摘要: After medical school, junior doctors demonstrate evidence of burnout. This is a longstanding problem that has been discussed and researched for years. It referred to as traumatic de-idealisation 10 assumed represent an attitude passed down from more senior doctors. Testerman et al., however, suggest another way looking at the phenomenon, as: temporary by-product harsher aspects professional socialisation process, phase corresponds with student s struggle develop identity while surviving demanding academic clinical challenges in complex ambiguous ethical environment. 11 (p 43) The latter explanation encompasses wider range possible causes this erosion empathy, which we might add inherent vulnerability many people who choose medicine career. In novel approach, Marcus hypothesises clues be found students dreams, he collected almost 400. He suggests start out fantasies becoming hero-healers , but find themselves moving on masochistic then sadistic help them deal anxiety-provoking experiences are part territory education, they encounter every stage dissecting room palliative care unit.