find the nurses and so on. Your brain will be on overload, and this will make you stupid. 3. Even if your attending is Stalin himself, you probably won't care. You'll be too busy berating yourself for your mistakes. This is also true if your attending is the equivalent to Mother Teresa. Getting scolded stops mattering REAL QUICK when you realize that you have actual patients depending on you. 4. The med students are afraid of you. This is ironic, because you will feel like you know a lot LESS than they do- after all, they know where stuff is and who people are. Plus, they just studied for step 1 or 2, while you have been in Tahiti or somewhere for the past month. The med students are also out to protect their own hides, because they have to be. Bad grades= poor match=stunted career before it even starts. If they one-up you on rounds, try to forgive them and realize that it's your job to a) write notes, b) do random scut and c) learn stuff. Their jobs are to keep their heads off the chopping block, so let them do this. 5. Even if you can recite Lawrence word for word, there are a lot of piddly things you don't completely know how to do, like prepping, draping, positioning. These will make you look and feel stupid. Make friends with the techs- everyone will benefit if you get them to teach you these things. 6. You will form a connection with your chief that will be really cool and unique. Even if they're not always nice to you, they'll be the first person to really teach you anything, and they'll have your 6 when you need them to. ....what else?