PA White Coat Ceremony 2021

September 14, 2021

Information

Yale School of Medicine’s (YSM) Physician Associate (PA) Program Director Alexandria Garino, PhD, PA-C, shared these remarks at the August 27, 2021 White Coat Ceremony for the PA Class of 2023. While the 40 members of the class, speakers, and PA faculty and staff gathered in person, masked, for the ceremony in Mary S. Harkness Auditorium, families, friends, alumni, and donors watched on Zoom because of pandemic restrictions.

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00:02Good afternoon, welcome
00:05to the Yale School of Medicine
00:07physician associate programs,
00:08white coat ceremony for the class of 2023.
00:12My name is Alexandria Guerino I'm
00:14the director of the PA program.
00:17We are fortunate to have with us today
00:20several special guests doctor Nancy J Brown
00:23is the Dean of the School of Medicine.
00:26Doctor Jessica Lucy is the deputy
00:28Dean for medical education.
00:30Doctor Mark Perrella is medical
00:33director and Miss Anita Dunn is
00:35our guest speaker for today.
00:37I welcome students, staff,
00:40faculty and the family,
00:42friends and alumni who are
00:44joining us today via zoom.
00:46It's wonderful that we can all be
00:48together to celebrate the class
00:50of 2023 as they take their first
00:53steps towards a rewarding career.
00:56Despite what many people think,
00:58white coat ceremonies do not
00:59have a long history.
01:01They only became popular in the
01:03United States and around the 1980s.
01:04The first white coat ceremony for the
01:08LPA program was in 2007 and had very
01:11humble beginnings over the years.
01:14It's grown in size and significance.
01:17That is until COVID-19 pandemic
01:20changed things around the world.
01:22The pandemic has forced individuals
01:25and institutions alike to reexamine
01:27what's important and what's meaningful.
01:30The PA programs, faculty,
01:32and staff had long discussions about whether.
01:35This about the significance of
01:37the white coat ceremony in the
01:39current environment.
01:40Was a ceremony important enough to risk
01:44bringing people together in one place?
01:46We decided that was.
01:49The white coat ceremony is a milestone
01:52in your professional formation.
01:54It marks the point in time when
01:56you move from learning in the
01:58classroom to learning with the
02:00clinical team and from the patient.
02:03It's a reminder that as clinicians we
02:06are privileged to care for patients.
02:08Patients let us into their lives
02:10when they are most vulnerable.
02:12When they're afraid when they're in pain,
02:15they share with us some of their
02:17deepest fears and secrets.
02:21That is an honor that
02:24should not go unrecognized.
02:26We needed to physically come together
02:28in order to mark this occasion.
02:31Last year's White coat ceremony with
02:34the class of 2022 look very different
02:36from those that went before them.
02:38Faculty and staff gathered with
02:40the class of 2022 distanced and
02:43masks masked as we are today and
02:46students came on stage one by one,
02:49they put their white coats.
02:50Their left arms.
02:51They stood in the middle of the
02:53stage and they robed themselves.
02:55We weren't permitted to Rogue one
02:57another because we were dealing
02:59with a then unknown virus.
03:01I want to remind you all that
03:02there was no vaccine a year ago.
03:04It's amazing what has happened
03:06in the course of a year.
03:09Today's event is different still.
03:11Previous ceremonies included
03:13the senior students.
03:14The second year class,
03:16your big sibs,
03:17many of whom are joining us virtually today.
03:20It was the big sibs in those previous
03:23ceremonies who robed the incoming
03:26student today each student will be
03:28rogue by our associate program Director,
03:32Professor David Brissett.
03:34The gesture of helping the new student
03:36on with their coat symbolizes our
03:39commitment to your professional development.
03:42The white coat and stethoscope have
03:44become the symbols of the healer.
03:47One of the many ironies of the COVID
03:49pandemic is that many clinicians
03:51no longer wear a white coat.
03:54In COVID times, the uniform has changed
03:56to include mask and face shield,
03:59isolation gown, and gloves.
04:02The uniform has changed,
04:04but the clinician hasn't.
04:06In a few minutes,
04:07each student will come to the
04:09stage to receive their white coat.
04:11They will also receive their stethoscope.
04:14Each stethoscope has been donated
04:16by an alumnus of the program.
04:19A stethoscope.
04:20Donors are listed in the program
04:22and the donors name and words of
04:25advice to the new incoming students
04:28are included with each instrument.
