Five panelists—Katherine Kunkel, MD; Aditya Bharadwaj, MD; Marissa Cevasco, MD; George Vetrovec, MD; and Jerome Crowley, MD—candidly share first-year insights with a group of fellows. These panelists come from interventional cardiology, cardiac surgery, critical care and anesthesiology. They answer questions including: “How did you get your first job?”; “What do you ask—and what do you not ask—in a job interview?”; “What was the hardest part of your first year in practice?”; “What is something you did well in your first year of practice?”; and “What advice would you give yourself now?” Their insights include networking to establish your referral base, understanding billing and coding, knowing when to say “no” and asking “why” more often.