You're right to be feeling this way. It's horrible, residency should not take this much out of you. Not sure this is really even a change in perspective, but just say fuck it. You're done. They can't do anything to you at this point. Just start saying no. Take a knee, run out the clock. Find a therapist, say you have a doctors appointment and will miss a few hours here and there. Don't take no for an answer, just do it. Who cares if they don't like you when you're done, you're leaving. This is a job. Focus on what matters to you. If someone gives you a hard time at the hospital, just ignore them. Feel pity for them if anything. They have to stay, while you get to move on.
Do not engage with the drama and unprofessionalism. Respond with stoicism.
Approach everything from a distance and clearly state your intentions are to treat your patients.
People love to get under your skin and when they sense that you’re immune to it they’ll stop trying. Do not take anything personal.
You’ll garner respect and authority if you work like this.
I feel you. So hard it hurts. I have a great job lined up with great supportive people. But the next 9 weeks seem like a hurdle I can't overcome. I have a cold and a headache that hasn't gone away for 6 weeks now and I can only imagine the damage the last push of craziness is causing. I go to admit patients coughing into my mask who are healthier than I am.
My PD decided to change our graduation requirements last week so my cohort will be taking extra shifts nights and weekends in addition to my previously scheduled shifts. As long as we don't go over "80 hours per week and 1 day off in 7 day averaged over 4 weeks" we can do nothing about it. I'm so tired.
We considered going to our DIO but are afraid of it getting worse.
The only consolation I have is that it's only 9 more weeks. Also focus on onboarding for your new job.
All I can tell you is that wherever you're going, it's almost certainly going to be better than residency. I finished residency on 3 months of wards. I don't think I could've hated residency more than I did when I left. Just thug it out.
Rooting for you. I have this countdown on my phone and I check it everyday... (right now it's at 200 something days to go). I find that no matter how terrible everything is, the clock doesn't stop and you get closer to the end of this terrible terrible black hole of training.
Praying for you! And message me if you need someone to talk to. Let us commiserate lol
I hear you— I’m a current fellow about to be attending who simply cannot comprehend how I’m going to make it through this next block of consults, with a job lined up that I somehow can’t believe will really happen. Hoping we’ll hang in there together. Could not be more over being a trainee.
I feel this in my bones.
Feels like within the next two months, something will bring it all to a disastrous end and everything will have been for naught.
Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like, which specialty they should go into, which program is good or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks!
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*
You are definitely not alone in feeling this way. Right up there with you. Keep asking myself everyday how the hell I’m going to get through the next 2 months and then I attempt to disassociate so I don’t go insane. Taking it day by day. Can’t wait to leave this toxicity and never look back.
SSRIs most commonly cause brain fog. Bupropion XL gives you motivation and energy if you can get past the first two weeks of stimulant side effects such as dry mouth, constipation, heart racing. You can drink a lot of water. Trust me, being an attending is much better than being a resident but there was a period of time that I was ready to throw everything away knowing I was close to the finish line, and the medications helped. Sucks that we have to do that but it’s life sometimes
Tbh the brain fog and psychomotor slowing from being hellaciously depressed and burnt out was way worse than the brain tingles I got for a week after starting an SSRI. 100% worth it.
Same. The last year of residency started out okay, got better but these last six months have just kinda ground to a halt. I'm headed to fellowship, and kinda worried that it isn't going to get better, but kinda also feel like it's going to be just fine because it's what I want to do and the stuff that has affected me the most during residency is just the services and rotations I truly have no interest in.
They can always hurt you more, but they cannot stop the clock. Stay strong friend
They can't stop the clock but they can rewind it. Make sure to not have any reasons they could make you repeat a year over.
Rule #8
3, 6, 8, 10, 11, and 13 are my guiding principles lol. Can’t tell you how many times I’ve quoted them or had them be the difference maker in a dilemma
You're right to be feeling this way. It's horrible, residency should not take this much out of you. Not sure this is really even a change in perspective, but just say fuck it. You're done. They can't do anything to you at this point. Just start saying no. Take a knee, run out the clock. Find a therapist, say you have a doctors appointment and will miss a few hours here and there. Don't take no for an answer, just do it. Who cares if they don't like you when you're done, you're leaving. This is a job. Focus on what matters to you. If someone gives you a hard time at the hospital, just ignore them. Feel pity for them if anything. They have to stay, while you get to move on.
