It’s that time in every Emergency Department: the academic year has come to a close. In our shop, interns are spending their last few shifts in B Pod, and the R2s are testing their taming skills in the SRU. The R3s are stepping up to the educator role, and the R4s are looking onward to their future careers. We spend these last few weeks balancing the excitement of our transitions and the purpose of our job: somewhere between the hustle and noise of B Pod, there is a critical illness waiting to be found, #beneaththesurface.