McIlwrick and Lockyer's fascinating inquiry into the unique challenges inherent in emergency training for psychiatry residents in this issue of JGME stresses a number of important points well worthy of further consideration. In this qualitative study, researchers at the University of Calgary found that despite the rapid pace, clinical challenges, and onerous and intense workload characteristic of emergency room call for psychiatry residents, some of the most compelling and troubling issues for residents were more often intensely interpersonal. Identified challenges to a more positive and useful experience included a perceived lack of education and support for residents from attending psychiatric physicians, a perceived inconsistency in the availability of the psychiatric emergency services team, and a sense that nonpsychiatric physicians within emergency departments treated both psychiatric patients and psychiatric residents with significant negative bias and stigma. In other words, while residents were clearly mindful of the strenuous tasks implicit in caring for psychiatric patients in the most severe and extreme circumstances, the study found that trainees noted most commonly the lack of camaraderie and team cohesion as the key correlates with negative and counterproductive emergency psychiatry experiences. Interestingly, these findings were consistent across all levels of training for residents, suggesting that these challenges are not simply indicators of novice or less‐experienced practitioners. Finally, the article notes that attending physicians often failed to appreciate the severity of the emotional and cognitive duress that can be experienced by residents thrust into such extreme circumstances. Given that the very same attending psychiatrists without question had similar experiences during their own training, one cannot help but wonder what creates such a seemingly short memory for what residents often experience as a profoundly unsettling but also often immensely rewarding rotation. Clearly, there are many levels at which one can address these complex and nuanced issues.