Furthermore; these last few posts are proof that nothing is sacred. We often like to think that learning medicine is a pure meritocracy - especially because of the ethics involved in what we do on a daily basis in terms of patient care. Its not. Not by a long shot. I had off-service seniors (as a resident) who were total wankers due to their own (very obvious) personality disorders and insecurities and cognitive distortions, and all that. They turn into attendings who have the same objectivity problems. I had on-service attendings who (in retrospect) taught me what NOT to do by example. Its a bummer - but its true. Y'all can laugh at me for this one, or commiserate, or feel good/bad/however; but here goes. I was an MS3 on my gen.surg rotation. Gen.Surg attending is well-known to be a total d!ckhead; because that's what he does. All it takes it a few minutes to figure out that he was the fat, nerdy guy who took his cousin to prom (or whatever), and he ruled his kingdom with an iron first. Good for you; Dr.Douchebag. If you can believe it; I was more of a loudmouthed smartass as a medical student than I am on here. You could see how this guy and I were going to be just besties, right ?! So, its 2-3 weeks from the end of the gen.surg hellhole, and word gets out to the student body that Dr.Douchebag was fired; basically for being himself. I take the opportunity to mouth-off and make a few jokes without checking over my shoulder to see who is listening. Dr. D.Bag catches up with me a day or so later alone... squeaks at me: "I heard what you had to say about my situation. I'll just say this; paybacks are a bitch, kid." I sweat it for a day or two. D.Bag's secretary asks me into her space one day. Pulls out a letter that D.Bag wrote to my dean, basically telling him that I'm the worst person ever. Many things that aren't close to true are in there. I'm a bigot. I'm late/I never showed up (I was never a once even close to late)... yadda yadda yadda. Secretary gal says to me: "You know D.Bag is gone, right? Well, I thought you might want to read this before I tear it up and throw it in the garbage." She proceeded to shred that sucker in front of me with her two gigantic eastern european hands. "You don't think that you're better than anyone else. He could stand to learn that lesson." Letter never made it anywhere. Moral of the story? Always be nice to people, unless you have a damn good reason. Then, eff them.