04:30We sincerely thank the alumni for their
04:33donation and their generosity of spirit.
04:36Please join me in a round of applause
04:37to thank the stethoscope donors.
04:46I'd like to now welcome Doctor
04:48Dean Nancy Brown to the podium.
04:50Dean Brown was appointed the L School of
04:53Medicine first Woman Dean in February 2020.
04:56She stepped into her leadership role
04:58at the very beginning of the pandemic.
05:01Dean Brown is an alumna of Yale
05:03College and Harvard Medical School.
05:05She came to us from Vanderbilt
05:06School of Medicine,
05:07where she served in many leadership
05:10capacities at Vanderbilt.
05:11She served as chief of the
05:13Division of Clinical Pharmacology,
05:15associate Dean for clinical.
05:17And translational scientist development.
05:20She LED a nationally recognized research
05:23program and cardiovascular pharmacology
05:25and chaired the Department of Medicine.
05:27She also served as physician in chief
05:30of Vanderbilt University Hospital.
05:32Dean Brown is known for her commitment to
05:34education and mentorship and we are very
05:36happy to have her with us here today.
05:39Please join me in a warm welcome for being.
05:50Feels so good to take the mask off.
05:53Welcome, I'm Nancy brown.
05:54I'm Dean of the School of Medicine.
05:56As you've heard and it's really
05:58my honor to be here with you.
06:00Uhm, at this white coat ceremony.
06:02We're really glad that you're here.
06:05Uhm, although many of your family
06:07and friends are not physically here,
06:10we welcome you as well wherever you are.
06:14And and thank you for
06:15all that you have done to bring us such
06:17a vibrant and talented group of students.
06:20We don't take that for granted.
06:23You are a unique class.
06:25Every class is different you come from.
06:31Uh, most diverse background
06:32compared to other classes that
06:34we've had about a quarter of you,
06:36or from groups that are traditionally
06:38underrepresented in medicine.
06:39A third reviewer, men,
06:41you come from 19 different states in
06:44the United States as well as Australia.
06:475 If you already hold masters degrees.
06:51These are numbers and statistics,
06:52but over the next two years you're
06:54going to learn each other's stories,
06:56and I would encourage you to spend
06:59time beginning today to really do that.
07:03Several of you practice.
07:05Acrobatic yoga, several.
07:09Some of you are parents,
07:11aunts, uncles.
07:15One of you has served in the military.
07:17Other is a jujitsu instructor.
07:19I'm looking forward to hearing some of
07:22your stories in the next couple of years.
07:25The history of PA programs
07:27began really in the 1960s.
07:29Doctor Eugene Stead,
07:31who was an advocate of experimental.
07:36Learning as a way to teach,
07:37clinicians launched the first program
07:39for physician scientists at Duke.
07:42In 1965. He was influenced by his
07:46experience with the military.
07:48The program here was started by Jack Cole.
07:51At that time, chair of our Department
07:53of Surgery, just six years later.
07:54So this is one of the oldest programs.
07:57As part of our trauma program.
07:59Actually, the first class graduated
08:02five students just two years later.
08:05You are particularly important to
08:08the practice of medicine today.
08:10I think if the COVID pandemic has
08:12done anything, it's highlighted.
08:14The disparities in health care in our
08:18population and the need for access to care.
08:22And you will play a critical
08:24role in providing that access to
08:26the best care for our patients.
08:29Uhm?
08:30As you embark on this profession II
08:33hope that you will reflect on the
08:35commitment that you were making you
08:39make lots of commitments in your
08:40life to your family and to others,
08:42but this is a unique commitment.
08:44You will Dana White coat in just a
08:47short period of time and in the latter
08:50part of the 19th and the 20th centuries,
08:52the white coat became too important
08:55in symbolizing science and medicine.
08:58The curiosity and asking questions and
09:01you will see patients who are outliers,
09:03but I'd encourage you to think
09:06carefully about them and why they're
09:08responding differently to drugs
09:10and and how we should treat them.
09:13But more importantly,
09:14the white coat today has come
09:17to symbolize professionalism
09:18and humanitarian ideals.
09:20And it's a respect to a commitment
09:25to respect for persons.
09:28Acknowledging the dignity
09:30of the individual patient,
09:32that is really fundamental to
09:36our professions as clinicians,
09:39and it supersedes all other ideologies.
