Congrats to all! There will be long days. When the imposter syndrome kicks in, reflect on how far you have come & remind yourself that intern year is a journey of becoming. You will grow. Be humble. Be kind. Be curious. And never forget why you chose this incredible field.

7. 💖When you’re at your lowest, go to the bedside. Residency will stretch you, some days you’ll feel exhausted, defeated, and unsure of everything. In those moments, go sit w/ a patient & their family. It will remind you why you chose this path, and why it’s all worth it.

6. 💌Say thank you, early and often. Build relationships. Thank the nurses, the environmental services team, your co-residents, the night float who signed out clearly, etc. Hospitals runs on teamwork and mutual respect. Gratitude/relationships build trust and carry you far.

5. 🚨Call the rapid/code. You will not ruin someone’s life by calling a rapid response/code. If your gut says something is off, it probably is. You will never regret advocating for a patient, only staying quiet when you shouldn’t have.

4. 📈Approach every day w/ a #GrowthMindset. My class APD @lahiayemanemd.bsky.social got me this book (link at end) as a new intern. When “wrong” or met w/ criticism, take what you learned from the moment, & continue onwards towards being the physician you aspire to. www.amazon.com/Mindset-Psyc...

3. 🏝️“On my island…”. Ask for help when you need it - always. BUT, before you ask for help in clinical scenarios, ask yourself “if I was alone on my island, what would I do?” Compare your answer w/ their answer - that’s how you grow in clinical judgment. I *still* say this line.

2.🧠Clinical reasoning is NOT just about making the diagnosis. It’s about thinking through possibilities, & why some are more likely. Use data you gather in history/exam to create a tiered hypothesis. Share thoughts out loud so attendings see how you arrive at your conclusion.

1. 🗣️Take all advice with a grain of salt (including mine!). Everyone will be throwing advice at you to “do it this way”. Be cautious of absolutists who say there is only one way to do things. Try different strategies with your work flow, and figure out what works best for you.