Can you live life to the fullest as an IM doc?

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protoplano

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I am 31 years old, about to begin med school and feel like I made the biggest mistake of my life. I feel like I will enter a time machine and exit it when I am 40 years old. I have no doubt that being a physician is an incredible privilage in this life, but am not sure if this outweighs the personal sacrifices necessary to get there and afterwards. I dont care about money and cache, just simple and precious things that can get squashed. A physician once told me that if there is anything else that would make me happy as a career outside of medicine that I should really consider it before embarking on this trip.

If there any non traditional docs who are nearing the end of training or anyone with some sage advice from the reality of the field. I think the bad part about being older is that you realize what is important despite your career choices.

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protoplano said:
I am 31 years old, about to begin med school and feel like I made the biggest mistake of my life. I feel like I will enter a time machine and exit it when I am 40 years old. I have no doubt that being a physician is an incredible privilage in this life, but am not sure if this outweighs the personal sacrifices necessary to get there and afterwards. I dont care about money and cache, just simple and precious things that can get squashed. A physician once told me that if there is anything else that would make me happy as a career outside of medicine that I should really consider it before embarking on this trip.

If there any non traditional docs who are nearing the end of training or anyone with some sage advice from the reality of the field. I think the bad part about being older is that you realize what is important despite your career choices.

I will graduate from medical school this May, two days shy of my 40th birthday. For me, it has been completely worth it. You have to do a serious personal inventory, look at your life and what it truly important to you and base your decisions on that. Good luck with what ever path you choose.
 
I am an intern in medicine who will turn 30 next year. I DO feel like I went through a time machine that basically killed my mid-twenties, and will kill my early thirties. I'm hopeful that life as an anesthesiology attending will be worth the sacrifice, but right now internship is pretty miserable. I love medicine, but I don't love what I do every day. I hate pre-rounding on patients and rushing to put together presentations every morning. Being on call absolutely sucks. Having no more than one day off per week sucks. I used to be much more idealistic about my career in medicine. I felt that certain sacrifices in lifestyle would be worth it for the privilige of helping people as a physician. Right now I'm almost certain I will be looking for a no-call no-weekend job when I finish, even if that means a cut in pay. I cope by reminding myself that internship sucks for everyone, but eventually the misery ends. God I hope that's true.

You are looking at a very, very long haul. Don't do it unless there is nothing else you would rather do that can make you as successful as you want to be. Personally, I think I'd rather be doing something more creative with my time.
 
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I'm a 4th year medstudent and a few years younger than yourself, but I definitely think it is worth it. I have spoken with many of my friends who are very social people and are not unhappy during thier intern year. It is very hard work, but it does get better when you are done. If becoming a doctor was easy everyone would do it. My advice to you would is to study very hard and make great grades and do well on your boards. That way you set yourself up to enter your field of choice. Primary care may not be for you and truly may not be worth it. Look into ER/Optho/Anesthesia/Derm/Rads. All are competitive (some more than others), yet they all offer a very reasonable life during residency (probably rarely more than 60hrs/wk) and very good renumeration once residency is finished. You may find a calling in something more time intense and in that case it will not feel like work. If you do not then you may want to stay away from the more work/time intense specialties because of your age if family time is a priority for you.

Always analyze the source of negative comments. A lot of docs are jaded because the system no longer spoon feeds them money and they have zero business sense regarding how to make the system work for them. I know plenty of docs who love their jobs and rake in a lot of money and have ample time with their family.

Also, do not let an interns negative perspective make you have a negative outlook on your future (no offense powermd). It is just a year, and it is the most grueling year of your medical training, very emotionally/physically draining/ and maybe at times depressing... but it is only 365 days long. In my opinion it is a small price to pay to get to practice medicine. Find some docs in the community that are happy to get your spirits up and study hard to leave your options open.
 
Primary care may not be for you and truly may not be worth it. Look into ER/Optho/Anesthesia/Derm/Rads. All are competitive (some more than others), yet they all offer a very reasonable life during residency (probably rarely more than 60hrs/wk) and very good renumeration once residency is finished.


I am going to an offshore med school and the probability is that the more competative residencies will be even more difficult to get. I was not surprised to read that 40% of IM residency spots are filled by IMGs.

I think I have a lot of thinking to do before leaving for an island for 2 years.
 
protoplano said:
Primary care may not be for you and truly may not be worth it. Look into ER/Optho/Anesthesia/Derm/Rads. All are competitive (some more than others), yet they all offer a very reasonable life during residency (probably rarely more than 60hrs/wk) and very good renumeration once residency is finished.


