I did well in med school and can recite the differential of a tall R wave in V1, and matched well, but I can't do residency. My body and mind are simply breaking down. I want to get in my car, drive home, and never look back. I nearly got in a car crash yesterday because I was too tired to drive properly. I haven't brushed my teeth in days. I can't do this. What can I do? I am so worried about talking to my program director, it would be so foolish if they wasted a residency spot on a failed resident like me. I would also be letting down all the interns that would have 1 fewer person to share the load with. I don't know what to do besides continue to suffer in a way that I just can't take anymore. Should I just tell my program director this, finish the block, call it quits? Would that be the end of ever being a doctor? I almost don't really care. I just want to know before I sit down and talk to him. Please help me.