"All residents and fellows are starting with a deficit from a long and grueling training. They have had the desire to take care of themselves drilled out of them. Training to be a doctor overrides one's basic self-care needs, and medical trainees suffer from constant sleep deprivation. Finishing medical training is like coming out of a cult in terms of self-deprivation," said Ahnna Lake, MD, from Stowe, Vermont, who counsels individual physicians and speaks to professional organizations on work-life issues, stress, burnout and depletion, and health recovery