I am going to an offshore med school and the probability is that the more competative residencies will be even more difficult to get. I was not surprised to read that 40% of IM residency spots are filled by IMGs.

I think I have a lot of thinking to do before leaving for an island for 2 years.


You are right, going to a carribean school will make things more difficult, but how much more I do not know. ER an anesthesia would definitely still be options as an IMG if you do well in school. If it all seems like too much, then think about going to PA school here in the states.
 
protoplano said:
I am 31 years old, about to begin med school and feel like I made the biggest mistake of my life. I feel like I will enter a time machine and exit it when I am 40 years old. I have no doubt that being a physician is an incredible privilage in this life, but am not sure if this outweighs the personal sacrifices necessary to get there and afterwards. I dont care about money and cache, just simple and precious things that can get squashed. A physician once told me that if there is anything else that would make me happy as a career outside of medicine that I should really consider it before embarking on this trip.

If there any non traditional docs who are nearing the end of training or anyone with some sage advice from the reality of the field. I think the bad part about being older is that you realize what is important despite your career choices.

I'd echo powermd's thoughts. I would 100% not do this again if I had the choice, and I'm past my intern year. I believe that your time is your most valuable resource, and no amount of money would offset the loss of your prime years of your life: your 20's and 30's. Think about the lifestyle you would lead if you were not a doctor. You would know that you will be sleeping in your bed at least once in a 24 hr period. That no matter how bad your job is, you're going home to crash/whine to your wife/go home and watch tv/whatever. Not so in medicine. You're married to your beeper, and believe me it will go off. You will be working weekends; you will lose the distinction between a weekday and a weekend, because it's all the same. And there is no overtime pay. For instance, I went to work at 8:30 am Monday. It is now Tuesday at 6:30 pm, and I've been working the 34 hrs straight since (with off/on sleep in little spurts), and while at cocktail parties you've got stories none of your friends can tell, while you can look "cool" at parties because you'll get paged and you discreetly try to say, "This is Dr. Drake, I was paged," and everyone will think you're important, and while you can pretend to wear a badge of honor and say that you're needed this Saturday at the hospital and the chicks dig you, it's not worth it. Cocktail parties are once a season. But the other 361 days out of the year, you're living the life in the real world, and you're alone. The mundane tasks of the daily life of a doctor make it pretty tough to stick to your ideals. Very few transcend the mundane monotony and continue to view their daily activities as a true calling like we all say it is on our personal statements. For 90% or more, it becomes just a job. Sad, but that's what my experience is. And if you're not the <10% or so who continue to transcend the job, you're in for a rude awakening. And the game never stops. You get into med school, your buddies say the person who graduates last is still called MD. But then you realize there's subspecialties, and that's where all the procedures/money/increased isolation from primary care b.s.-ology is, and so you want to subspecialize. Well, game is back on. You got to kiss up, somehow create time you don't have to do research, kiss up some more to get fellowship spots, interview, etc. And even during fellowship there's more kissing up involved and the game goes on to get grants, to land a nice job in the community, etc. It never stops. To have an MD, to have been through all that schooling, and to be that old (35 or so) and still be kissing nurses' butts, and to have to pay for parking in the boonies, to not have so much as your own locker to even put your bag (my case), and to be a peon in so many ways, is just inane.

Since I have entered med school, residency, etc, I've quit all my other prior hobbies because the demands of the job are so great. I have lost a number of friends because they're going out weekends while I'm stuck in the hospital. It's not intentional, but you just get sucked into your own MD world and the job can easily consume your life. The same could be true about any pressure-cooker job, but because of the purely large amount of hours you're working consistently, you are your job. The cocktail party stories are great--if you can even make it to the parties in the first place. You get some measure of social respect (but not inside the hospital by nurses), but trust me, if some female or male is going to like you because of your perceived general awesomeness because you're a doctor, they are infatuated with what you represent: prestige, money, security, generalized potential, etc....but NOT with you yourself. In so many ways, the job isn't worth it. Others will disagree, but you have my opinion.
 
