Friday Factoids Catch-Up: City Interns Have Higher Burnout!

City Interns, have higher burnout rates!

 

Or, one current intern’s shameful –but heartfelt-plug, to incoming interns.

 

Going through this stressful ordeal only one year ago, I often wondered about the creators of the psychology internship process? Obviously, self-care, mindfulness and mental health were not the cornerstones by which this gem was hatched. The process starts when you are at the final stages of finishing your academic year, in addition to practicum (thankfully no other life exists outside these two realms for us budding psychologists).

 

Forcefully sucking out any refreshing accomplishment air, you attempt to gasp as you scramble to get your letters of recommendations and essays written before those heart stopping due dates. And as the first official semester break (and I use the term ‘break’ very loosely) approaches, you gather with family and loved ones to celebrate Thanksgiving; those infamous letters start arriving! I mean really….Can’t we just at least enjoy a turkey leg in peace, without feeling so relentlessly pressured? I remember thinking about those sites who choose to send their rejection letters the day before, or day of Thanksgiving. Seriously? At least the pilgrims had the heart to offer corn before the big fallout. I simply emotionally bandaged myself up that day, comforted myself (CBT style), bowed my head with the rest of the family at the dinner table, and offered my own secret version of the Thanksgiving prayer:  “Dear God, thank you for a bullet well-dodged.”

 

It is sometimes painful to watch what we psychologist do to each other, in the name of advancement. Not to mention our statisticians and psychometricians who for some reason fail to recall that the holiday seasons usually marks the height of suicide rate among our population and possibly not the best times to send those letters. Perhaps maybe it Freudian-slipped their minds. Nevertheless, we students bear and push through the pain, adding continuous enormous debt as we optimistically back-pack across the nation (again, statistically the worse time of the year for travel) in search of that perfect internship. Relentlessly we attempt to convince ourselves that sweet, peaceful, victory is just around the turn.

 

And, cue Burnout.

 

Where does it all end, or does it ever? Here is one article to consider when deciding how much emotional stamina you have left, as you prepare to assess and ultimately rank your internship interview experience:  City interns have greater burnout rates.

 

Apparently the growing number of stress related symptoms reported by graduates seeking mental health services while on internship prompted Doctors in the UK to study the relationship between internship and burnout. What they found is far from any earth shattering enlightenment to our generation, which is, interns sleep less, are more sad and stressed out (simplifying the results to its bare minimum)–especially those interns living in big city, and working in high-paced environments.

 

Luckily, there are places that offer high quality, APA-accredited internship programs like WKPIC in Kentucky (yes, another shameless plug) that come without the high burnout price tag those big cities bring.

 

A small start, but definitely something to CBT about.

 

Reference:
Gallagher, P. (2013). City interns ‘are at greater risk of Burnout’. The Independent Retrieved from https://login.libproxy.edmc.edu/login?URL=http://search.proquest.com.libproxy.edmc.edu/docview/1426666006?accountid=34899

 

Dianne Rapsey-VanBuren,
WKPIC Intern

 

(Director’s Note: We at WKPIC approve this shameless plug!)

 

Surviving Match: Personal Stories

 

 

While reflecting back on the internship match process, a lot of mixed emotions surfaced like anger, anxiety, sadness, acceptance, and elation. Sounds a lot like the five stages of grief because that is exactly what it felt like, being rejected the first time.

 

Not getting matched is the worst imaginable outcome for any psychology student. “The Match” is a horrible process to go through once and the idea of going through it twice is daunting. So much time is spent planning, writing, reviewing, redrafting, and rewriting essays. Then after spending weeks or months of selecting the ultimate internship list you have enough hope to charge your credit card over and over and over again. Hoping and waiting to hear back from the sites you are really interested in for internship. But one by one they slip through your fingers. Self-doubt and negativity begin to set in. You start to question your competency and think about what you could have done differently. Unfortunately, after going through all the rounds of the match process it began to set in that I will have to reapply for next year.

