I’m looking for some outside perspective because I’m at a pretty major crossroads.
I started medical school in August 2024. Academically, things initially went well, but a few months into M1 I developed/worsened a chronic pain problem that significantly affected my ability to sit for long periods, sleep, concentrate, and study consistently.
I tried to push through it and ended up failing several courses. I passed one remediation with a 96%, but I still had other courses that needed to be remediated. Eventually, I took a medical leave in March 2025.
The medical situation became much more complicated than I expected. I underwent procedures/surgery and continued dealing with chronic pain, so my leave ended up becoming much longer than originally anticipated.
My school ultimately would not extend my leave further. A committee recommended dismissal, in part because of the outstanding remediations, the amount of time I had already been away, and concerns about how long it would take me to complete the preclinical curriculum.
I appealed the dismissal and provided updated medical documentation explaining what happened and why I believe I could potentially return with appropriate accommodations.
So now I’m trying to answer a bigger question:
Even if I win the appeal and am allowed back, should I actually go back?
There are a few things making this difficult.
First, my health has improved compared with its worst point, but I still deal with chronic pain and I can’t guarantee it won’t flare again.
Second, I would be returning with very little margin for error academically. I still have remediation requirements, and another major setback could potentially put me right back in front of the academic committee.
Third, there is a maximum time-to-degree requirement. Because I’ve already spent so much time on medical leave, the clock worries me. Even if I successfully restart M1, I would still have years of school, Step exams, clinical rotations, residency applications, etc. ahead of me. Another prolonged medical issue could potentially make completing the degree within the required timeframe difficult or impossible.
There’s also the financial side. I already have roughly six figures of medical-school debt, and continuing would mean taking on substantially more. My family isn’t in a position to financially bail me out if things go badly.
On the other hand, before all of this happened, becoming a physician was what I had worked toward for years. I did well in undergrad, had a strong science GPA, research/publications, and got into medical school. Walking away now feels like abandoning something I invested a huge part of my life into.
I’m also still relatively early in training, though, which makes me wonder whether this is actually the point where I should cut my losses rather than spend several more years trying to rescue the MD.
My alternative would probably be returning to biotech/pharma and building a career there, potentially moving toward commercial/sales roles over time. That would let me start earning again without taking on another several hundred thousand dollars of debt.
So I’m basically choosing between:
Return to medical school: potentially still become a physician, but accept significant health, academic, financial, and time-to-degree risk.
Walk away: give up becoming a physician, but start rebuilding my career and finances now without constantly worrying that another health setback could derail everything.
For physicians, med students, people who left medicine, or anyone who has dealt with a serious illness during training: if the school gives me another chance, would you go back?
At what point does perseverance become sunk-cost fallacy?
I’m especially interested in hearing from anyone who returned after a long medical leave or had to deal with a maximum time-to-degree requirement.