![]() Trainees stay until the work is done, no task is too menial, and ancillary staff is spread thin among the numerous academic medical centers. There is simply no handholding in the New York medical training culture. Our furniture arrived a month late, so my wife and I lived in a hotel on the Upper East Side and made it work with some heavy use of the seamless app. June came and went, and soon I was on a one-way flight to New York City’s JFK airport to start my fellowship training. I decided to celebrate that night and worry about the move to New York City in a few months. Would I be able to thrive in a city of nine million hardnosed people? Would I figure out how the subways work? Am I going to be able to pay for this shoebox-sized apartment in Manhattan? For the time being, it didn’t matter. I had grown up in Arizona my entire life, and the idea of living and training in New York City was daunting, to say the least. First came excitement and relief immediately followed by a rush of all-encompassing fear. It was official I was heading to a major academic program in New York City. As a fourth-year anesthesiology resident, I opened up my email eagerly, awaiting the results of the pain fellowship match.
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