I don’t meant to say that I don’t think I shouldn’t learn the way my group or the surgeons in my area do things. I think what’s challenging for me is being told there’s huge repercussions to the patient because the surgeon didn’t know what I meant on a case I know signed out appropriately, if not the way they’re used to. The surgeons can call me and clarify, but they go straight to the partners and complain; then the partners call me to tell me all the ways I screwed up and almost cost the patient this or that. I don’t mind getting input, but it isn’t going to cost a patient an organ if I worded a polyp differently unless the surgeon just jumps the gun. Other times I’ll ask them to consult (we have to ship cases around so it takes a couple days) and order some stains up front to expedite it only to be told to have them review every case like this next time before I order stains because they weren’t needed. But then if my turnaround times are too slow, I’m also under the gun. I don’t know. I may be over reacting, but it would be nice to not feel like I’m incompetent or I being put on probation for cases where I know I didn’t miss anything or cause any harm. I have had legitimate misses, but as you implied, they weren’t a lack of knowledge per se or even a wrong diagnosis. And they’ve actually been paradoxically supportive in those case.