At the outset of their health care education, all students already possess sophisticated, well-developed action frameworks that enable them to think about ends, means, and the need for ongoing adjustments. These frameworks are supported by capacities and skills that include the following: moral capacities; cognitive, perceptual, and affective capacities; communication skills; theory of mind; quest for narrative coherence; and capacity to recognize our limits. These action frameworks shape, lifelong, the experience and work of clinicians.