The number one thing missing in medical education to day four doctors is that we are no longer a craft. It's not an individual craft of being the smartest, most experienced and capable individuala. We are now delivering as groups people, and knowing how to be an effective group will enable us to solve problems when your group is not being effective. The clinition future really need to be oriented in a councillor mode, where they are not just telling you what the options are, but also eliciting from you very clearly what your goals are. So what are your priorities for your quality of life as well as quantity of life? As one put it, your problem atole is that you're an