The process was gradual, occurring over time, and was probably the result of coping with the reality and daily hassles of residency. But I was not unique. Talking to other interns revealed that I was not the only one changing. I stepped back to examine what was happening. The duration, severity, and onset of the syndrome are highly variable.
Some interns contract it earlier in the year, some later, and others presumably exhibit immunity.
It is difficult to predict whom or when it will hit or how long it will last. The signs and symptoms also vary. Irritability mixed with anger is a common symptom. Depending on the duration of the irritating stimulus or the cumulative effects of multiple aggravating situations, this can create irrational and illogical behavior. Scapegoating ts also used against friends, family, and loved ones as the toxic intern takes frustrations from work out on someone at home who has no control or influence over any of it.