On Friday mornings at 7 AM, tables are turned during Chiefs’ Rounds. Two cases are presented as unknowns by the residents to the Service Chiefs and Attending Staff with only one rule: No resident or fellow can be asked a question. Chiefs’ Rounds provide a chance for the residents to see their Attending Staff think through the clinical presentation, differential diagnosis, and management of a difficult case. This approach invariably leads to a lively discussion among the staff and remains a vital teaching tool in residency education.