The transition for those entering psychiatry is qualitative, however, and that may lead to some soul searching. In truth, the core of our undergraduate medical education is the stuff of internal medicine and general surgery, but upon beginning psychiatry, with its process notes, supervision, and so on, whither that hard-won medical/surgical knowledge? This is a transition that may be daunting. A lot of psychiatrists wonder how it will be to "hang up my stethoscope"; that is, are we simply to abandon our knowledge of medicine? If we do, we are failing the above-quoted department chair, but if we do not fling ourselves into psychopathology, we may imagine that we will disappoint our new mentors. No one escapes this identity crisis, and medical students sense our discomfort as they consider entering psychiatry themselves. This is a problem for all residents, from those in programs strictly founded on the teachings of Erikson to those where nortriptyline levels are collected on the majority of the patients daily.