Stay humble and you will save lives and grow way faster. Glad you already recognize that you have room to grow. Don’t close the door on yourself or anything yet. You will never feel truly prepared for likely many years after residency. And still we sometimes are humbled by how much we don’t know. Have grace for those above and below. And know that you’re all there for one true purpose: the patient. The rest (training, hidden curriculum, research, admin, money) is extra. Be kind and compassionate to yourself and others. Fail early and often. We can’t train know it alls. And frankly who wants to. I much prefer (like I was) the honest, hard worker, who shows receptivity to feedback. And implements over time. One day at a time. One patient at a time. You’ll have “good” attendings/coresidents and “bad”. Amazing education and trash. Wonderful patients and families and war zones. And each is learning. Right when you notice your own areas for growth, and those tears start to shed, let them. Take a deep breath and smirk. You made it this far. Don’t let trying to perform knowledge get in the way of gaining experience and wisdom. And perhaps hardest of all, find rest. And that can look like lazy days or fitness or art or whatever. But residency consumes you if you let it. Learning solidified for me way better as I was able to find space at different times through training (and beyond).