Many fresh medical graduates face a variety of challenges and struggles during medical school and afterwards. Some common struggles include:

1- Time management: Medical school is a demanding and time-consuming endeavor that requires students to balance their academic responsibilities with -their personal and professional lives.

2- Financial struggles: Medical school can be expensive, and many students accumulate significant student loan debt.

3- Stress and burnout: Medical students and doctors often experience high levels of stress and burnout due to the demanding nature of the work and the pressure to perform well.

4- Balancing work and family: Medical students and doctors often have to balance their work responsibilities with their family obligations, which can be challenging.

5- Improving their skills: Fresh medical graduates often feel unprepared for the demands of the job and may struggle to gain the knowledge and skills they need to provide effective care to their patients.

Despite these struggles, many fresh medical graduates are able to overcome these challenges through hard work, determination, and a willingness to learn and improve. Some strategies that can help include:

1- Creating a schedule or routine 2- Time management techniques 3- Prioritizing self-care 4- Building a support system 5- Continuously seeking learning opportunities and mentorship