Watching a new life come into the world, only to quickly watch it be taken away, can change everything. “Alison,” you describe your experiences in labor and delivery; they are both moving and defining. Experiences like this can, in an instant, change your perspective on life and the way you practice. This is what makes rotations immeasurably valuable. As you mention, they can also be fear inducing. Being on rotation can feel like you have been haphazardly tossed into a strange new world, about which you know painfully little. Successful communication with your preceptor can define your rotation experience. You mention your terror at the prospect of starting a community rotation, and then your realization that your terror was unfounded. But, you also mention never feeling like you were on the same page with your preceptor regarding the goals and expectations of the rotation.