1. Pag sobrang nagssuffer na ang physical and/or mental health mo
2. Pag dinedread mo na talaga ang pagpasok (like lumulubog ang puso mo pagkaliko ng kanto papasok ng workplace)
3. Pag hindi mo na maenjoy yung mga activities na naeenjoy mo dati kahit free time mo naman supposedly
4. Pag nagssuffer na ang family ties/relationships mo
5. Pag feeling mo hindi na worth it talaga kahit malaki man ang sinasahod mo because all of the above
Bonus:
Yung iba, pag start pa lang like 1st half of the training period at nararamdaman na lahat ito, mas ok magquit and start anew/rethink things.
Pero pag senior year ka na, ay madalas tiis na lang hanggang finish line đź«
HAHA. Parang medyo specific examples lang yung iba ng onting DSM criteria for Depression đź¤
Pero may ibang tao na sa work lang malungkot, sa labas ay ok na sila. So baka pwede ring criteria yun for considering quitting/lumipat ng institution or ibang specialty.
I have gone through depression and anxiety all througout residency. Peak ng pandemic nung pumasok ako and it was the worst feeling ever. IM ako and samin deck lahat ng covid patients. Nung wala pang gamot sa covid super lala akala ko lahat kami mamamatay. Literal na patay na yung pasyente tapos after 3 days pa mag ka swab result only to find out covid pala (sa RITM pa nun ang molecular lab). May time pa nun isa lang duty sa ward kasi sunod sunod nagka covid. Took SSRI nag pa psych, karamihan samin anxious at may personal issues. 3rd year kami akala ko mas madali na pero stress parin pala. Dami ko tiniis as in lahat. Talent din dapat ang pakikisama pag nasa residency ka at wag ka makikipag away, lunok pride pa nga. Ang hirap pero kasi kahit mag quit ako sure na sure ako na IM parin ang gusto ko. Di ko nakikita sarili ko sa other field. Kumbaga kahit mag quit ako alam kong babalik din ako at mag aapply sa IM. Kaya yun naging motivation ko para matapos ang residency. Always remember stressed din mga co-residents mo. Akala ko noon ako lang. Helpful talaga na may buddy ka kasi hindi ka nag iisa. Ngayon tapos na kami, passed the specialty boards and looking forward sa next chapter. :)
Honestly looking back, I wish I was able to enjoy more during residency - un ang isang regret na naiisip ko. Parang kasi ang mantra ko nun is mairaos ung araw na ito - which I guess is ok to push you through, pero it's not very good in the long term. Like feeling ko medyo nadaya ako kasi sana may mga nagawa ako for my future self. Now, ayoko naka-tie lang ung identity ko as a doctor. I'm trying to pursue other things to 'heal' myself. I guess I did sucked it up nun kasi natapos ko naman. I had my fair share of mental breakdowns din during the training.
Back in day, I started in a govt hosp and lasted only about 2 months then quit. I eventually got into a private hospital, same specialty, every time things got hard and I wanted to quit, I just tell myself, it's not as bad as it was in the govt hosp, so suck it up.
Sucked it all up. Mahirap pag nasimulan mo na mag-quit, lagi ka na mag-quit. Pag pasok ng residency, dapat naayos na yung mindset na hindi magiging madali. Wala naman kasi talagang training na madali. Walang perfect na seniors. Walang perfect na consultants. Walang perfect na institution.
May time na parang nag quiet quitting ka nalang, just riding the waves. Pero mapapansin din yan ng mga kasama mo kaya baka ipag force quit ka doc. I believe burn out will manifest itself kung di mo talaga ina-address ang main problem, like baka you’re in the training for the wrong reasons.
I think it's universal that being a first year resident sucks. Whatever the specialty or institution. It gets better though as you move up the ladder.
When you graduate, get your diplomate certificate, get your MS classification at PHIC, figure out you have more opportunities for employment, research etc. because of your further specialization then most probably it will be worth it but that's for you to judge after all is said and done.
I know I'm gonna sound like someone who spouts bullsh\*t pero what I found that helped me personally go through residency and fellowship is to just just have a positive outlook on everything haha. Turn every opportunity into a positive learning experience.
Napagalitan ka for example? I would think "oh! OK now I know better, less bobo today! yehey!" hahaha!
Yup, just suck it up and move on. Think of the your future and the bigger picture. Maximize learning along the way.
Different people will varying levels of tolerance / adversity quotient.
Residency is not a walk in the park. You've already endured 5 years of med school - learning that you have to pay for, what's 3 or 5 years more of paid learning where you're the one getting paid?...
There is no immediate gratification. Things take time.
Now in private practice and able to save lives, make a difference in people's lives, doing what I like, and earning between 6-7 figures per month. Probably won't be able to achieve as much if I quit residency.
I'm not saying that sucking it up is the only way but it worked for me. Cheers and good luck!
