Congratulations again on your well-thought-out decision to pursue rheumatology. You have undoubtedly taken the most significant step toward a fulfilling and joyful career of service. No matter where your path takes you, you will encounter hurdles and unforeseen challenges. In overcoming them, you will learn much about medicine, rheumatology and, most importantly, yourself. Whether that happens in a place that conforms to your learning needs, expectations and attitudes depends on your actions today.
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Best of luck.
Bharat Kumar, MD, MME, FACP, RhMSUS, is the associate program director of the rheumatology fellowship training program at the University of Iowa in Iowa City. Follow him on Twitter @BharatKumarMD.