This note is in regard to the article "Advice for Young Physicians," by Joseph S. Alpert.1 Congratulations are in order for Dr Alpert's 10 rules of advice. In our supercharged, highly technical and "bottom line" modern practice of medicine, common sense, empathy, time spent with the patient, and exposure to senior clinicians are frequently lost. Not infrequently, specialized tests replace good physical diagnostic skills, compounding the ever increasing cost of medical care. Like Dr Alpert, I had the wonderful experience of clinicians training in the art and science of medicine, expounding on these 10 aphorisms during my training. I have attempted to train house staff officers, medical students, and fellows following these guidelines. My fear is that with time constraints and economic pressures, these 10 rules may be altered or forgotten. Keep up the good work, Dr Alpert, and congratulations on your continued efforts.