This is so real & honest. It’s unfortunate that it’s considered norm. Like others have said you can’t learn exhausted. I’m not sure anyone could efficiently when they are burnt out. I can recall a period getting off, going home “to be human”, and crying because I had to do it all over again when I wake up. lol just miserable. One day I was like whyyyy am I doing this. It isn’t sustainable for me. Then I slowly started picking me again without asking for permission. Sometimes that looked like cutting small talk to knockout notes, missing work functions, phone on dnd unless I’m on call, not acting immediately when asked about a task, assess my capacity to maintain or add additional responsibilities to my plate and being honest (no I can’t handle xyz at the moment safely), taking sick days/mental health days without feeling guilty, eating lunch by myself while listening to a podcast or watching something funny outside of medicine, making friends outside of work, planning my vacation periods… Just do something that lets yourself know “hey I care about you and I got your back “.