I'm officially a senior resident. It may seem an arbitrary milestone - leave the hospital a second year resident, return as a senior - but the changes are easy to see.
During my shift today, I placed a central line in a matter of seconds; the first one I ever did took an hour and a half. I casually transfused a trauma victim two pints of blood while on the phone with a consultant. I coached a family through their mother's catastrophic brain bleed, answering their questions and initiating palliative care. A man's heart stopped beating - twice - and I restarted it. Another patient went into flash pulmonary edema and I prevented him from drowning in his own secretions.
It was a good day. It's been a excellent year. I'm excited to see what happens next... I love this job.