We all imagine the life after residency as easier. Our earning potential increases. We will have our house, family, fancy cars, exotic vacations, and prestige, and patients will come forevermore. The truth is, it doesn’t get any easier. In fact, in many ways, it gets a lot harder. And there is a lot of competition out there. Having a plan is a way to assess your progress in reaching your goals after residency/fellowship training. It is a way to ensure your way to the top, rather than meandering and losing your way.