Coach Woodenism for the Week: " Intentness, the willingness to persevere when hardship is forced upon you and those you lead." In this series, we're applying Coach John Wooden's Pyramid of Success to medical education. We began by discussing the foundation of Attitude, Effort, Friendship, Loyalty, and Cooperation. The second focuses on the mind, beginning with Self Control, followed by Alertness, Initiative, and now Intentness. The coach defined Intentness as 'a relentless pursuit of excellence'. Whether this fire burns or build depends on a coach's and clinician's focus. Focus only on self, then you are finished. Focus on helping others, then you build everyone. In today's technology driven world, Intentness is more important then ever. Clinically, we are often tempted to cut to the bottomline by focusing only on the chief complaint in our busy ED's. If we just get the CT and get 'em out, we may miss the abuse that is real life threa