In every job in every moment there are people who have a 'get me out of this' I absolutely @*%$ hate it phase. Life is like that and so are jobs that are mundane or jobs that have working conditions that are just beyond awful. Often there is no way out because of debt, mortgages, kids etc Just because you are in medicine is no different. Firstly separate out your human emotional and physical needs. If necessary go sick and get medical help for your burnt out head space. You should never make a rash decision when you are exhausted. If you are not that far gone then take some time out to do all the things you need to regain calm and peace in your head. Get out into wide spaces, beautiful scenery, green spaces and just let all the worries in your mind leave you for that time you are there. Then come back to the logical of what am I going to do next? Yes you can throw away so many years of intense study, hard work down the toilet if you make a decision based on being exhausted. The trick is to build on what you have gained and never burn your bridges. This 'bad' phase won't last forever and then you have a lifetime to decide what you want to want to do with the skills and knowledge you have. It doesn't have to be a hospital (prison) for the rest of your life. You have no perspective right now because you are living in it. Go and talk to your tutors, your mentors and your colleagues and work out what options you have to regain a sense of control. Then you will realise you do have a choice. You may hate your environment, your work but there will be an end point to it, and it doesn't have to be a hospital. Speak to someone to get welfare support. In between you need to know what you can do to make life bearable. Bailing out will always be your choice, and an end point. That is always an option but explore absolutely everything so you know where your routes are out of medicine are and what you can do with what you have right now. Get your sleep banks fully loaded and then make decisions from a mind that is in a good place.