Right after a pediatric residency, I leapt into a thriving, bustling practice and from day one I was able to plug myself in with relative ease. It wasn’t until a little later that I realized my comfort in practicing in this practice centered on existing systems and personnel established by the leader of the practice. But how did the right people end up in their roles? How were they selected? How were they trained? These questions slowly became evident as I watched and learned.