It was difficult for me because, as a medical student, I had my interns, residents and attending physicians supervising me. When I hit internship that safety net wasn't as big because I became part of the safety net. The hardest thing was learning to make decisions confidently. It took a few months but I got over the 'stage fright' and became comfortable with decisions, workload and really enjoyed working as a physician. Once you are part of a patient's care plan and actively engaged in making decisions with your team, the patient, family and nursing staff, you feel a great sense of satisfaction and remember why you're there in the first place. So, it's not an easy transition - it never is but it's a part of training and we will all tell you how important that part of your education becomes.