How do we define “competence” in surgical consultation? What factors lead to overuse of invasive screening tests in low-risk patients with bladder cancer? These were some of the questions asked by the fifteen young surgical investigators from the Geisel School of Medicine and Dartmouth-Hitchcock Medical Center at the sixth annual STARS (Surgical Trainees Advancing Research Symposium) event on April 12-13. Sponsored by the Department of Surgery, the two-day event promotes interest in surgical health services research among young and aspiring surgeons through a spirited but supportive competition.