 

Goodness of fit was my most important factor for selecting the right internship. It was difficult to imagine selecting an internship that would cause me misery for one year. There were some sites I interviewed at the first time and did not even rank them because I knew it was not a good fit for my style of learning or career goals. The idea of waiting another year was devastating. It felt like I was being left behind while friends moved on with their careers and I was just stuck. It was embarrassing to tell people that I did not match and I wanted to forget it even happened.  Then it hit me that in only a few months the process begins again. There was little time to sulk and mentally process what just happened. My advice for all future applicants is to be prepared and feel confident to not rank less than ideal sites even if that means waiting another year. It was worth the wait for me!

 

To prepare for attempt No. 2, I asked my friends’ internship directors to review my essays and CV for feedback. I examined clinical areas to improve and gain further experience.  A lot of time was spent talking with my previous practicum supervisors for emotional support and keep them updated with my progress of reapplying for internship. Not only was I relying on others for support but I was also engaging in a lot of positive self-talk. Time was spent reminding myself that students go through this process two or even three times and they still become successful psychologists. I had to keep pushing myself forward and have a positive outlook on my future. It took me a while, but I realized waiting one more year was not the end of the world.

 

Before I knew it, the next round of coordinating flights, hotels, car rentals, and hoping to avoid disastrous weather began. When scheduling flights I made sure to avoid certain airports that are notorious for delays during bad winter weather (I’m looking at you Chicago). Due to scheduling conflicts, I had to decide which internship sites to decline their invitation to interview. Luckily some of the interviews were in December or spaced a week apart in January. However, during my most busy week, I had three interviews in four days.

 

For the first interview, I flew into a major city then drove three hours to a very small town during an ice storm. After the interview was over I hopped in the car and drove across the state to my second interview for the next day. As a note, while you fly and drive to interviews the only food you really eat is unhealthy fast food especially if you are in small towns. It was nice that this second interview site took the applicants out to a restaurant for lunch. I made sure to order the healthiest item on the menu and man was that not the best tasting broccoli I have ever had! After the second interview, I had to wake up the next morning at 3:00am to catch a flight because my next interview was in the afternoon that same day. I needed to walk off the plane and be prepared for the interview because there was no time to check into a hotel and get ready. If my flight was delayed or if there was an accident on the highway then I would have likely been late for the interview. Everything had to be timed perfectly. When I reached my final interview I was actually in a lot of physical pain. The back of my legs were sore from sitting in Planes, Interviews, and Automobiles. It was painful to sit so I stood and stretched while waiting to be interviewed. After a physically and emotionally draining week it was finally over.

 

Some consider ranking the sites to be the most stressful aspect of The Match. It is almost like a mind game of guessing where each site will rank you and trying to be strategic with each site. There is a big deal made about being accepted to an APA-Accredited site versus Non-APA. In a perfect world the only things that should matter are our clinical, personal, and professional skills. It is a ridiculous process but in the end everything will work itself out. Personally, I was more concerned about ranking sites based on goodness of fit rather than accreditation status. Leave the mind games out of the equation! Ask yourself if you can work at a site for one year or even longer. Would you be able to build a positive and effective relationship with the supervisors? Will an internship provide new experiences? Will you feel a part of a supportive and collaborative team or will you be a work horse?

 

During this whole process, it is important to stay calm and not allow distractions spill into the interview. Everyone will have some sort of “horror story” about their travels and interviews. While you are interviewing, the outside world does not exist and you should not worry about the next adventure. It is not only important to mentally and emotionally prepare yourself for interviews but also physically, as I had learned. Be sure to exercise, stretch, and find time for healthier food options. You will spend countless hours reviewing each interview site trying to come up with the best answers for potential questions you may be asked. Try to relax, enjoy the process, and be yourself.

 

This is the nature of the beast that is called The Match.

