Very high workload with long hours, high performance demands depending on the stage of training you are in, oscillating shift based schedule, minimal time off to decompress, cultural pressure and competition.
Compare this with countries who have very little licensure/regulation of the profession and I'm sure those doctors and students are much less stressed.
And I'm sure a number of them can also be dismissed as "bad doctors", but not all.
100% correct. The sleep issues alone are enough to make most people fit the diagnostic criteria for depression.
This has to be a big component of it. Working 16 to 28 hour consecutive shifts, often over night, where a mistake can potentially be fatal, with very irregular sleep hours. That has to be a recipe for disaster. After I learned that was what residents’ schedules were like I was terrified of going to the hospital.