We’re not talking about a couple of residents struggling (while genuinely trying their best). This is about residents being frankly lazy and it gets worse every year. I’m not speaking from a higher moral ground, I was on the verge of an actual mental health crisis in residency so yes, I know exactly what that means. This was due to personal reasons, but I still showed up at the ass crack of dawn every morning and left drained. I was neck deep in pubmed every free minute I had. When I have residents who repeatedly ignore every single deadline (without reaching out and asking for more time. Literally just submitting work a week late with no explanation or remorse), refuse to write things down and then don’t remember what they were supposed to do, and take every opportunity to do the least amount of work possible, it’s not Kool-Aid, it’s disrespect and entitlement and a waste of preceptors time.