We have arrived at the time of year when the holidays and the rush of preparation and celebration tends to raise our blood pressures, raise unrealistic expectations, increase our waistlines and to distract us from what we really should be doing as the year comes to an end. What we as individuals and as a community should be doing at this time of year is reflecting upon the year that has passed, the good and bad and engaging in introspection. Are we satisfied with how we have conducted ourselves? Are we pleased with what we have accomplished? Have we treated our fellow practitioners? Have we treated family, friends and acquaintances in the way we would expect to be treated? Have we contributed to making our world a better place or not?