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The way you interact with your fellow med student colleagues at work calls out your job description. It's not the content of what you say to each other as you cross paths in the hospital hallways that leaves your identity utterly exposed. Rather, it is the way your eyes transmit a complex but mutual signal of despair and competition that clearly says it all.
I realize that my naïve pre-medical view on medicine was laughably distorted. Real medicine, real doctoring, is not primarily about making friends out of strangers, and drawing out a patient's entire life-world within the course of a single meeting. At the end of the day, our objective is to be a good doctor first and to discern the details that matter in saving that person's life.