It's encouraged to not sleep away the fast unnecessarily. Or sleep more than you need. However, if you decide to work at night and sleeping during the day might be better, that is fine. ( like, the unusually demanding job of being a medical resident)
Well, I've always thought between scheduling a lighter rotation/using vacation time/ or working nights, something will work out.
I'm just more surprised that even during M3 and M4 sick time is an issue. I always assumed students don't have enough responsibility for that to be an issue. My issue during Ramadan is the debilitating dehydration headaches I get for the first couple of days. Dizzyness, pain, vertigo, pain that worsens when I move, is enough to leave me in bed. I don't even break my fast when that happens- just take two Advil, wait for it to kick in, and then eat something.
That's for like, the first two or three days, and then another couple of random days throughout. Most days I am fine. Even then, I wouldn't need the whole day off. It would be something like, I worked 8 or 9 hours out of 12 and now I can't move. I can't help but think that needs to work out somehow. Also, Ramadan has been moving up the calendar. This year, Ramadan was the month of May, so 15-16 hour fasts. If I make it to med school, M3's Ramadan will be the month of April, so like, 14-hour fasts. If I make it to residency, it'll be the month of March, 12-13 hours fasts, which may be easier enough anyway.