As a first year residency student in the department of internal medicine at Yale-New Haven Hospital, Pranay Sinha is facing the "internal pressure to excel  more than ever before. Sinha has recently graduate medical school and is now experiencing what students and interns call the "fledging  period. The students recently released on their own are now expected to act as "untroubled professionals even in their darkest and most self-doubting moments , which according to Sinha, is a very common thing for most entering the medical field to face. The drastic increase in responsibility is the biggest concern and the most overwhelming item for most interns. The doctors and interns are in charge of everything that goes on for up to ten patients at one time. "As medical students, many feel compelled to work hard and excel, and their shortfalls were met with reassurances: ˜It will all come in time.'  With the students, now doctors receiving their degrees and being put to the test by increasing the workload and having many people trust them with their lives. It seems to put a lot of pressure on the professionals which can cause mental breakdowns, mental illness, and in far more severe cases death by suicide. Doctors are looked upon as high paid professionals who are perfectly content with their life. However, the emotional baggage they carry when they perform certain tasks such as signing their first death certificate or telling a patient that have cancer can create a burden like no other. Most medical professional are unsure of how they should care for their selves, they are constantly reflecting on what they could have done to change an outcome and are bringing themselves down one day at a time. Sinha speaks from experience and her opinions on the current situations. Sinha tells the story in a way that allows ones to make connections to things outside of the medical field. She states "we need to be able to voice these doubts and f