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No doubt that internship is physically, psychologically, and morally taxing; and that there are more enjoyable--and perhaps fruitful--ways of spending a year of one's life. Yet some of us manage without becoming too embittered while others become "toxic" and frustrated. What's the difference?
Internship is a necessary evil. Unfortunately 90% of one's time and effort is spent doing rather unenlightening things--but you still have to go through it because the remaining 10% you just can't get anywhere else except by being the junior house officer on the line at 3 am when your patient's urine output and blood pressure are sinking.
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One intern told me yesterday that she used the F-word in the middle of a supermarket after the cashier refused to accept her check for 12 bags of groceries. "I'm never like that!"
Another fellow intern asked me how I put up with it especially since I'm a bit older and could easily have chosen a different career path.
I don't know.
I can only guess that some mechanism in me extracts or perceives the good things over the bad things. I wish I had a formula.
Perhaps it's the little things. After rounding my patients a second time in the late morning and checking their labs, I walked over to the Duke Gardens. And looking across the greensward, with squirrels stirring the leaf litter behind me, an Indian Summer sun, the gothic edifice of Duke South rising in the distance, I could feel the knots loosening a little, probably just enough for me to maintain my sanity.
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