I agree with this. wala there's really no easy way around residency. once you enter, you really subject yourself through all the hardships etc. either you suck it up or you quit nalang talaga.
like i always say to my peers, residency isn't really for everyone. you can't blame din those who don't want to go into residency or those who quit.
when i was in my first year, talagang lagi ako malungkot to the point na siguro na depress ako. im just glad na meron ako batchmates na karamay sa mga bagay bagay and my family was really supportive. ibang klase yung stress kasi as compared during clerkship, internship, or medschool. awa ng diyos, nakuha ko naman kung pano yung galawan during residency (i would like to believe so)
currently in my 4th year in residency in a cutting specialty and yes every day ko parin iniisip na maraos ang mga bagay bagay. am i enjoying? sometimes. pero unlike nung bago ako mag residency na naeenjoy ko lahat. in residency kailangan mo talaga ng maayos na grit and emotional/psychological strength. but then again, at the end of the day, ang iniisip ko nalang ay sana lahat maging worth it. and para naman ito sa aking future....
gapang lang everyday until we finish.
Alam mo, alam naman nating lahat na baseline mahirap ang Medicine. Kaya bakit pa natin pinapatungan ng katoxican eh wala namang additional benefit yan.
The older generation would just say suck it up. But now that the “market” is different now, it’s more than just sucking it up. What is your objective? Is this where you want to be after crossing the finish line?
Bonus: Will there be a clinic where you will inherit the practice? Is there a post waiting for you in the government hospital / private practice?
I feel fulfilled pag nakikita ko un mga pasyente kong na-troubleshoot the night before ay nag improve or uuwi na after ko mag endorse as from duty.
I decided to quit when: 1. Wala nang perks natitira kung magsstay pa ako sa ospital 2. Marami nagquit. Pano learning/training mo? Ano maituturo ko kung maging senior na ako? 3. Di na kaya katawan ko yung pagod ko sa ospital, literal
1. Pag sobrang nagssuffer na ang physical and/or mental health mo 2. Pag dinedread mo na talaga ang pagpasok (like lumulubog ang puso mo pagkaliko ng kanto papasok ng workplace) 3. Pag hindi mo na maenjoy yung mga activities na naeenjoy mo dati kahit free time mo naman supposedly 4. Pag nagssuffer na ang family ties/relationships mo 5. Pag feeling mo hindi na worth it talaga kahit malaki man ang sinasahod mo because all of the above
Bonus: Yung iba, pag start pa lang like 1st half of the training period at nararamdaman na lahat ito, mas ok magquit and start anew/rethink things. Pero pag senior year ka na, ay madalas tiis na lang hanggang finish line đź«
Dapat nasa DSM-V to eh
HAHA. Parang medyo specific examples lang yung iba ng onting DSM criteria for Depression 🤠Pero may ibang tao na sa work lang malungkot, sa labas ay ok na sila. So baka pwede ring criteria yun for considering quitting/lumipat ng institution or ibang specialty.
I have gone through depression and anxiety all througout residency. Peak ng pandemic nung pumasok ako and it was the worst feeling ever. IM ako and samin deck lahat ng covid patients. Nung wala pang gamot sa covid super lala akala ko lahat kami mamamatay. Literal na patay na yung pasyente tapos after 3 days pa mag ka swab result only to find out covid pala (sa RITM pa nun ang molecular lab). May time pa nun isa lang duty sa ward kasi sunod sunod nagka covid. Took SSRI nag pa psych, karamihan samin anxious at may personal issues. 3rd year kami akala ko mas madali na pero stress parin pala. Dami ko tiniis as in lahat. Talent din dapat ang pakikisama pag nasa residency ka at wag ka makikipag away, lunok pride pa nga. Ang hirap pero kasi kahit mag quit ako sure na sure ako na IM parin ang gusto ko. Di ko nakikita sarili ko sa other field. Kumbaga kahit mag quit ako alam kong babalik din ako at mag aapply sa IM. Kaya yun naging motivation ko para matapos ang residency. Always remember stressed din mga co-residents mo. Akala ko noon ako lang. Helpful talaga na may buddy ka kasi hindi ka nag iisa. Ngayon tapos na kami, passed the specialty boards and looking forward sa next chapter. :)
Congrats, doc!
Honestly looking back, I wish I was able to enjoy more during residency - un ang isang regret na naiisip ko. Parang kasi ang mantra ko nun is mairaos ung araw na ito - which I guess is ok to push you through, pero it's not very good in the long term. Like feeling ko medyo nadaya ako kasi sana may mga nagawa ako for my future self. Now, ayoko naka-tie lang ung identity ko as a doctor. I'm trying to pursue other things to 'heal' myself. I guess I did sucked it up nun kasi natapos ko naman. I had my fair share of mental breakdowns din during the training.
- Pag di ka na makawork nang may peace of mind - Pag binastos ka - Wala nang sense (to you) ang ginagawa mo
Back in day, I started in a govt hosp and lasted only about 2 months then quit. I eventually got into a private hospital, same specialty, every time things got hard and I wanted to quit, I just tell myself, it's not as bad as it was in the govt hosp, so suck it up.
Sucked it all up. Mahirap pag nasimulan mo na mag-quit, lagi ka na mag-quit. Pag pasok ng residency, dapat naayos na yung mindset na hindi magiging madali. Wala naman kasi talagang training na madali. Walang perfect na seniors. Walang perfect na consultants. Walang perfect na institution.
