In surgery, responsibility comes before confidence.Medical students entering a Sub I are expected to manage patients, present clearly, stay organized, and earn trust before they feel fully comfortable doing it.In this Part One episode, Dr. Randy Lehman mentors medical student Jacob Steffen through rounds, presentations, list management, tube management, and operating room etiquette.Jacob explains why the students who stand out are not the ones pretending to know everything. They’re the ones who are reliable, honest, teachable, and willing to take ownership under pressure.They also discuss the Dunning-Kruger effect in surgical training, the danger of overconfidence, and why credibility matters more than performance.Confidence is built by carrying responsibility before you feel ready for it.0:00 Intro02:09 What a Sub I Actually Is10:13 How I Do It: Rounds, Lists, and Daily Workflow20:07 Managing Tasks and Running the List35:09 Physical Exam and Tube Management40:50 The Dunning-Kruger Effect50:04 Professionalism and Operating Room Etiquette Resources Mentioned:🌐 Mayo Clinic:https://www.mayoclinic.org/Epic:https://www.epic.com/🌐 Connect with The Rural American Surgeon:https://www.theruralamericansurgeon.com/ Join us on Facebook:https://www.facebook.com/profile.php?id=61564305936854