I am finding some aspects of 3rd year really rewarding and interesting, but I am stunned by the blatant, rampant use of med students as unpaid (in fact, paying) and massively overworked drones. The Q3- or 4 call nights, for example--how can students learn effectively when they are exhausted? Or: I really don't learn much from seeing 20 runny noses during a long day at the clinic, and after that I come home and sit down to teach myself the huge volume of stuff I actually need to learn for the shelf exam. That's crazy. What amazes me is that no one blinks at this, and that students aim to please no matter how absurd things get. I know that what keeps the whole system floating is students' need for everyone else's approval in order to move on to the next point in our careers, but it is very disappointing. Maybe I'm naive, but I had hoped for better. Any other opinions on this?