I am going to make a confession. I too, along with 1000s of doctors once suffered from #burnout. During residency, I thought about quitting pretty much all the time. I burned out again through my professional life. Now, that I have overcome it, I’ll tell you what I learned. 1/ For me, the greatest contributor to burnout was fatigue. In residency it was physical combined with mental fatigue with the sense of loss of power over my own person. (That was in the ‘90s, so put it in perspective). This is pretty common among trainees. Winters were worse. 2/