What I Wish I Knew: First Day as a Resident
What I Wish I Knew
Starting residency comes with a steep learning curve and it’s completely normal to feel overwhelmed heading into your first day. The transition from medical school to residency is a big one but the good news is that you’re not expected to have it all figured out right away. Here are some key takeaways from the “What I Wish I Knew” series by Resident Doctors of BC.
One of the most common reflections from senior residents is that you don’t need to know everything, and you shouldn’t pretend to. Showing curiosity, asking questions, and having a positive attitude matter far more than having all the answers. As one resident put it, “There are little to no expectations of you to know what you're doing.” while another shared, “Don’t even try to pretend you know everything—ask questions and ask for help,” Lean into the learning process, and you’ll find that both your confidence and knowledge grow steadily with each new experience.
“Don’t even try to pretend you know everything—ask questions and ask for help”
That said, a bit of preparation can go a long way in reducing first-day stress. Getting familiar with your hospital environment, confirming your access to systems, and planning your route in advance can make the day feel much more manageable. Several residents highlighted the importance of sorting out logistics early noting things like, “If possible, arrive a day early to check that your Electronic Medical Records access works,” and “Make sure your hospital logins and IDs are saved on your phone.” These small steps can help you focus on settling in rather than troubleshooting.
“Whatever it is, the way you tell your story online can make all the difference.”
Amid all the new responsibilities, it’s also important to take care of yourself. Residency can be demanding and it’s easy to overlook basic needs like eating, hydrating, and taking short breaks. Residents emphasized simple but practical advice like, “Bring snacks—rounds can go very long,” and “Don’t forget to eat, drink water, and take breaks.” Such simple practices can have a significant impact on your energy and focus throughout the day.
Finally, remember that you’re not alone in this experience. Residency is built on teamwork and the people around you—residents, staff, and allied health professionals—are there to support you. As one resident shared, “Everyone from senior residents to staff is happy to help,” and another added, “Your co-residents are your new support system.” Building those relationships early can make a meaningful difference in both your learning and your well-being.
No one expects you to have it all figured out on day one. By embracing learning, preparing practically, and seeking guidance when needed, your residency experience can be both rewarding and fulfilling. For more firsthand insights and detailed advice, visit the full “What I Wish I Knew” series from Resident Doctors of BC and make sure to visit The New Resident Registration Site for next steps, timelines, and resources to help you get started smoothly.