 

Jonathan Torres, M.S.
WKPIC Doctoral Intern

 

 

*Director’s note:  We’re pretty sure Jon picked us because we fed him a healthy lunch… Kidding! Mostly… 🙂 We are very proud to have him, and all of our interns. Our message is as always–you will get through this, and we have faith that you, our young clinicians, will not only survive but thrive in the field. Good luck to all of you!

 

 

Surviving Match: Personal Stories

 

As more and more strands of my hair began to entwine around the bristles of my brush instead of staying attached to my head, I knew I had a problem. I immediately contacted my family doctor, made an appointment and requested that he run any battery of test needed to determine the cause of why my previously thick and healthy hair was becoming so very thin and brittle. After robbing my veins of several vials worth of blood, he explained at my follow-up appointment, “The tests ran indicated that all of your levels were well within normal range.” Then, he posed the question, “Have you experienced any life changes or been going through any stressful situations?”

 

Well . . .

 

Describing the APPIC Match process as stressful to any student beginning the process is by far one of the understatements of the decade.  Even now, writing the above paragraph and thinking about the initial horror of it all sends waves of nausea throughout my stomach. It was a brutal, agonizing period of time that was never, ever going to come to an end.  If you have ever heard the colloquialism, “ Hurry up and wait!” that’s exactly what it felt like. Well that accompanied with questioning your skills, whether you studied hard enough, how will you compare to other students, why would anyone pick me and any other self-doubting questions you could possibly fathom.  And that’s just submitting your essays and waiting to see if you are selected for an interview!  The fun is yet to come!!

 

So, after weeks and months of writing and re-writing your essays, strategically selecting internships sites that better suit your knowledge base, and finding the needed funds to apply to the allotted amount statistically proven to help you Match; you get invited to interview!!!  Alas, the excitement is short lived because now you have to plan your travel itinerary.

 

 

Intern1Not only does your itinerary have to encompass the locations you are interviewing, but you must tactically juggle it in a way so that you won’t miss or be late for any scheduled or rescheduled interviews. By the way, did I mention you have to pay for your travel, lodging and most of your food out of pocket?  Oh yes!  Most all of your interviews are in person and not by phone. Plus, it’s right around the holiday season when funds are often already strapped.  I hope you remember how to build that bird house out of popsicle sticks you learned in second grade!

 

Nonetheless, here you are. You have arrived. You white-knuckle drove your rental car for hours thru bouts of snow and ice but have somehow made it to your hotel in one piece. The thermometer in your salt covered chariot reads 9 whole degrees Fahrenheit but you don’t care because you’re alive!!  Reality quickly swirls around and thru your clothes as you unload your luggage with glove covered ice cycles that took place of previous fingers.  You penguin waddle into the hotel lobby, hurriedly check in as other guests strangely eye your wildly, windblown hair, drag your belongings to your room and fall face first into the lumpy pillow.

 

The five o’clock a.m. wake-up call you requested comes way too soon. You make your way to the lobby for your “free continental breakfast” not thinking twice about how you look because you….must….have….coffee. If looks truly could kill, all the other patrons partaking in breakfast food and drink would have literally fallen over where they sat. As you slowly begin to resemble some form of intelligent being, your anxiety begins to creep up your back, over your head and into your stomach. So much for free breakfast.

 

There is no time to be sick. You must brush/floss, shower, dry/fix your hair, do your make-up, pack your luggage once more to the rental car and check out of your hotel all before you head to your interview.  In your mind you have planned and allotted so much time for each stage of your “get ready” process.  To save on time, you will brush your teeth as the shower gets warm.  You place your tooth brush in its handy, dandy travel tube, pull back the shower curtain and step in.  BAM!!! There was no shower mat when you stepped in. Your right foot slide on the slick, wet bottom of the tub. You fell into the tub wall landing with all of your weight just beneath your left knee.  You are literally in your birthday suit rocking back in forth on the dirty, hotel bathroom floor. Tears are streaming down your face and you are too afraid to look at your leg because you know it’s broken.

