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	Since this article does not have an abstract, we have provided the first 134 words of the full text and any section headings.

In Reply: As a resident, Dr Bingley experienced what our department chairman, Dr David Hellmann, refers to as a "eureka moment,"¹ when he was the only person on Earth who knew what was going on with his patient. Such moments only occur when a physician is deeply involved with his or her patient, whether that results from examining the patient’s blood smear or from spending time at the bedside getting to know the patient’s "story." As a residency program director, I consider it my job to make sure that young physicians have as much opportunity to experience these moments—and to savor them—as Dr Bingley had when he was a house officer. I will also make sure that they, and the man I described, know how special our patients are to us even decades later.

Roy C. Ziegelstein, MD
rziegel@jhmi.edu
Division of Cardiology
Johns Hopkins Bayview Medical Center
Baltimore, Md

1. Hellmann DB. Eurekapenia: a disease of medical residency training programs? Pharos Alpha Omega Alpha Honor Med Soc. 2003;66:24-26. PUBMED

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292:2836.

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