Sometimes residency looks like the vista from the clinic workroom. The foreground is a construction site, in the middle ground stands one of the 5 hospitals at which I rotate, and in the background a long train disappears around a bend in the Monongahela River. I spent the morning here in class talking about 12-step meetings and the afternoon by myself completing modules about good clinical research practices. Now I'm headed across town to the children's hospital to moonlight for a few hours in the evening. I'll never get tired of this view.