My fellows come from many different backgrounds some are psychiatrists but many of them are family medicine and internal medicine doctors for those doctors the hardest thing for them is to adjust to having more time with patients. Many of them don't want to go back to practicing primary care because they just feel like the depth of the connection and the meaningfulness of the interactions is so much more powerful I think that then you know just generally for all fellows I think the hardest thing is to know when we're helping patients and when we're enabling them.

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