Scott Alexander completes his medical residency and announces his return to San Francisco, reflecting on his experiences and his enduring connection to the rationalist community there. Longer summary

Scott Alexander reflects on completing his four-year medical residency in Michigan. He expresses gratitude for his hospital, colleagues, and the experiences he gained. Despite the positive aspects of his time there, he emphasizes that his true connection lies with the rationalist community in the San Francisco Bay Area. Scott reveals that he has accepted a psychiatrist position in San Francisco and is moving back to what he considers the 'greatest metropolitan area in the world'. He looks forward to reuniting with his intellectual community, which he views as his 'karass' - a group brought together for a higher purpose. Shorter summary