Dear future doctor,
If youâre reading this, you might be sitting in front of your laptop – burnt out, overwhelmed, and asking yourself:
âAm I really cut out for this?â
âWhy does it feel like nothing I study is sticking?â
âMaybe Iâm just not smart enoughâŠâ
Let me stop you right there.
This letter is for the med student who feels like giving up. And I want you to hear me, from someone whoâs been there:
You are not failing.
You are not alone.
And you are not the only one feeling this way.
The truth about studying for USMLE
Studying for USMLE is one of the most intense, isolating, and emotionally exhausting periods in medical school.
You might be doing everything âright.â Watching videos, grinding UWorld, making Anki cards, and still feel like youâre not making progress.
You might be falling behind your study schedule, scoring lower than you hoped, and wondering if this dream is slipping away.
And when you see other students posting their NBME scores or breezing through concepts youâre still struggling with⊠it only makes it worse.
But hereâs the truth I wish someone had told me when I was in your shoes:
Struggling doesnât mean youâre not going to make it. It means youâre in the middle of growing.
I almost gave up, too
When I was preparing for Step 1, I hit a breaking point.
I had a full study schedule mapped out. I had my resources lined up.
But my UWorld percentages were low. I was constantly falling behind.
And I vividly remember one day, sitting at my desk, surrounded by notes, when I broke down crying.
It wasnât just about the exam. It was this sinking feeling that maybe I wasnât cut out to be a doctor after all.
That maybe the people who doubted me were right.
That maybe I just didnât have âit.â
But I didnât give up.
And now, as a doctor and a USMLE tutor who has worked with hundreds of students, I can tell you: Almost every single one of them had a moment like that, too.
Itâs okay to feel tired
Youâve been working so hard, for so long.
And the worst part? Thereâs no instant reward. Thereâs no applause for doing and reviewing 120 questions for the 10th time. No oneâs watching you do Anki at 10PM.
But I see you.
And I want you to know: itâs okay to feel exhausted.
What youâre doing takes grit. It takes courage.
If you feel like quitting right now, it doesn’t mean youâre weak.
It means you’re human.
Take a breath.
Maybe take a short break.
And then⊠come back. Not because you’re not allowed to rest.
But because deep down, you still believe in this dream.
This is not the end
Maybe you didnât do well on your last NBME.
Maybe your progress feels slow.
Maybe your friends are already scheduling their exams while you’re thinking of postponing.
But your timeline is still valid.
Your path is still yours.
Not everyone is supposed to be on the same schedule, and success isn’t always loud and linear. Often, itâs quiet and messy and full of setbacks.
And still⊠it counts.
What to do when you feel like giving up
If youâre in that dark place right now, hereâs what I want you to try:
âïž 1. Write a letter to your future self
What do you want âDr. Youâ to know? What are you fighting for?
Put it all down. This becomes your why when things get hard.
đ 2. Shift your focus from outcome to process
Donât obsess over your last UWorld score. Instead, ask:
- What did I learn today?
- Did I stick to my routine?
- Am I improving compared to last week?
Progress hides in the little details.
đ§ 3. Use active learning strategies
When you’re overwhelmed, itâs tempting to go passive. Just watch another video, reread a page, highlight. But those arenât the tools that move you forward.
If you want to study smarter (not longer), use:
- Spaced repetition (like Anki)
- Active recall (quizzing yourself, teaching the material)
- Practice questions (and reviewing them properly)
These techniques (and more) are all broken down in my Step 1 Strategies eBook. Theyâre the reason I finally started making progress, and the reason my students now do, too.
đ€ 4. Talk to someone
Whether itâs a mentor, a friend, or a fellow med student. Donât isolate yourself.
Youâd be shocked how many of them are feeling the exact same way, but think theyâre the only ones struggling.
You are not behind. You are becoming.
This might be the hardest chapter of your journey, but itâs just that: a chapter. Not the whole story.
There is a version of you who passes this exam.
Who walks across that stage.
Who wears the white coat with confidence.
Who saves lives and makes a difference.
Donât let this difficult moment convince you that version of you doesnât exist.
She does.
He does.
You do.
So if youâre sitting there wondering if you should give up, let this letter be your sign:
You were made for this.
And even if today is hard, youâll rise again tomorrow.
You got this.