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A [mental disorder] characterized by at least 3 of the following symptoms:
1. the feeling that no matter how much time you spend studying, [you are not] studying enough
2. the feeling that no matter how efficient you are while studying, [you are not] studying efficiently enough
3. the feeling that no matter how much you learn during your studies, you still don't know anything
4. the feeling that you forgot everything you studied yesterday
5. the feeling that you will fail every exam even though you somehow manage to pass

and at least 1 of the following signs:
1. decline in social skills
2. taking excessive study breaks

Epidemiology: The incidence of this syndrome is highest from the last half of 2nd year through the 1st half of 4th year, although it can occur at any time during med school. There have even been a few reported cases of this syndrome occurring before med school. Earlier manifestations of this syndrome are associated with a higher probability of [eventually] dropping out of med school.

Treatment: The only definitive treatments for this condition are graduation and dropping out of med school. Other treatment modalities have been attempted, namely remediation and vacation. However, these [alternative] treatment options have only resulted in temporary success with eventual recurrence of the syndrome. Studies are being done to determine other treatments to relieve the symptoms of this condition.

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