After four years of intense classes, conferences, and grueling residency applications, you’ve finally reached the next milestone in your medical career—you’re ready to start practicing medicine! Your first year of residency will be packed with new experiences, patients, and opportunities that will shape you into a competent and confident physician.
However, this exciting year will also come with its fair share of challenges. As you adjust to life as a resident, it’s important to stay focused on your ultimate goal while navigating the obstacles that come your way. This guide is here to help you not just survive but thrive during your first year of residency.
Start On The Right Foot
Transitioning from medical school to residency is a big step, and it’s important to set a strong foundation from the start. On your first day, take the initiative to introduce yourself to hospital staff, fellow interns, and other medical professionals. Building these connections early on will make your transition smoother and help you feel more integrated into your new environment.
This is also the perfect time to dive deeper into your specialty. Connect with doctors who practice in your field of interest, and begin reading up on the latest research and developments. Remember, your first year of residency is all about honing the skills that will make you an outstanding doctor—embrace the learning opportunities that come your way.
Build A Support Network
As a medical resident, you’ll be part of a vibrant community of doctors, nurses, and fellow interns who will play a crucial role in your development. These relationships can greatly influence your success and well-being during residency, so it’s important to cultivate a strong support network.
Long hours and a demanding workload might tempt you to put social interactions on the backburner, but the connections you make with your colleagues can turn your residency into a more rewarding and enjoyable experience. Seek out mentors who can offer guidance, and build friendships with interns who share your interests and goals.

Don’t forget to also get to know the nurses, volunteers, and other staff in your department. Learning their names and showing appreciation for their hard work can go a long way in creating a positive work environment. These relationships will not only keep you motivated during tough times but will also serve you well as you advance in your medical career.
Prioritize Self-Care
The first year of residency is notoriously challenging, with long shifts, high-pressure situations, and a steep learning curve that can take a toll on your physical and emotional health. While your free time will be more limited than it was in medical school, it’s crucial to prioritize self-care.
Instead of waiting for extended vacations or long weekends, find small ways to relax and recharge during your spare time. Make sleep a priority whenever you can, and fuel your body with healthy meals that will keep your energy levels up throughout your shifts.
Indulge in simple pleasures like watching a movie, enjoying a meal with friends, or taking a walk on your days off. And most importantly, be kind to yourself—residency is a learning process, and mistakes are part of that journey. By taking care of your health and well-being, you’ll be better equipped to handle the challenges that residency brings.

Launch Your Career
Residency is the final stage of formal training before you become a fully licensed physician. The professionals you work with—doctors, nurses, and healthcare administrators—are dedicated to helping you succeed and develop into a skilled physician.
Your first year of residency may feel overwhelming at times, and it’s normal to have moments of self-doubt. However, the challenges you face are designed to help you grow. Embrace these experiences as opportunities to build your expertise and confidence.
Don’t hesitate to ask questions about unfamiliar specialties, treatments, or cases. Your attending physicians and supervisors are there to support your learning, and they’ll appreciate your curiosity and commitment to becoming the best doctor you can be.
Find A Place To Call Home
Residency can last several years, and having a stable, comfortable place to call home can make a big difference in your overall well-being. If you’re currently renting, you might consider purchasing a home during your residency.
Physician mortgage loans are specifically designed to meet the needs of medical residents and practicing doctors. These loans often come with low down payment requirements, no PMI, and flexible qualification criteria, making it easier for you to invest in a home close to your residency program.
If buying a house during your first year of residency sounds appealing, be sure to check out our Physician Mortgage Loans FAQ to learn more about your options and how to make homeownership a reality.