RT Journal A1 Rutledge RK T1 HAting hope JF JAMA JO JAMA YR 2013 FD January 23 VO 309 IS 4 SP 353 OP 354 DO 10.1001/jama.2012.185447 UL http://dx.doi.org/10.1001/jama.2012.185447 AB I found it while searching folder after folder of papers in my usual hurried state. I would be completing internal medicine residency in just four months, then starting my new job as an attending physician, and I desperately needed to find my birth certificate for licensure paperwork that was already delinquent. Things had not been going well for me: I was moving from an emotionally taxing ICU rotation to a month on the oncology service—my least favorite in the entire hospital. Throughout residency I had a difficult time working with overly optimistic families, and in my mind overly optimistic oncologists were even worse. What I found in my stacks of papers reminded me why.