1. If I Had To Do It All Over Again, I would….. Frederick L. Greene, MD Chair, Department of Surgery and Program Chairman Carolinas Medical Center Charlotte, NC

2. Dr. Greene’s Disclosures Departmental Chair and Program Director of an academic department of surgery for 13 years Have participated in surgical resident education for 35 years Got married the day before internship began

3. You will turn over many a futile new leaf till you learn we must all write on scratched out pages… unknown

4. You can tell more about a person by what he says about others than you can by what others say about him. Leo Aikman

5. Just remember, there’s a right way and a wrong way to do everything and the wrong way is to keep trying to make everybody else do it the right way. Colonel Potter-MASH

6. You’ve got a lot of choices. If getting out of bed in the morning is a chore and you’re not smiling on a regular basis, try another choice …. Steven D. Woodhull

7. Don’t look where you fall, but where you slipped. African Proverb

8. The biggest problem in the world could have been solved when it was small. Witter Bynner

9. Surgical Residency Training Leads to Stress and Paranoia

10. Stress May Be Occult!

11. It is hard to change a resident’s personality, but the stresses of residency can be lifelong

12. An unintended consequence of current work hour restrictions is heightened stress in our residents

13. Work Hour Issues Are A Source Of Stress Negative effect on experience--case numbers and patient contact Barrier to continuity Cause of attending/resident conflict Stress of increasing “hand-offs” Recording of work hours—programmatic vs. personal allegiances

14. I don’t know what the key to success is, but the key to failure is trying to please everyone

15. God grant me the serenity to accept the people I cannot change, the courage to change the one I can and the wisdom to know it’s me --- unknown