Day one in telluride proved to be educational and inspiring. The negotiations piece by Paul Levy was interesting because I have never thought about how apparent negotiations are in our day-to-day lives. I also was never aware of the components of negotiation skills or their application to medicine. What an important life skill that I can continue to practice. C.U.S. is a new acronym to me but something I can see being easily applied to our new intern orientation next week. There were so many passionate and inspiring comments in the room. After a full day at the intermediate school I think we were all excited to share our passion and our personal experiences with patient safety and quality improvement at our home institutions. I had a great gondola ride with my fellow residents and I can sense a spark lit within all of us. I am looking forward to the week ahead!