Why Is My Brother Repeating Year One in US Med School? Seeking Advice

I’m worried about my brother who’s repeated year one in a US medical program three times. He says it’s mental health, but he actually gets overwhelmed by business ideas during hospital placements. Instead of focusing on clinical work, he sketches startup plans, picks fights with colleagues, and walks out mid-shift. Our father left before he was born, so I helped raise him. He’s always been bright and enthusiastic, yet he can’t progress to year two. He’s now ready to fund his own tuition or start a business. He even joined a midnight prayer group and briefly felt clear-minded. What might be driving this pattern, and how can I help him move forward?

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