Have you heard of the July Effect? There is actually little evidence that there is much of an increase in patient harm or medical errors during the month of July. However, this does not mean that it is not a stressful time for all of you taking on new responsibilities. You are learning more and more medical and surgical knowledge. You are developing new surgical techniques and skills. However, there is increasing evidence that your success is much more dependent upon many other skills, such as time management, communication skills, and learning empathy.