09:42This can be very difficult,
09:44so I would encourage you to also
09:47learn the stories of your patients,
09:49and I will tell you that your careers
09:51and your lives will be enriched by that.
09:56The next two years will provide you
09:59with continuous opportunities to learn.
10:01To grow up and before long to
10:04become part of a team participating
10:07in patient care, compassionate
10:09patient care across the country.
10:13I would like
10:15to commend the leaders of this program.
10:18For their dedication and ensuring that you
10:21will have a meaningful and rich learning
10:24experience while you're here at Yale.
10:26You have exciting challenges ahead and
10:29we're very proud that you've chosen
10:32the Yale Physician associate program.
10:34As the place where you will
10:36do that learning and growing,
10:37and to prepare for this incredible journey.
10:39So welcome.
10:51Thank you Dean Brown.
10:56So today's event is significant because
11:002021 marks the program's 50th anniversary.
11:04The program matriculated its first five
11:07students in 1971 as Dean Brown mentioned.
11:11The pandemic interfered with our
11:13celebration plans, unfortunately,
11:14but we commemorate the program significant
11:18history and celebrations like this one.
11:20And in recognition of the many
11:23accomplishments of our stellar alumni,
11:26our speaker today is Miss Anita Dunn,
11:28a very accomplished alumna.
11:30Miss Dunn graduated from the Yale position
11:33Associate program in 1998 and has been
11:36a longtime his friend to the program.
11:40Miss Dunn has precepted countless
11:42PA students in her 19 years as
11:45PA at the Yale New Haven Health
11:48System on the hospitalist service.
11:50Yes, she served as associate
11:53chief for PA Education.
11:54Miss Dunn has served as thesis coordinator
11:57lecturer and has participated in
12:00many committees at the EPA program.
12:03Before becoming a PA,
12:04Miss Dunn worked for 17 years at
12:07research as a research scientist in
12:09allergy and immunology and then in
12:12reproductive biology as a researcher.
12:14She managed to lab supervised
12:17researchers and graduate students and
12:19authored 13 peer reviewed publications.
12:22Miss Dunn is the recipient of
12:23numerous awards for teaching,
12:25mentorship and Clinical Excellence.
12:27Sadly for her students and colleagues,
12:30missed Unrequired retired from
12:31clinical practice in March 2021.
12:34But I'm certain if you ask her,
12:35she will share with you all of the great
12:37plans she has for her newfound free time.
12:39Please join me in a warm
12:41welcome for Miss Anita Dunn.
12:54Thank you, Sandy. Thank
12:57you program or both having me here
13:00and making it so I can actually.
13:03Be here. As a PA after all these years,
13:08this is really an honor to be here,
13:10to be invited to this white coat ceremony,
13:12I want to thank all my colleagues who
13:14might be watching this and all the people
13:17that train blazed the trail for me before
13:20I got to PA school and during my career.
13:23It's really been a great career and
13:27you guys are really looking heading
13:30off to it in new new heights and I'm
13:33really looking forward for that for you.
13:35First of all, congratulations on
13:37getting past year one.
13:38I remember that was horrible.
13:40We usually had.
13:41We had a calendar and we ripped it
13:43off every week and we were all like
13:45throwing it in the trash and we didn't
13:47think he was ever going to stop.
13:49And then the the year two things
13:52just only picked up faster.
13:54So you think that you've learned
13:55a lot in the first year.
13:56The second year is even going to be more,
13:58but those tools that you learned in year
14:01one will be the tools that you'll use
14:04to kind of assemble yourself as a clinician.
14:07And however you imagined a clinician to
14:09be that you will now have the paperwork
14:12and the and the background to do that.
14:14And now you can just work on
14:17interactions with your your patients.
14:20The white coat helps,
14:21and as the Dean said,
14:22the the white coat is a.
14:26It marks who we are and the profession
14:30and wear it with honor behind you.
14:33Is this very respected program with with
14:37all the years of experience to build upon,
14:42you've learned in the Hippocratic
14:45model of observation and inquiry.
14:48And now you're going to be heading
14:50off into the the realm of dealing
14:53with patients that have you.
14:55Really after this year.
14:56Is really what whatever you want it to be.
14:59The the PA is as taught generally so
15:02that our background is very general and
15:04we can build on that to really turn your
15:08career into whatever you want it to be.
