Wow! What an intense, engaging, and fascinating first day!!! I don’t really know what I expected this program to be like before I came. I was initially so excited to come when I learned I was accepted; then reading the book “why hospitals should fly” I became super excited about the possibilities and opportunities to learn from the experts on how I can make effective changes to better my hospital, community and nursing/healthcare community. Now, as I am here interacting with the ‘movers and shakers’ directly, I am even more excited.  These are the people who have already made these amazing changes and the residents, students, and nurses who have such great visions of how to care for our patients.  It is great to formally and informally interact with these intelligent and caring people and feel that I and they are and will take so much home to our respective communities.