 

Moments to minutes later, you still feel the intense pain but it is accompanied by the throbbing of your heart in your leg. You know you have to look but think to yourself, “What am I going to do if my leg is broke…..I’m naked in the bathroom!” Slowly you peak ever so slightly and see no blood so you open both eyes.  A gigantic, purple plum has sprouted and is now housed on your upper shin. Slowly you climb up on your good leg and try to put weight on your injured one. The intensity of the pain increased under your weight but you can stand flat footed long enough to know if it is broken it’s only fracture. So, you hobble on one leg and shower the best you can.

 

You really will survive this“Oh crap…how long was I on the bathroom floor?!”  You are 18 minutes late. You have to choose from wearing make-up or curling your hair so you forgo the curlers and opt to straighten your two cowlicks instead. You still have to make up time. You swiftly hobble around your hotel room like a puny tornado that has lost its wind and try to repack all of your belongings. Dragging your bags and injured leg to the reception desk, you check out. An attractive male and female take pity on you and help you carry your bags to your car. Normally, you would turn down the gesture because you never can be too safe but pain overrides intelligence when it is severe enough.

 

The smooth yet oddly irritating voice of your GPS comes to life directing you where to  turn and leads you towards your destination. You know you have to speed but potentially will still be late. Once again, you find yourself white knuckle driving, weaving in and out of morning traffic. All speed limit signs are being ignored and you pray that any and all police officers on your route are getting coffee and not gunning for speeding cars. “Do they really like donuts?” Shaking this ridiculous thought from your head you try to be hyper vigilant as you barrel down the parkway, come to your exit and make a screeching stop at the bottom. Your destination is so about a mile on the right and you have 5 minutes to spare.

 

You literally slide in the drive-way on two wheels and hope your professors were just hazing you when they claimed some interview sites watch and judge you from the moment you arrive on their property. Three minutes!!  You whip around their circle drive and are lucky to find ONE parking spot open. You zoom in, jump out quickly remembering your injured leg and hobble up the walk to the….”Oh no, stairs!.”  “Don’t cry. You are an adult. You are a professional.” As quickly as possible, you make your way up each agonizing step and come to the door. You walk in and see a couple of other people in the same black suit that you are wearing and sigh in relief. You might be one minute late but so are they and there does not appear to be anyone in the group that is in an official capacity. You have not missed your interview and the important people who you hope to impress do not know you are late. You still have a chance with the site that you most hoped to make a good impression on.

 

FriendsThe accounts above are true and will not soon be forgotten. Short of a tragic accident or actual broken limb, I could not imagine a worse start to an interview or a more stressful period in my life. However, with passing time comes perception and clarity. The anxiety and stress that I placed on myself by questioning my abilities, measuring my worth in terms of interview invites and viewing any outcome but a match with catastrophic thinking was ridiculous and harmful. My anxiety levels were so extreme that my hair was literally falling out! I was creating a toxic environment for myself when I needed to be at the top of my game. And furthermore, my emotions really did not fit the situation.

 

Be mindful of your emotions and the reality of the Match process. We all know entering that there simply are more students seeking placements then there are placements to be offered. When you break it down, it’s simple math.  Additionally, this is a time in your life that you should be celebrating because a long, arduous course of education is finally being put to use. This is our transitional time from student to professional. And guess what, if you don’t match the sun is still going to rise tomorrow and a new day begins. We all blossom when it is meant for us to do so. Your not matching with a site that may not suit your individual personality, skill set and future objectives is a good thing.  Build your wall of support with the boulders of like-minded individuals who share you ideals, not the pebbles of those you maybe can tolerate for a year.

 

askstephan

 

 

Crystal K. Bray,
WKPIC Doctoral Intern

 

**Director’s note:  We had no idea this poor woman had wrecked her leg prior to interview and made her walk all over the hospital! And, clearly, she is our intern, so the interview went well despite all the outside disasters. And this:  no matter how Match goes for you, you will get through it, and ultimately persist and prevail, if not this year, then another. You are all valuable to the field. You can do this!                                                         –sv