15:12And as you go through your rotations,
15:14you'll find that some things just really
15:16feel good and other things feel like
15:18they're a little bit more of a challenge,
15:20and so just remember those,
15:22because those might be the career,
15:24so it'll be more interest for you.
15:27As you head out to meet your
15:29patience for the first time,
15:30you have to ask yourself,
15:31really, what do patients want?
15:33And patients oftentimes want the same things.
15:36They want information they want clarification
15:39of the information that they have.
15:41And right now we notice that there
15:43is a lot of information coming
15:45from all sorts of places you will
15:47be dealing with Doctor Google.
15:49Everyday,
15:49doctor Google is where a lot of our
15:52patients get information and some
15:54clarification is really helpful there.
15:57They want reassurance it you know.
15:59Do you know what you're doing?
16:01Does the test results correct?
16:04Do I really have this horrible illness?
16:06They want guidance as they go through the
16:08process of treatment and planning ahead.
16:11And then when things don't go well,
16:14they want comfort.
16:15And you'll provide all those
16:18things to your patients.
16:20Your preceptors,
16:21who also will be potentially employers,
16:25also have some once framing from you.
16:28They want eagerness and they
16:30also want you to be kind.
16:32They want you to be self aware they
16:34don't want to be constantly reminding
16:35you of things that you need to do.
16:38They also want you to have a, uh,
16:40effective learning strategy that works
16:42for you during the first year you've
16:44tried a couple different learning
16:46strategies you've learned by watching
16:48you've learned by reading you.
16:49Learn maybe a little bit by doing,
16:51and now this year you can put
16:53all of that together and find
16:54out really works with work.
16:56What's works best for you.
16:58Some skills to foster are,
17:01first of all,
17:02is empathy,
17:03and empathy is difficult because
17:05it means that you have to be open
17:08enough that this person who looks
17:10a lot differently than you do,
17:13that is,
17:14may have none of the background
17:16that you have.
17:17Will open up and share with you
17:19things that that you that they
17:20need to share with you in order
17:22for you to take care of them.
17:24You need to stay in the moment and
17:27listen and listening can be hard
17:28when you have other patients that
17:30you won't want to see and you feel
17:33like you're times really limited.
17:35Watch how others do it.
17:37Adopt A script and make it your own.
17:40There's a lot of things that
17:42we tell patients every day,
17:43and some of those things are difficult
17:46and there are ways to do this.
17:48And if you watch other people who
17:50go through some of the the scripts,
17:53you can see that some things work well.
17:56For example,
17:56when you first enter a patients
17:58room or the clinic and you are
18:01meeting somebody for the first time.
18:03Introduce yourself,
18:04find out if they want you to
18:05touch them and shake their hand,
18:07or if they would rather have
18:08this bump or nothing at all.
18:10In some cultures,
18:11different genders don't touch each other
18:13and you want to be respectful of that,
18:15and then you can ask them are they?
18:20Do they do they?
18:21Are they when who?
18:23How do they want to be referred to?
18:24Make sure that you have their name correct
18:27and that they use them right the right terms.
18:29Sometimes people don't want you to call
18:31them anything other than Mr Patient or Mrs.
18:33Patient,
18:34and they might be an officer.
18:36They might be a of Dean.
18:37They might be a judge and
18:40they may win those terms used.
18:42The UM?
18:45When you give bad news,
18:48there's kind of a script for that.
18:49You can ask the patient what
18:51they know about their illness,
18:53and then you can go through
18:55the test results and
18:56then be very honest about.
18:57Well, this looks bad.
18:58It looks like you know you think you
19:01know you were worried about cancer.
19:02Well, you, you're correct.
19:04This is cancer and let's talk about a plan
19:07to treat this and include other family
19:09members if they want them to be there.
19:12If there are visitors in the room
19:14back to the people that are.
19:15Coming with your patients,
19:17make sure that you know who they are.
19:19Ask your patient to identify those people.
19:23Sometimes those visitors are
19:24not who they seem.
19:26They visitors might just be the
19:27the ride that brought them there.
19:29They may not be family,
19:30they might be somebody from the courts,
19:32they they.
19:33Could somebody be somebody
19:35visiting from their church?
19:36So we don't.
19:37You know,
19:38we don't want to leap into a big
19:40discussion about their test results
19:42when the person is not really clear
19:44who who's in the room with them.
19:46What build your database?
19:48Well,
19:48you have quite an extensive
19:50database from your first year,
19:51but you'll be learning more things.
