How do medical students learn to make impossible decisions every day? They can share their problems with their colleagues and seniors, and learn decision-making skills which will carry over into their practice once they graduate. At the MGIMS, a group of residents and interns has started informal discussions of case study scenarios. The idea is to encourage students to discuss their dilemmas, identify the reasons for their decisions and thus clarify the decision-making process. The first case study was based on a real life scenario at the MGIMS.