The Annals of Bone Girl, Volume Four sees the conclusion of Bone Girl's fourth and final year of medical school. As rotations wind down and the infamous residency Match approaches she must carefully select and balance the roles of eager student and cautious clinician, confident diagnostician and humble applicant. Choosing the wrong answer, the wrong role, or the wrong school can mean the end of a career before the interview season even starts. But really, compared to a day in a pediatric clinic such concerns are trifling. The lighter part of the fourth year is faithful friends, clueless classmates, strange subletters, nosy nurses, ruthless residents, and absentee attendings. Your patients make you laugh, your bosses make you cry, and the electronic charting system mostly makes you want to bang your head against hard surfaces. This was the year my white coat vanished into a dark closet (never to return) and my turquoise sneakers made their first regular appearance as standard work attire. It was the year I graduated only to find out that, actually, I still had another five years of training left to go. . . Never shy, always honest, The Annals of Bone Girl series is a candid account of what goes into the making of a physician under the tutelage of a flawed and struggling medical education system.