This chapter examines the ideals and identities of young physicians as they left medical school and began practice. It presents narratives of their transition from school to practice, focusing on their ability to persevere in the struggles they face in the community. It describes novice practitioners' anxieties about class, rural isolation, first patients, first failures, and conflicts with established doctors in the community. The chapter argues that many new practitioners were unwilling to let go of their schooled habits despite the risks of being isolated from others by their exotic knowledge.
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