In honesty... some parts of it really beat you down. Seriously.
Yeah sure, it's hard from an academic point of view, but we knew that already. I'm talking about from a stress point of view. The stress of not having a clue what your chief resident thinks about you when he determines 25% of your grade. The stress of a shelf that seemed easy, until you took a practice test and got 6 out of 10 questions wrong. The stress when your service has three new patients and you know absolutely nothing about their conditions. The stress of thinking about the future and your residency, and having doubts about how competitive your CV is compared to the gunners who post on SDN. The stress of doubting whether MDs have much of a future at all in a field increasingly dominated by non-medical people in insurance/Medicare, and the nurse practitioners who take their orders, both wishing to remove individual thought process from patient care and institute "cookbook medicine."
And then there are the patients. The 35 year old mother of two who has a cerebellar stroke, courtesy of her chiropracter. The nice middle-aged lady with a GBM. The 14 year old kid with sickle-cell so bad, she has terminal pulmonary hypertension. The 37 year old Army veteran living under the 2nd Street bridge with booze as his only friend. The diabetic who refuses to follow a sane diet. The drug addict. The neurofibromatosis patient. The HCC lady. The runaway-lupus lady. All are people that you can't help.. the resident can't help... the attending can't help, no matter how much education you have and no matter how hardcore a gunner you were in med school or undergrad.
To be honest.
Sometimes I browse this premed forum just to recall my own enthusiasm and idealism a mere four years ago.
But on the other hand... it's a real job. We aren't just shuffling around money from one account to another and calling it a career. We aren't spending 95% of our time reading or writing endless boring legal briefs. We aren't spending our days speculating on the commodities or real estate market.
So the point is... wait... I guess I don't have a point here!