19:53Some people are really savvy on their phones,
19:55other people keep notes in on paper,
19:58but go home and study those at
20:00night and make sure that you
20:01really understand the patient in
20:03the process for the next day.
20:05Make sure that you know all
20:07the medications that are likely
20:08to be used on each rotation.
20:10Make sure you know the likely
20:12diagnosis that you're going
20:13to encounter on each rotation.
20:15If you haven't gone out and
20:16bought one of those.
20:17Books set for preparation for the boards,
20:19they're very helpful.
20:20Each one.
20:20Each rotation essentially is
20:22there you can study all the study
20:24questions and it'll tell you even
20:26tips as to why one answer is more
20:28correct than the next answer.
20:30And when you're done you'll be
20:31done with your rotations and
20:32you'll be ready for the boards.
20:35Share information you'll be
20:39sharing information as you
20:40go through your rotations,
20:41but certainly there is a skill to it.
20:43Then there's this little trick and
20:45you want to watch other people do it.
20:47There are ways to present a patient
20:49from soup to nuts like you would in
20:52a grand round situation where you're
20:54giving every detail as you go along
20:57and and the clinicians are expected
20:59to hear the information in that format.
21:02And if you go off track and
21:04you're a little bit lost in it,
21:06it may be difficult for your.
21:08Receptor or other listeners to follow?
21:10There's a different presentation that
21:12you would give to a colleague when you
21:14change shifts at the end of the day,
21:17somebody who's going to be
21:18taking care of your patients.
21:19There's a different presentation that
21:21you would give to radiology when you
21:23want to get that that CAT scan done
21:25now and not three weeks from now.
21:26And there's a another presentation
21:28that you would give to a family member
21:30when you're giving an update about
21:31a loved one that's in the hospital.
21:36And then as you as you go through this,
21:38you're going to find that
21:39everything is has to be documented.
21:41If it didn't get written down,
21:43it didn't happen.
21:43So you need to learn how to write a note.
21:46Read a lot of notes so that you
21:48can see how other people find the
21:50words to describe things that you'll
21:53be seeing in the least amount
21:55of words in the clearest way.
21:57Think about haiku rather than sonnets
22:00when you're writing your notes.
22:04Respect your white coat.
22:06Keep it clean, keep it ironed.
22:08It shows that you are
22:10respectful of the process.
22:12It shows your patients that you respect them.
22:13It shows other people on the
22:15team that you respect them.
22:17It conveys this that you are
22:20available and that you're learning
22:22when you are doing your rotations.
22:24If you identify yourself to
22:26some of the nursing staff and
22:27you they see your white coat.
22:29If you want to learn how to put
22:31in Foley's draw blood, put in the.
22:34Do an EKG.
22:35They will fail and include you on those,
22:37and they'll know from your short
22:40coat that you're available.
22:41And then finally, enjoy yourselves.
22:43It's a fabulous career.
22:46There will be times when you feel
22:48like Oh my God, what have I done?
22:50I'm in so over my head,
22:52but there will be times when it's just
22:54so joyful delivering babies helping
22:56people through very tough times.
22:58These are things that are very rewarding.
23:00They're hard at the moment and they're
23:02just absolutely soul building at the end.
23:06Say professional join a year par
23:09organization for your state and both lake
23:12locally and nationally. Get involved.
23:14Teach each one of you is a teacher by nature.
23:18That's what PS do and it you
23:21know teacher colleagues.
23:22There'll be things that you
23:23know more than they do.
23:24The nurses always love to hear a
23:26little bit more about their patients.
23:28Remember they they were out of
23:30school years in the past.
23:31You guys are just new,
23:33fresh and all this information is fresh.
23:35I love to hear that and
23:37then when the time comes,
23:38open yourself to precepting.
23:41It's difficult,
23:42but it's also very rewarding to
23:44watch people move from a student
23:47in a completely different way to
23:49being a clinician in in all of the
23:52joys that are involved with that.
23:55Remember your intentions.
23:56He had to write a little essay in
23:59order to get into Yale's program.
24:01I've kept mine in every career change.
24:03Everything that's come along my way.
24:05I always go back and read it, and I find out.
24:08Yeah,
24:08that's actually exactly what it who I am.
24:11Well, I was back then and stay grounded.
24:14Rely on your families and friends.
24:16They actually will help you get
24:18through this part even more than
24:21last year and again thank you all.
24:23I really appreciate this honor.
