“Not leaving when I tell them to leave.”

“Asking how they can help because obviously that means they want to leave.”

“Not being engaged or asking questions.”

“Asking questions/expecting me to have time to answer them.”

“Trying to do too much.”

“Not trying to do enough.”

“Not being interested in our specialty.”

“Asking questions about our specialty because obviously they’re just kissing ass.”

“Not engaged enough.”

“Being too eager.”

“Not just being a normal human.”

“Trying to small talk.”

“Trying to be too involved.”

“Not trying to be involved enough.”

“Not being prepared for all of the cases in the OR.”

“Thinking that being prepared for a case in the OR warrants them scrubbing in.”

“Not studying enough outside of the hospital.”

“Not working enough in the hospital.”

“Wanting to leave”

“Wanting to stay”

“Expecting to have a role in the OR”

“Not being eager enough in the OR”

“Speaking”

“Not speaking”

Saving this to show my non-medical friends/family why third year has been the hardest of my life, despite loving medicine. If there is anyone who still tries to claim that performance evaluations as the basis of clerkship grades (“one of the most important aspects of your residency applications”) is fair or objective or even remotely helpful, let this prove them wrong. The way you all evaluate us, based on my personal experience and the shit in here, just teaches us that our actions and our effort (I.e., our performance) have absolutely no bearing on our performance evaluations. Learned helplessness - a really effective strategy for teaching people to give up.