Hey guys,
I have an exam coming up in a couple of days and a week later I have my NBME final exam. I am so mentally and physically exhausted that I can't conjure up the motivation to do the very little review I have left... Has anyone felt like this before? If so, what did you do? Thanks!
I haven't read the rest of the replies, so forgive me if I duplicate.
The testing, the classes, the "learning" depersonalize what we actually want to do: help sick people. Take an afternoon and go see some patients. Doesn't matter what year you are, you should have access to the floors. Talk to an attending, faculty, resident, whomever and get up on the floor and talk to a sick person.
Spend 30-60 minutes with a person with whatever illness, doesn't matter. Could be CHF, COPD, Cancer, pancreatitis... You take 1 hour of your time, exchange your concern, honest concern, with their information about their illness, history etc and you may just be floored. We don't get to spend time with people. We're supposed to, that's our job, spending time and talking to get a great H&P and earn trust. As an attending, you won't have time - unless you make it. Sit. Listen. Hold a hand. You'll find that tests, the medical education system is all smoke and mirrors. Not connecting, not caring, not realizing your humanity is the same as your patient's will lead to burn-out.
So. Big exam. Talk to a woman who is dying of ovarian cancer. Talk to a guy who is end-stage CHF. Talk to a young HIV patient about how they will manage their chronic disease despite being addicted to meth and being homeless. You'll gain perspective. You'll gain humanity back without some resident or attending wanting a note or a plan or pimping you with questions.
To practice medicine right, correctly, you need to sacrifice your time and open yourself with listening, the right questions and time. You won't be able to do it forever, so use your time now. An hour out of studying spent with a patient who is suffering will increase your productivity, focus, and perspective. It will also give a patient hope that we do give a damn.
Good luck on the test.