We use the hashtag #itgetsbetter often in our circle of friends, mainly to provide a light at the end of the tunnel for those struggling through med school, residency and fellowship.  But the reality is, there’s a lot about the post-training life that will always remain difficult.  And instead of painting a picture that it’s all rainbows and butterflies when training is over, I’d rather give you some realistic expectations about what #itgetsbetter really means.