“Medicine is really a way of life, being a physician became part of my identity.”When Noelle entered medical school, she initially thought psychiatry would be the field of choice. We talk about what attracted her to dermatology, why it is important to use your resources early on in a competitive field, and what surprised her in her medical school journey. Finally, we discuss what “senioritis” is like for a fourth year medical student and her experience volunteering at the Sundance Film Festival.