I am a keyboard player and I was really apprehensive about med school for fear that I'd have to give up something I already loved to try to do something I may love. During med school, esp 1st 2 years I could still easily play church services and other gigs, but didn't do a whole lot of community service etc. (did research instead and some other things occasionally). 3 rd year slowed down a little, but I hung in there. I was burning the candle at both ends and by 4 th year I realized that I'd have to give it up to a large degree in internship. So far I have had to give up playing live for months at a time, and have struggled to find motivation to play at home during my free time (where sleep or reading takes priority). Once I take step 3, I am going to make it a priority to play at least 3x weekly because it's that important to maintain my sanity. So, long story to say that you have to make your passions your priority with the allotted free time you have. And yes in internship this means losing sleep often, but it's worth it. Also, by keep ur skills up and/or producing, the extra money doesn't hurt.