What are the biggest challenges faced in the first year of PG residency?

Interested to know that what are the biggest challenges first year PG residents face ?

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PGY1 is called internship in the USA. Lot of hard work, scut work and longer duty hours (better now as more regulations have kicked in).
This, just be ready for a strenuous one year- this mindset helps sail through first year. Familiarize yourself with clinical work, protocols and general functioning of the units (ward), computer system (EMR) and such related.

As a first-year PG resident, some biggest challenges include:

Heavy workload: Managing long hours, complex cases, and academic responsibilities.
Time management: Balancing clinical duties, studying, and personal life.
High expectations: Dealing with pressure from peers, mentors, and patients.
Emotional stress: Coping with life-or-death situations and patient care responsibilities.
Adjusting to new responsibilities: Transitioning from student to doctor role.

These challenges require resilience, adaptability, and effective coping strategies.