This letter is a response to the accusation that I was cheating on the final exam at the end of level 3. The accusation is based upon the fact that I was fidgeting during the test however this is a normal test behavior for me. Whenever I get nervous during an examination I do move around in the chair. I spend many hours preparing for the exams and I know that cheating will not benefit me in the long run.  I take my studies very serious and this accusation of cheating is one that is greatly troubling to me. One of the tenants of our profession is our trust and honesty. I would never do something that would endanger the trust that others have in me especially when someone’s life is in my hands during a rotation.