Its your week in the ICU and a new admission has just rolled in. The patient is intubated for respiratory failure, which is a recurrent problem. The patient has been intubated multiple times, has had a prior tracheostomy and is chronically ill. The allergy list in the electronic health record has more than 10 medications on it.

Common complaints include whether patients really know what they need, and whether this data should be so important as a quality marker of care provided by the team and the physicians on that team.

There are stages in a person’s life: (childhood, adolescence, early adulthood, adulthood, and maturity) just as there are stages in a medical professional’s career: medical school, residency and fellowship, junior faculty and senior faculty.