24:37Thank you.
24:40OK, I would like to
24:43invite Elizabeth Rassler,
24:44professor Rustler to the podium,
24:46and we will proceed with
24:48presentations of the coats.
24:56Good afternoon, it's
24:58my great pleasure
24:59to announce the class of 2023 as they come
25:02up on stage to receive their white coat.
25:07Haley allcroft
25:26Eden and Anya.
25:47Sawyer Beatty
26:22Jenna Chalmers.
26:40Jane Chan
26:59Matthew Chang.
27:16Benjamin Christopher
27:34Jordan doralice
27:50then Danielle Dubois.
28:10Lauren Ennis
28:24shall we funding?
28:40Jay Gandhi
28:56Katrina Gateley
29:13Nicholas gokey
29:31while Hanks.
29:49Charles Heaton
30:04hey well Hodges.
30:21Devon night
30:38Amanda Noel.
30:54Megan mascia
31:10Kiara marmolejos
31:25Jasmine Martinez.
31:41Lena Gwen
31:56Gabriela Ortiz.
32:09Stop forgetting to pay CPA school.
32:14Audrey OY Moran
32:30Paulina Perez carryall.
32:47Hannah Purvis
33:02Allison Rodriguez.
33:19Ruth siac
33:35Ashland Shavers.
33:49Allison shelanski
34:05Jake's speech.
34:21David song
34:36Anaisa soza Quenya.
34:54Stephanie Stamatis
35:12Jessica Taitz.
35:27Phillip Westbrook
35:41amber Wilder
35:59Peter Yang
36:14Benjamin's aide.
36:58Alright, can I ask you
36:59all to stand? We're going
37:01to say the pledge together.
37:06I know it's hard with your masks on.
37:09Uhm, well, we'll just try
37:11to read through it together.
37:14I pledge to perform the following
37:17duties with honesty and dedication.
37:20I will hold as my primary responsibility,
37:23the health, safety,
37:25welfare and dignity of all human beings.
37:29I will uphold the tenants of
37:32patient autonomy, beneficence,
37:34non maleficence and justice.
37:37I will recognize and promote
37:40the value of diversity.
37:42I will treat equally all
37:44persons who seek my care.
37:47I will hold and confidence
37:49the information shared in the
37:51course of practicing medicine.
37:54I will assess my personal
37:56capabilities and limitations,
37:58striving always to improve
38:00my medical practice.
38:03I will actively seek to expand
38:05my knowledge and skills,
38:07keeping abreast of advances in medicine.
38:11I will work with other members of
38:13the health care team to provide
38:16compassionate and effective care of patients.
38:19I will use my knowledge and experience
38:21to contribute to an improved community.
38:25I will respect my professional
38:28relationship with the physician.
38:30I will share and expand
38:32knowledge within the profession.
38:34These duties are pledged with
38:37sincerity and upon my honor.
38:41All right?
38:48You guys could take a seat.
38:51Congratulate you for saying nonmaleficence
38:56so I'm just in a quick quickly as we close.
39:00I know that all of us on faculty here are
39:03incredibly appreciative to all the work
39:05that the staff did to put this together.
39:08It's amazing how much more coordination
39:10and work things take when we're
39:12taking into consideration COVID
39:14in all the rules around them.
39:16So thank you very much.
39:24Uhm? I could tell you were all
39:26very excited to have you start
39:28this journey with us here at Yale.
39:30Uhm, putting on a white
39:32coat is probably going to.
39:34Strike a lot of different emotions in you.
39:36Sometimes happiness, joy, pride, fear.
39:41Uncertainty, it's OK.
39:42I think that we all feel that
39:45way even now after many years
39:47of us putting on white coats.
39:50You have different emotions and so
39:52I want to leave you with a quote
39:54and it's not very deep or academic
39:57because I'm going to tell you.
39:59Embarrassingly,
39:59that it comes from my favorite show scrubs.
40:03But I think it it's really meaningful
40:04and I want you to think about
40:06this when you're putting on your
40:07white coat when you're going to
40:09see patients for the first time.
40:11So the character says.
40:15You know,
40:15I guess at the end of the day we all
40:17want to believe that what we do is important.
40:20That people hang on to our every word.
40:23That they care that they care what we think.
40:26But the truth is,
40:28you should consider yourself lucky
40:30that you will even occasionally get to
40:35make someone anyone feel a little bit better.
40:40So thank you guys come.