As a PGY-54, I congratulate you, a PGY-5, 6, 7 or greater, on the conclusion of your postgraduate training. When you began training as a PGY-1 a half-decade or more ago, it seemed unimaginable that one day you would be completing your residency or fellowship and embarking on the process of being a “real surgeon.” Now that the graduation dinner, chief’s roast and additional hoopla are behind you, you can finally exhale and think about the issues that