Reply to How do I advise/support my sister who is a burnt-out PGY1 medical resident? (

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[quote=Anonymous]BTDT.  1 and 2 get better with time.  
3....you either become almost numb to it or you realize you need to work in a completely different setting. I spent 9 years working with a population that was largely homeless and/or had various addictions.  You got used to it, learned how to manage them, built relationships with them.   I also had coworkers who knew it wasn't for them and went to settings that didn't have a large amount of that population.  
4. I never had to deal with issues re: MD vs NP/PA.  As for the system as a whole....you become despondent after awhile.  Our healthcare system is an absolute disaster.  I can't change the system but I will operate as my own person and use my own morals to provide the best care I can under the impossible situations we are in .  I will caution she has to be very careful not to get caught in the "I'm the MD, I'm in charge" mentality.  In a hospital setting, the nurses and aides are spending far more time with the patients than the doctors are.  The nurses are the ones who alert me when something is off.  The nurses are the ones who contact me advocating for orders for their patients. I have seen many residents have a miserable time because they think they are above others.  It's a team. 
5.  Ties into 3.  It's not the right setting for her.   There isn't much that can change.   People abuse the system but you can't assume that's what they are all doing. 
6.  This is a husband problem.  Marriages don't always survive residency.   
7.  Yeah have no suggestion for that.  You just learn to live with exhaustion. 
8.  You just have to keep encouraging her.  Don't let her bully you into being her sounding board. 
9.   It'll fall on deaf ears.  She knows there are other specialities.  She'll eventually either decide on something else or she will learn to deal with her decision.

She sounds like she's in the phase of wanting to prove herself but also being still in that naive stage of the medical field where people think it's all about helping people and making the world a better place and they are slowly realizing how messed up the system is.  [/quote]

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