<p>Yovanka is on to something. Anyone who doesn’t believe that many specialties, such as surgery, trauma, neonatalogy, or critical care medicine don’t require the ability to solve very complex problems under stress, has not logged much time in an ED, an OR, or an ICU. Many specialists have jobs similar to engineers in Houston during Apollo 13, as in “Houston we have a problem”, only they do it every day.</p>