Feeling burned out?

mercredi 14 octobre 2015

Leaving or even ATTEMPTING a transfer could spell a total career ender (maybe not, risk is there).

I would only do it if I thought burn out was going to lead to death by suicide, medical error (both can be career enders so in that case nothing to lose trying to get out) or you hate the specialty. Switching from one program to another w/in specialty is a big no-no, especially PD to PD (they have a code not to poach residents from each other).

The fact that you're afraid to upset admin is a great attitude!

You could try resident swap, but you'd have to come up with a compelling reason that has nothing to do with the program personally "Aunt Jemima is getting on in years failing health, need to try to go back home" and even that could make enemies.

Also wherever you go may be worse, even if it's not you'll be learning a new system and being a new PGY2 at non-advanced position residencies, you're new kid on the block, likely subject to increased scrutiny, and no established comraderie with seniors and peers (all uppers are new to new interns). You will be clueless to the sociopolitical issues and will not know how to navigate the attendings there, who may have less patience with you because they subconsciously are wondering why you're not as on point as the PGY2s who have the advantage of experience with them.

No one feels supervised enough (and you may not be) everyone feels overworked, everyone does more social work than they should (although some places are better about this than others).

Smaller programs do not necessarily lead to less work. In fact, I would argue more. Often the teams have to be smaller meaning less able to spread the work to faster peers to help a lagging one, if anyone is sick or goes out more slack for the ones left to pick up. Smaller programs can mean less money in institution = less ancillary staff, and can mean higher volume as well as they work each meager resident to the max (could be less work if private service is well staffed, cherry picked patients), and can be worse if the private side of things likes to dump social nightmares and poor patients with crap insurance to your service/clinic. I don't know how psych programs work anyway.

Also my understanding is psych intern year looks like most medicine intern years, AKA massive suck. Things may get better as PGY2 but you may not reap that benefit if you go elsewhere new.

Everyone has a fantasy intern year, hell, the whole residency, of escaping to somewhere better. You're a resident. For all intents and purposes there is no better. There is only suckitude.

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Feeling burned out?

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