I'm an R1 at a good university program. I had a different career before going back to med school. I studied hard in med school and had excellent grades and Step scores and never really had any trouble with study material/tests/clerkships. I also did quite well during internship. But I'm having a very tough time in radiology so far. I constantly feel extremely overwhelmed and quite stupid most of the time. It's almost as if whatever I've achieved so far in med school and internship has not prepared me one bit for this. I especially have a tough time with anatomy (my weakest subject in med school) and visuospatial perception. Most of the times I'm still trying to figure what I'm looking at during case conferences while the seniors (even the second years) seem like they're zipping through and trying to narrow down to a few differentials. I've been trying to study almost everyday but am not getting too far with that since it takes me forever to go through even a few pages. I know this is a long four year process but it just feels like a monumental and almost an impossible task. This is getting to a point where I'm starting to doubt my decision to go into radiology and find myself coming up with reasons to apply for another residency next year or even quit medicine altogether. Can upper levels/practicing radiologists please provide some advice? Is this normal? Any tips or suggestions? Thanks in advance.