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Beyond the "July Effect".

July is an exciting time at an academic medical center. With each new intern class comes fresh energy, inspiration, idealism, hope, and aspiration to help, learn, and heal. But, with these aspiring physicians also comes anxiety. Interns are writing orders for the first time. Nursing staff are working with unfamiliar new physicians. Faculty members try to anticipate errors before they happen. July is a period of first impressions and growth from practical experience. Residents develop familiarity with the electronic health record system, learn how to admit and discharge a patient, adapt to an increased sense of responsibility, and learn from each challenging and rewarding interaction with patients, families, and ancillary staff.