4th Year Blues

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

penguin99

Full Member
10+ Year Member
Joined
Oct 26, 2012
Messages
15
Reaction score
0
I've been really disappointed with the way 4th year has been going for me. This was supposed to be a happy time but I feel like I'm far from where I wanted to be at this point. I just finished two sub Is and was told both times that although my heart was in the right place and I showed improvement, I was behind in my ability to pick up the work flow quickly and function independently. They said I worked hard and asked for feedback but simply did not have the natural interviewing and management ability that other 4th years have. I only got a pass in my first sub I and will mostly likely get a pass or high pass in my second sub I. 🙁

I otherwise did well my first two years of medical school and passed step I and step II with scores I'm pretty happy with. I didn't do as well third year (my class rank went from above average to below average) but still managed to show a steady trend of improvement over the course of my rotations from pass to high pass grades and finally an honors in an elective I took after I finished my core rotations. Things were looking up until summer when I got to do my first sub I expecting to shine and get honors and ended up falling short with just a pass. I hoped to redeem my self in my second sub I: came early stayed late, tried to take ownership of my patients, but again was told I only functioned on a pass to high pass level.

At this point, I'm feeling pretty frustrated since it seems like most people manage to get honors in their sub Is as though it were a given. I'm also sad and humbled that despite all these years of hard work and a good book year grades, I ended up on the crappy end of the bell curve. I also worry about struggling as a resident and not finding a sense of pride in my work.

I'm just wondering if there's anyone out there who has been in a similar situation who can offer some support and encouragement. I've heard the "we cant all be above average" quote plenty of times, but I'd like to hear from people who maybe were above average initially and came to struggle later on in their training. I would also love to hear from anyone who struggled through their sub Is and how residency has turned out for you.

Thanks in advance!
 
I’ve been really disappointed with the way 4th year has been going for me. This was supposed to be a happy time but I feel like I’m far from where I wanted to be at this point. I just finished two sub Is and was told both times that although my heart was in the right place and I showed improvement, I was behind in my ability to pick up the work flow quickly and function independently. They said I worked hard and asked for feedback but simply did not have the natural interviewing and management ability that other 4th years have. I only got a pass in my first sub I and will mostly likely get a pass or high pass in my second sub I. 🙁

I otherwise did well my first two years of medical school and passed step I and step II with scores I’m pretty happy with. I didn’t do as well third year (my class rank went from above average to below average) but still managed to show a steady trend of improvement over the course of my rotations from pass to high pass grades and finally an honors in an elective I took after I finished my core rotations. Things were looking up until summer when I got to do my first sub I expecting to shine and get honors and ended up falling short with just a pass. I hoped to redeem my self in my second sub I: came early stayed late, tried to take ownership of my patients, but again was told I only functioned on a pass to high pass level.

At this point, I’m feeling pretty frustrated since it seems like most people manage to get honors in their sub Is as though it were a given. I’m also sad and humbled that despite all these years of hard work and a good book year grades, I ended up on the crappy end of the bell curve. I also worry about struggling as a resident and not finding a sense of pride in my work.

I’m just wondering if there’s anyone out there who has been in a similar situation who can offer some support and encouragement. I’ve heard the “we cant all be above average” quote plenty of times, but I’d like to hear from people who maybe were above average initially and came to struggle later on in their training. I would also love to hear from anyone who struggled through their sub Is and how residency has turned out for you.

Thanks in advance!

Not trying to make light of your struggles, but why do you even care at this point what grades you get on your Sub-I's? How is this going to impact your future in any way?
 
If they're auditions, worrying about it now is already not going to matter because OP is already getting P's. If they were going to dock him from consideration, it's already done anyway. Nothing he does from this point on will be changing any aspect of the strength of his application so why care? Depending on what specialty he's going into, the next few months are fairly likely to be the last stress-free relaxing ones he has in many years. Enjoy it and take comfort in the fact that you'll learn more and become better in residency. As long as you work hard and are train-able, that's all that matters.
 
If they're auditions, worrying about it now is already not going to matter because OP is already getting P's. If they were going to dock him from consideration, it's already done anyway. Nothing he does from this point on will be changing any aspect of the strength of his application so why care? Depending on what specialty he's going into, the next few months are fairly likely to be the last stress-free relaxing ones he has in many years. Enjoy it and take comfort in the fact that you'll learn more and become better in residency. As long as you work hard and are train-able, that's all that matters.

I mean, if they're auditions it could be not so good.

Ditto
 
If they're auditions, worrying about it now is already not going to matter because OP is already getting P's. If they were going to dock him from consideration, it's already done anyway. Nothing he does from this point on will be changing any aspect of the strength of his application so why care? Depending on what specialty he's going into, the next few months are fairly likely to be the last stress-free relaxing ones he has in many years. Enjoy it and take comfort in the fact that you'll learn more and become better in residency. As long as you work hard and are train-able, that's all that matters.

Thanks. Just wondering, are u are a resident? If not, I'd love to hear from some residents who have been in my shoes and have lived to tell about it. At this point, I'm more worried more about doing well in residency and being a good doctor than matching/graduating med school.
 
what specialty?

Psych. So otherwise a totally chill, non malignant specialty which raises my concerns about not doing so well. My sub Is were at a big, prestigious program and the attendings were busy and didn't always seem particularly interested in teaching med students... There was also bit of an impersonal atmosphere, lots of turf war other specialties/outpatient organizations, and i cant say i felt all that welcomed. Had a bit of different experience and much better evals when I did my actual psych clerkship at a different site...
 
No, I'm not. I'm a 4th year too. It doesn't take a resident to tell you though that you shouldn't be having "blues" because you got P's in a few psych Sub-I's at programs that don't sound like good teaching/learning environments anyway. In addition, you're going into psych where patient management is very algorithmic and you use the same 6 drugs over and over in different combinations. Go enjoy your life dude.

Also, no offense but if something this minor is giving you the blues, imagine how you're gonna feel when your patients are killing themselves despite you giving them the best possible care.
 
No, I'm not. I'm a 4th year too. It doesn't take a resident to tell you though that you shouldn't be having "blues" because you got P's in a few psych Sub-I's at programs that don't sound like good teaching/learning environments anyway. In addition, you're going into psych where patient management is very algorithmic and you use the same 6 drugs over and over in different combinations. Go enjoy your life dude.

Also, no offense but if something this minor is giving you the blues, imagine how you're gonna feel when your patients are killing themselves despite you giving them the best possible care.

Well I don't have the blues. I posted this yesterday cuz I had just gotten my eval and was upset about it. Took one day of realizing I dont have to spend my weekends studying anymore and some retail therapy and I thInk I'm all good now.
 
Last edited:
Well I don't have the blues. I posted this yesterday cuz I had just gotten my eval and was upset about it. Took one day of realizing I dont have to spend my weekends studying anymore and some retail therapy and I thInk I'm all good now.

Lol, good. What did you buy?
 
Top