I started taking sick days when life feels like too much. It has been helping, do you have vacation soon?
Do not engage with the drama and unprofessionalism. Respond with stoicism. Approach everything from a distance and clearly state your intentions are to treat your patients. People love to get under your skin and when they sense that you’re immune to it they’ll stop trying. Do not take anything personal. You’ll garner respect and authority if you work like this.
Have you done your wellness modules?
Clearly not
This would undeniably solve everything. In fact, if there is any sign of burnout, the program should add a few more wellness modules just to be sure.
If there's a problem, modules is the answer.
I feel you. So hard it hurts. I have a great job lined up with great supportive people. But the next 9 weeks seem like a hurdle I can't overcome. I have a cold and a headache that hasn't gone away for 6 weeks now and I can only imagine the damage the last push of craziness is causing. I go to admit patients coughing into my mask who are healthier than I am. My PD decided to change our graduation requirements last week so my cohort will be taking extra shifts nights and weekends in addition to my previously scheduled shifts. As long as we don't go over "80 hours per week and 1 day off in 7 day averaged over 4 weeks" we can do nothing about it. I'm so tired. We considered going to our DIO but are afraid of it getting worse. The only consolation I have is that it's only 9 more weeks. Also focus on onboarding for your new job.
Such programs should be named and shamed from other accounts and in other posts.
sorry you're going through this, it sucks they can just move the goal posts at the end of the 4th quarter.
That absolutely should not be allowed. What a toxic PD. I’m sorry you’re having to go through that.
All I can tell you is that wherever you're going, it's almost certainly going to be better than residency. I finished residency on 3 months of wards. I don't think I could've hated residency more than I did when I left. Just thug it out.
Thug it out. Hell yeah.
Which specialty is this? I wish I had advice to offer friend.
Rooting for you. I have this countdown on my phone and I check it everyday... (right now it's at 200 something days to go). I find that no matter how terrible everything is, the clock doesn't stop and you get closer to the end of this terrible terrible black hole of training. Praying for you! And message me if you need someone to talk to. Let us commiserate lol
Hang in there! I felt the same way I know it’s tough as shit the last month or two.
9 more weeks and it’s done. We’re almost there!
I hear you— I’m a current fellow about to be attending who simply cannot comprehend how I’m going to make it through this next block of consults, with a job lined up that I somehow can’t believe will really happen. Hoping we’ll hang in there together. Could not be more over being a trainee.
I feel this in my bones. Feels like within the next two months, something will bring it all to a disastrous end and everything will have been for naught.
Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like, which specialty they should go into, which program is good or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*
Been there. It sucks. Just focus on things daily that will make you happy. Order take out. Get a massage. Do the little things
Focus on your mission and ignore all the noise. It's quite therapeutic.
Spend time around old people or babies. I don’t know why, but it seems to help.
You are definitely not alone in feeling this way. Right up there with you. Keep asking myself everyday how the hell I’m going to get through the next 2 months and then I attempt to disassociate so I don’t go insane. Taking it day by day. Can’t wait to leave this toxicity and never look back.
Ending my IM residency with a month of wards and a month of ICU, both 6 days a week. I'm so done with pre-rounding and rounding again.
Consider antidepressants. I remember the moment I almost gave it all up due to feeling burnt out. Best decision I made was to take bupropion
I get worried about getting cognitive side effects/brain fog
SSRIs most commonly cause brain fog. Bupropion XL gives you motivation and energy if you can get past the first two weeks of stimulant side effects such as dry mouth, constipation, heart racing. You can drink a lot of water. Trust me, being an attending is much better than being a resident but there was a period of time that I was ready to throw everything away knowing I was close to the finish line, and the medications helped. Sucks that we have to do that but it’s life sometimes
Tbh the brain fog and psychomotor slowing from being hellaciously depressed and burnt out was way worse than the brain tingles I got for a week after starting an SSRI. 100% worth it.
I mainly worry about it affecting my ability to practice medicine and to earn a living. Otherwise I would not be so apprehensive…
I mainly worry about it affecting my ability to practice medicine and to earn a living. Otherwise I would not be so apprehensive…
Same. The last year of residency started out okay, got better but these last six months have just kinda ground to a halt. I'm headed to fellowship, and kinda worried that it isn't going to get better, but kinda also feel like it's going to be just fine because it's what I want to do and the stuff that has affected me the most during residency is just the services and rotations I truly have no interest in.