This how-to guide for third year medical students moving from the classroom to the clinical/hospital setting, deals with a particularly stressful transition in a student-physicians career. The handbook is made up of short, easily digestible passages that advise students on everything from reading an EKG or chest x-ray to tips on dealing with ornery residents and what to wear on wards. Passages are peppered with light hearted anecdotes, The book contains appendices of useful information, including a PDF file of full size forms that can be accessed from our website.