Unlike surgeons, psychotherapists usually do not get better with years of practice. Why is that? What skills are most important to develop in clinical training programs, and does it actually happen? Should we be focusing on evidence-based treatment techniques, interpersonal therapeutic skills, cultural competence, deliberate practice, scientific skepticism, fostering clients' strengths and resilience? Three seasoned clinical trainers reflect on the joys, challenges, and outcomes of preparing future psychotherapists.