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by sizzle
2825 days ago
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Thank you for the eye opening insight, my significant other was accepted to med school in the states and she/we are double minded on her pursuing the field of medicine due to the dismal work life balance you mentioned, considering she has a science masters and works a 9-5 in medical research. She didn't have the undergraduate grades and did masters + high MCAT score to finally get in at 30 years old. Given the current state of medicine in the states, you touched upon the topic of insurance companies. The endless paperwork seems to be a side effect of physicians being beholden to insurance companies to supply a steady stream of patients that afford an income that will offset the
steep debt and decades of opportunity cost spent in school. This seems unique to America from what I can tell and is only getting worse, along with what I'm told regarding physicians (MD/DO) competing with nurse practioners and physician assistant, government oversight, etc over area of practice. Finally, the topic of burnout and physician abuse (lack of sleep, working overtime and being on call), is truly disgusting. This was a tough read, previously posted on
HN: https://ericlevi.com/2017/05/13/the-dark-side-of-doctoring/ I sincerely hope you and all overworked physicians take care of mental health and avoid burnout. I think private practice and limited hours for certain lower specialties might be the answer for my significant other if we plan on starting a family anytime soon. |
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The simple truth is this: pay has been dropping like a rock, every public mention of doctors is about how much we suck, regulators and bureaucrats are telling us how to practice medicine (but we continue to carry the liability), we're given 5 minutes to see patients when we should be given 20 (and when we rush out the door, patients think it's because we don't give a shit), and and and. .
The worst of it is: everyone else has a "career" - they're allowed to worry about work/life balance, about trying to get paid for their time, about trying to build a nest egg. When physicians do that, well, medicine is a /calling/. You're not allowed to worry about paying for your kids' schooling, or paying off your debts, or etc. That stuff is for programmers and accountants; you're just working with "sick people in their worst moments," so you're not allowed to be anything but self-destructively selfless. No one is allowed to discuss physician misery (I hate the word "burnout" - those docs aren't a resource that came to the end of its useful lifespan, they're human beings in desperate misery) except when residents are throwing themselves off the roofs of hospitals. I've lost -two- friends in the last year. TWO in the last YEAR.
And the only people that pay attention to that are the residents who have to carry on and the attendings that go, "well, it was still better in my day, when residents didn't expect to sleep or ever go home. It was better for patient care continuity if their doc never went home."
Private practice is dead or dying for most specialties as well. The healthcare field is heavily concentrating into large regional networks.
I knew this all going in. So I can say to your wife what I said to myself: The only reason to become a doc is if you cannot, for the life of you, force yourself to become anything else. It has to be a fire in your goddamn marrow.
And for all that, I recommend choosing a residency in psych. They work 9-5 even in residency - call tends to be 9a-8p or 9a-11p (rather than 24-hour shifts like the rest of us) and every other weekend they tend to work 9-9 Sat and Sun. It's the lightest residency on the planet, and they still make - per hour - the same money as IM and FM. It's the best thing I've ever heard of for people that want to have work/life balance and a family. Unsurprising, as they're the ones who spend every day seeing stressors break people's minds in half.