In this talk, the speaker will utilize compelling personal narrative, empiric findings from his research program on shame in medical learners, and the peer-reviewed literature to guide attendees through an exploration of shame in medical education. He will ultimately argue that shame is a ubiquitous, heavily veiled experience in medical education with which medical learners and faculty must constructively engage. He will explain how shame engagement is both a pressing imperative and a transformative opportunity, and he will outline shame competence as a framework to begin achieving it.