Pauline W. Chen, MD, offers an essay in the New York Times on her emotionally and physically draining experience at medical school. "I was poorly prepared for many things: the pressure to excel in ways that seemed so far from caring for people; rapidly mounting debts I signed off on every semester; a roller coaster existence from chronic lack of sleep; hazing from the more experienced students and residents; and the realities of patient suffering despite my best efforts," Chen writes.