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“An early anesthesia trainee may feel fine about their knowledge and preparation heading into the OR until the attending turns and asks, “So, what’s your plan for anesthetic management?” The compartmentalized knowledge of preoperative assessment, workings of the anesthesia machine, pharmacology and physiology, inhalation anesthetics and more will not have prepared the trainee with a sense of how to approach a case and, moreover, a whole day of cases”–