Implicitly, ethical considerations should underlie all clinical interventions, patient-doctor interactions, and intra-professional relationships. However, this is complicated because there can be times when actions do not fit the words espoused in ethics training. This Clinical Case Conference intends to focus directly on the “hidden” curriculum, which promotes acceptable, in contrast to ethical, professional behavior, as it might apply to child and adolescent training programs. It is to the advantage of training programs to acknowledge the presence of this “hidden” curriculum and address its potential negative impact on the training process.  Existing ethics and training resources, e.g., ACGME education guidelines and the AACAP Code of Ethics are used as standards of conduct. Ethical considerations that underlie desirable resident and faculty conduct are explored.