This case study on clinical practice, preparation, and acumen follows the story of Emily, an intelligent, hard working, and motivated student who yet encounters difficulties in the clinical fieldwork component of her senior seminar. A follow-up section of the case switches to the perspective of Dr. Haskins, Emily’s supervisor in the clinic, who sees in Emily a student ill-prepared to deal with clients. Students read the case study and discuss a series of open-ended questions that explore various aspects of performing and supervising clinical fieldwork. The case can be used in introductory survey courses in the allied health field or education, with advanced students about to start their fieldwork, or with students finishing graduate work and about to become supervisors themselves.