As someone who seldom has time for reflection and writes prose even less frequently, this blog post or subsequent blog post will not be a shining achievement.  With that disclaimer aside, the first day of the Telluride Experience Summer Camp has been an important start to re-invigorating my energy and determination to improve the quality of care at my own institution.  Residency is demanding and it is easy to allow the fatigue and complacency with systems that never seem to budge overcome whatever passions for change you have.  While the formal lectures have been great, the moments before, between and after lectures talking with the esteemed faculty one-on-one has been my most valued time at Telluride so far.