We see that guy every morning when we walk into, or out of the hospital. The clinician who looks 20 years older then he really is, shuffling about, staring straight ahead, almost grimacing. When you say "Good Morning", he just looks the other way. He's the guys who has been here way too long, falling way too far down the rabbit hole of burn out. Let's face it, none of us ever want to become that guy. But on our worst days, many of us already have been. Myself for sure. Medicine is a tough game of paradoxes - exhilarating, exhausting, rewarding, and always demanding. So how do we instead become the guy? The clinician people gravitate towards at the start of the day, when help is needed to meet a new challenge, and at the end to review the day's success. In Academic Medicine Slavin describes Positive Psychology's PERMA model to preventing burnout in Medical Education. Positive emotions: Foster positive emotions by reducing unnecessary stressors and promoti