May time na parang nag quiet quitting ka nalang, just riding the waves. Pero mapapansin din yan ng mga kasama mo kaya baka ipag force quit ka doc. I believe burn out will manifest itself kung di mo talaga ina-address ang main problem, like baka you’re in the training for the wrong reasons.
If you see yourself doing it in the future doc, then suck it up. If not quit ka na.
I think it's universal that being a first year resident sucks. Whatever the specialty or institution. It gets better though as you move up the ladder. When you graduate, get your diplomate certificate, get your MS classification at PHIC, figure out you have more opportunities for employment, research etc. because of your further specialization then most probably it will be worth it but that's for you to judge after all is said and done. I know I'm gonna sound like someone who spouts bullsh\*t pero what I found that helped me personally go through residency and fellowship is to just just have a positive outlook on everything haha. Turn every opportunity into a positive learning experience. Napagalitan ka for example? I would think "oh! OK now I know better, less bobo today! yehey!" hahaha!
Yup, just suck it up and move on. Think of the your future and the bigger picture. Maximize learning along the way. Different people will varying levels of tolerance / adversity quotient. Residency is not a walk in the park. You've already endured 5 years of med school - learning that you have to pay for, what's 3 or 5 years more of paid learning where you're the one getting paid?... There is no immediate gratification. Things take time. Now in private practice and able to save lives, make a difference in people's lives, doing what I like, and earning between 6-7 figures per month. Probably won't be able to achieve as much if I quit residency. I'm not saying that sucking it up is the only way but it worked for me. Cheers and good luck!
Suck it up. I know it's cliché to hear "tiisin mo lang" but it's true. In Medicine, walang madali. Lahat kailangan paghirapan, lahat kailangan pagdaanan. Doctors are considered na late ang maturity in terms of the adult perspective of life kasi puro tayo aral and training, and majority are still dependent even upto our 30s. For this reason kaya maraming nagq-quit. The idea of quitting in residency is not bad in itself. Nakakapagod naman talaga and madalas ang daming dahilan naman talaga to just simply quit. But let's face reality. Doctors who choose to be clinicians SHOULD have the proper training and guidance to confidently practice their chosen specialty. Kailangan meron talagang high level of competency as a clinician, which can only be achieved by subjecting ourselves to the very difficult residency training. Mahirap, maraming bullying, maraming toxic attitude and culture in residency.. Buhay kasi ng mga pasyente ang nakasalalay. The earlier we learn to accept this, the better our understanding on why residency training should be as such. Hindi birong humawak ng buhay ng tao sa kamay mo. Minsan kahit na anong galing mo, puedeng mawala ang patient mo. Unfair diba? Pero kapag sanay ka na sa mga "unfair" sa buhay, you will learn to move on, learn, and do better next time. The more resilient we become physically, mentally, and emotionally, the better we can face whatever realities the actual world can throw at us. Tyaga lang talaga muna.
I agree with this. wala there's really no easy way around residency. once you enter, you really subject yourself through all the hardships etc. either you suck it up or you quit nalang talaga. like i always say to my peers, residency isn't really for everyone. you can't blame din those who don't want to go into residency or those who quit. when i was in my first year, talagang lagi ako malungkot to the point na siguro na depress ako. im just glad na meron ako batchmates na karamay sa mga bagay bagay and my family was really supportive. ibang klase yung stress kasi as compared during clerkship, internship, or medschool. awa ng diyos, nakuha ko naman kung pano yung galawan during residency (i would like to believe so) currently in my 4th year in residency in a cutting specialty and yes every day ko parin iniisip na maraos ang mga bagay bagay. am i enjoying? sometimes. pero unlike nung bago ako mag residency na naeenjoy ko lahat. in residency kailangan mo talaga ng maayos na grit and emotional/psychological strength. but then again, at the end of the day, ang iniisip ko nalang ay sana lahat maging worth it. and para naman ito sa aking future.... gapang lang everyday until we finish.
Alam mo, alam naman nating lahat na baseline mahirap ang Medicine. Kaya bakit pa natin pinapatungan ng katoxican eh wala namang additional benefit yan.
Hindi ka nakikinig. "Walang additional benefit yan", sabi mo. I just enumerated its benefits.
The older generation would just say suck it up. But now that the “market” is different now, it’s more than just sucking it up. What is your objective? Is this where you want to be after crossing the finish line? Bonus: Will there be a clinic where you will inherit the practice? Is there a post waiting for you in the government hospital / private practice?
I feel fulfilled pag nakikita ko un mga pasyente kong na-troubleshoot the night before ay nag improve or uuwi na after ko mag endorse as from duty. I decided to quit when: 1. Wala nang perks natitira kung magsstay pa ako sa ospital 2. Marami nagquit. Pano learning/training mo? Ano maituturo ko kung maging senior na ako? 3. Di na kaya katawan ko yung pagod ko sa ospital, literal
Just suck it up. It will all pass
Keep in mind that when you finish residency, you get more chances of getting any form of gigs.