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yeah - i kind of do blame him for being a loser. i know of a few med students who date non-med students for a while and the schedule suddenly gets too busy and they break things off. it's kind of hard to believe that they didnt know in advance how busy their life was going to become... duh. if you are looking for a fling, just be straight about that from the beginning. i dont think it's correct to lead someone on and then bail with the "oh look i'm in med school" excuse. that sounds pretty loser-ific to me.
Your schedule, especially as an MS3 and MS4, can be VERY unpredictable. What they tell you your schedule will be like at the beginning, and what your schedule ACTUALLY is are usually two different things. (Your schedule as an MS1 and MS2 is usually easier to control.)
I was told on many rotations "Oh, you won't have to work weekends." And then, at one point, the attending would mention a Saturday morning CME conference that he would "really like to see the med students at...." Or the time on surgery when they found they were going to be short a resident so ALL the med students had to show up at 5:30 AM on Sunday morning to help round. Or the time on OB/gyn, when there was an emergency case that started on Friday evening, but didn't end until 2 AM the next day.
And, no, you can't just say, "Well, I had plans for this weekend," because all that earns you is a lousy evaluation and a look of stern disappproval.
So, yeah, sometimes you have to flake out. Rotations can be more intense than you thought, schedules change, things happen. Welcome to life as a physician.