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Published Online:https://doi.org/10.1176/ajp.122.5.542

Some of the pitfalls that the first year psychiatric resident will encounter are discussed. He must struggle with them, which means taking a good look at himself in the process. There are usually no right or wrong answers, no absolute rules to cover all cases. But, having wrestled with and resolved some of these problems to his own satisfaction during his first, and most difficult year, he will be well on his way toward becoming a psychiatrist.

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