“…With great interest, I read the article by Hariharan and Griffin (2019) and the letter to the editor by Chauhan et al (2019) discussing burn out in the early phases of a medical career. As a recent graduate of a medical school in the United States (US), I am especially fascinated by the sentiment from the medical students from Imperial College London (Chauhan et al 2019), who apparently face many of the same difficulties as medical students in the US.…”