Dunno, maybe he just needs to admit that he likes business, finding money glitches etc. and doesn't really care for med. Honestly, most med students and docs <40s should just admit it that they realise they don't actually care for being a doctor.
From speaking to Ali in real life, he's alright. Just a relatively normal guy, usual sheltered middle class kid stuff, but that's the majority of the medical cohort. As a state schooler most of my peers are completely unrelatable even now.
As a healthcare professional you have play it like an athlete. My working class immigrant and scholarship sports experience was probably the best training I had - sometimes game day will suck no matter how well you played and sometimes you lose because you sucked. Just got to take it as it is, get ready for the next match and slog on. When I first start working it was a piece of piss as all the downsides still sure beat hard, manual labour or trying to peel potatoes in your icebox of a takeaway house till midnight without chopping your freezing hands off by the chipper during your childhood.
Yes, bad things happen and people die. Sometimes multiple people die on your watch on the same day, but you have to reflect that you did the best you could with the information and resources at that particular point in time. There is a small layer of callousness you need otherwise it will eat you alive. This refers back to my initial comment on needing a certain character, many people nowadays are have the preconception that they'll die a martyr akin to the medical dramas they see on TV and often too overly attached to doing everything under the sun for a patient, where staff and ever increasing demands placed on the service (by patients, government, non clinical admin etc.) often going against better clinical judgement.
A 1 hour one way (yes these are consultants and senior regs) trip to work is laughable that's what most people do now, if not 2 hours now in Cambridgeshire, no new consultant can afford a place in central Cambridge now. THAT'S THE NORM - if people complain about travel times they might as well quit now because it can get a lot worse than 1 hour.
As with the current situation going on about thankless jobs, pay (re: pay, I feel for the HCAs, staff nurses etc., but not doctors), but I thought that was what you're work experience was for and I guess your personal statement was just a bunch of bullshit. I always stress that going into healthcare is something you should really think about and only after a long consideration, something that you a 95% sure is something you want to do, only then should you go for it.
You'll take home increasing workloads (just finishing up some research stuff now I'm fact), use up a tonne of goodwill while you do extra work for no pay or on the weekends. But there's a big difference fully understanding and accepting those negatives than looking like a deer in the headlights - most now don't understand what the drawbacks truly entail.
You get paid because of the level of stuff you have to deal with and it's not worth the money. Most people that want to be docs get there because they were too unimaginative.
It's funny as Ali's current journey is like a mirror of my own, just in reverse. Always glad I started med later with my finances set for life first.
(Side note: US healthcare sucks ass, my US healthcare friends are having a mare of a time. Australia and New Zealand has it's own set of problems for healthcare - newsflash it's the same situation all around the world.)
One time a surgical session finished up at 10pm and a colleague had to drive back home 1.5 hours away, but there was a road accident causing diversions. They ended up getting home at 3am.
And yes, although we officially get the lists cancelled due to overextended surgical sessions consultants will typically come in during the afternoon or do backlogged paperwork if unfit to do clinical work.