A phone call came to the clerkship director.A student wasn’t meeting expectations. The director met with a surprised student.The student asked:Why wasn’t I given the feedback directly?How can I improve without constructivefeedback? The director did not have these answers,But the attending did. Have courage to give honest, constructivefeedback.

He is admitted for end-stage Parkinson’s diseasewith acute delirium.I ask,Why won’t Neurology see him?Why is he still restrained in bed?Why won’t a skilled nursing facility accept him?Why can’t hospice help?Why does it take so long?He asks,How will it end?How will I die?I don’t know.