3 replies to this topic

[3mp0w3r]

So I am in a country where medical education is dragged out for a long time.  I am at 5 years post med school and have worked long hours with sleep deprivation.  Motivation has suffered as a result.

I am getting close to the final stretch.  I find myself fairly burnt out and having difficulty focusing on studying.  Its tough working full time and studying but I should be kicking things into high gear now.    I switched out of a very negative workplace and now find myself with more spare time.  I am not using it effectively.  Solutions that involve time off are not an option.  I need to make a dramatic change and make it quickly.

 

I have no desire to see a psychologist etc.  Not interested in hearing about sleep hygeine or exercise etc.  I am interested in suggestions involving meds, or supplements or foods or anything else that you might think is helpful.  

 

 

[Adaptogen]

you could try meditation to help your will power. there is a very good outline of a practice here: http://www.longecity...ndpost&p=659651

 

also amphetamines, phenylpiracetam, adrafinil..lots of coffee/tea..

[xks201]

Adrafinil or modafini

[3mp0w3r]

I have some modafanil and it is good for the fatigue portion.  After working random evening shifts you are in a state of fatigue and fog and the mod helps lift that.  However, it doesn't seem to help with the motivation part.  

 

I think part of the burnout factor is the shear length of time at this.  We are talking 10 years since starting med school and I was studying and working before that.  

Motivating myself with long term goals used to be easier.  Even setting short term goals seems tricky.  I suspect part of the problem is that with medicine working your ass off usually means that you get more stress instead of less.

There is a negative reward system involved.  Telling yourself that everything will improve once you get to the next level can wear thin (even if it is true).