How We Do It: Reflections on Surgical Internship

In this reflective essay, Dr. Matthew Orringer explores the question not of why one pursues medicine, but how one endures the rigors of medical training—particularly the surgical internship year. While acknowledging that other professions may be more difficult, he emphasizes the unique challenges of intern year and the invaluable lessons it imparts in patient care, communication, and endurance. Central to his reflection is the idea that survival and growth in medicine are deeply tied to the camaraderie and mutual support among peers. Drawing parallels to his past experience as a collegiate swimmer, Orringer highlights how shared struggle fosters strong bonds. Whether navigating overwhelming trauma consults or long pre-dawn ICU shifts, he found strength in the presence and perseverance of fellow interns. Ultimately, he concludes that the answer to “How medicine?” lies in collective resilience.