Starting things are difficult. Whether it is living in a new city, starting a new job, going to a new school, or standing at the beginning of anything for which you do not have a good routine, the start is rough. When I run, the first three miles are always painful. When I start a new service in the hospital the first few days are always disorienting and confusing. I often get lost several times a day, am generally of very little help to anyone, and am not too certain of what my actual job or responsibilities in this new team are. Whenever I have moved to a new city the first month is always difficult. Where to get cheap gas, find good food, and connect with new friends is difficult and leaves one wishing for “the good ‘ole days”. During these periods of transition I will often give myself a date or time in the future when I can quit if I so choose. When I run that’s at the 3 mile mark since I know that by that time I will have found a rhythm and adjusted to the exercise. When I start a new service it is generally a week since I know that by that time I will have made some friends, figured out what I am supposed to be doing, and have established a general map of where things are in the hospital. When I move to a new city it has generally been after I have accomplished something such as the end of the first quarter of college or the completion of one cycle of medical school. At that point I have found a routine and can ride a sense of accomplishment into productivity and a happier frame of mind.
When starting something new try to avoid thinking about how you feel and whether you are enjoying your time until after the first day. Because invariably the answer is that you are uncomfortable, slightly tired, and generally wish you were back in bed. But keep going and often you will find a new rhythm, a new pattern, and a new satisfaction. If nothing else you will have developed a strong sense of grit and a new set of experiences that will be informative in the future. Whatever you do, never quit on the first day.