As a PGY-55, I am writing my annual epistle to congratulate you on the completion of another career milestone. When you began training as a PGY-1 a half decade or more ago, I am certain that it seemed inconceivable that you would one day be concluding your residency or fellowship and embarking on the process of being a “real surgeon.” Hopefully you have enjoyed the comradery of the year-end resident–fellow dinner, chief’s roast and additional