<unk>  is defined as an imbalance between environmental conditions necessary for survival and the ability of individuals to adapt to those conditions.<unk>  has been recognized for a long time. Many studies have explored the causes, consequences and solutions. There are three issues considered to be the most relevant, in terms of<unk>  development in<unk><unk> . They are required to learn a great deal of new information in a short period of time before taking exams and evaluations. Therefore, they have little to no time to review what they have learned.<unk><unk>  are overloaded with a tremendous amount of information. They have a limited amount of time to memorize all the information studied. The overload of information creates a feeling of disappointment because of the inability to handle all the information at once and succeed during the examination period. Many<unk><unk>  struggle with their own capacity to meet the demands of<unk>  curriculum.<unk>  responses to different situations vary at different levels of consciousness, psychological<unk> , and physiological<unk> . These points of<unk>  may be interrelated, and each may be at a different level. Many people believe that the most<unk> ful period of a<unk> <unk> s academic career is the gap between graduation from<unk>  school and being board eligible in a<unk>  specialty. The Resident Service Committee of the Association of Program Directors in Internal Medicine (APDIM) divided the common<unk> ors of residency into three categories: situational, personal, and professional. Situational<unk> ors include inordinate hours, sleep deprivation, excessive workload, overbearing clerical and administrative responsibilities, inadequate support from allied health professionals, a large number of difficult patients, and conditions for learning that are less than optimal. Second year<unk>  experience other<unk>  situations because they start to interact with the patients. These interactions include<unk> ful situations, like the delivery of bad news. Personal<unk> ors include family, friend and relationship issues. Financial issues are common, as many residents carry heavy educational debts, and they feel compelled to hold a secondary job in order to repay their debts. Isolation is frequently exacerbated by relocation away from family and friends. Other<unk> ors include limited free time to relax or develop new support systems, psycho-social concerns brought by the<unk>  of residency, and inadequate coping skills. Professional<unk> ors include responsibility for patient care, supervision of more junior residents and<unk> , difficult patients, information overload and career planning.
Stress in medical students
At risk mental state
Mental illness in fly-in fly-out workers
Sudden cardiac death of athletes
Post-traumatic stress disorder among athletes
Suicide among doctors
Illness and injuries during spaceflight
Suboptimal health