This is a how-to guide for medical students moving from the classroom to the clinical/hospital setting; a particularly stressful transition in a student-physician's career. This handbook is made up of short, easily digestible passages that advise students on everything from reading an EKG or chest x-ray to tips on dealing with difficult residents and what to wear on wards. Passages are peppered with light-hearted anecdotes to bolster the spirits of students intimidated and overwhelmed by their responsibility as fledgling doctors. The handbook has been developed by Dr Richard Loftus, who wrote the first version of this guide after his 3rd year at University of California, San Francisco (UCSF). It contains appendices of useful information, including a PDF file of full size forms that can be accessed from our website.