What happens when medical students trade books for the chaos of real patient care? They spent months and months learning medicine from books. Then suddenly, they were thrown into hospitals with real patients, real pressure, and only the barest clue what they were doing. In this episode, Dave sits down with M4s Jacob Hanson and Happy Kumar, and M3s Zay Edgren and Tony El-Sokkari to relive their first clerkship experiences—the awkward mistakes, every unexpected challenge, and the moments that made them feel like they actually belonged in medicine. From simulated patients yelling at them, to missing the first day of a rotation, to being told never to ask an attending questions, the crew shares the ups and downs of transitioning into the hospital world. They also break down how to ask for feedback the right way, what attendings actually expect from students, and why residency interviews feel like a mix of speed dating and job interviews. Plus, a wild case of “cheese hands” (Xanthelasma, if you’re fancy) makes them all question their dietary choices.