Ultimately, making systemic change hinges upon the responsiveness of those around us. As medical students, we get thrown into different micro-cultures all the time, whether through our volunteer experiences, or on the wards rotating on different specialties. For this first part of the discussion, we will reflect on the cultural practices weโve experienced or noticed, weโll learn from faculty, and weโll review the mechanisms of initiating change (i.e., Nudge unit).