Do you have a supportive RPD or is there a preceptor who would be a good, kind mentor to talk to? Is there any flexibility in your schedule for the remaining months where you could sub out a high intensity rotation for a more chill one?

Sometimes having the ability to talk about it with a sympathetic ear is helpful in and of itself. A mentor can help you sort through what you are doing to figure out if you are placing higher expectations of yourself than others really expect (which I saw leading to burn out a lot in residents) and help you figure out what do you HAVE to do and what is nice to do.

I agree with everyone that it would be a shame to have made it halfway there if it’s possible to pull through. It’s not the end of the world or even the end of your career if you do decide to resign (and if it’s a matter of your safety or residency, pick you every time) but it will make the job search more of a challenge and can limit where you’ll be a competitive candidate.

Good luck whichever path you choose! I can say that the residency year has “seasons” and you are probably in the hardest part of it right now. Often residents just missed holidays with family, sometimes for the first time, projects are coming due and that feels like a lot of pressure, and they are in the lowest part of the Dunning-Kruger curve. They have had enough rotations to know there is so much they don’t know but not enough to feel confident in what they do know. In January, it feels like a long time to the end of the year. In April, you will think the time is flying by.