pufftissue said:
I'd echo powermd's thoughts. I would 100% not do this again if I had the choice, and I'm past my intern year. I believe that your time is your most valuable resource, and no amount of money would offset the loss of your prime years of your life: your 20's and 30's. Think about the lifestyle you would lead if you were not a doctor. You would know that you will be sleeping in your bed at least once in a 24 hr period. That no matter how bad your job is, you're going home to crash/whine to your wife/go home and watch tv/whatever. Not so in medicine. You're married to your beeper, and believe me it will go off. You will be working weekends; you will lose the distinction between a weekday and a weekend, because it's all the same. And there is no overtime pay. For instance, I went to work at 8:30 am Monday. It is now Tuesday at 6:30 pm, and I've been working the 34 hrs straight since (with off/on sleep in little spurts), and while at cocktail parties you've got stories none of your friends can tell, while you can look "cool" at parties because you'll get paged and you discreetly try to say, "This is Dr. Drake, I was paged," and everyone will think you're important, and while you can pretend to wear a badge of honor and say that you're needed this Saturday at the hospital and the chicks dig you, it's not worth it. Cocktail parties are once a season. But the other 361 days out of the year, you're living the life in the real world, and you're alone. The mundane tasks of the daily life of a doctor make it pretty tough to stick to your ideals. Very few transcend the mundane monotony and continue to view their daily activities as a true calling like we all say it is on our personal statements. For 90% or more, it becomes just a job. Sad, but that's what my experience is. And if you're not the <10% or so who continue to transcend the job, you're in for a rude awakening. And the game never stops. You get into med school, your buddies say the person who graduates last is still called MD. But then you realize there's subspecialties, and that's where all the procedures/money/increased isolation from primary care b.s.-ology is, and so you want to subspecialize. Well, game is back on. You got to kiss up, somehow create time you don't have to do research, kiss up some more to get fellowship spots, interview, etc. And even during fellowship there's more kissing up involved and the game goes on to get grants, to land a nice job in the community, etc. It never stops. To have an MD, to have been through all that schooling, and to be that old (35 or so) and still be kissing nurses' butts, and to have to pay for parking in the boonies, to not have so much as your own locker to even put your bag (my case), and to be a peon in so many ways, is just inane.

Since I have entered med school, residency, etc, I've quit all my other prior hobbies because the demands of the job are so great. I have lost a number of friends because they're going out weekends while I'm stuck in the hospital. It's not intentional, but you just get sucked into your own MD world and the job can easily consume your life. The same could be true about any pressure-cooker job, but because of the purely large amount of hours you're working consistently, you are your job. The cocktail party stories are great--if you can even make it to the parties in the first place. You get some measure of social respect (but not inside the hospital by nurses), but trust me, if some female or male is going to like you because of your perceived general awesomeness because you're a doctor, they are infatuated with what you represent: prestige, money, security, generalized potential, etc....but NOT with you yourself. In so many ways, the job isn't worth it. Others will disagree, but you have my opinion.


Pufftissue,

I do believe that you feel the way you do, but I do think that there are many more than 10% of docs that are happy. The schedule demands of medicine are the same now as they were 20 yrs ago. Maybe even less due to the formation of large groups and shared call. The difference is that now reimbursement has declined drastically. It seems like the specialist that ARE happy are either highly reimbursed or have great hours or both. Primary care docs, from my experience, are not happy as a general rule. Most other specialist are. I spoke to a Urologist last week who is now 41 yo and said he would go back and do it again in a heartbeat. He loves his job and his life! Do you think that lawyers/investment bankers don't work weekends? They most certainly do. There are sacrifices in every job, medicine has more than others, yet for many, the rewards involved in patient care offset many of these sacrifices.

***PUFFTISSUE: If you are going to be so negative about everything then please tell use what field of medicine you are pursuing so we at least think twice before pursuing it ourselves.

BTW I also spoke with a family friend who is a cardiologist and is CHOOSING to continue to work b/c he continues to find the work so satisfying, he is going to take a pseudo-academic position. He is more excited about the future advances in his field than any non-medical professional I know ( they all cannot wait to retire). Medicine is not for everybody, but for others it is the best job in the world. You must decide for yourself.

Of note to the Original poster: Have you thought about dental school or optometry school. Neither have residencies aka. crappy lifestyles and both are better compensated/hr than primary care docs. If you got into a carribean medical school then I imagine you could get into an American dental school. I know many who have done this and they are very happy
 
Hudson said:
Pufftissue,

I do believe that you feel the way you do, but I do think that there are many more than 10% of docs that are happy. The schedule demands of medicine are the same now as they were 20 yrs ago. Maybe even less due to the formation of large groups and shared call. The difference is that now reimbursement has declined drastically. It seems like the specialist that ARE happy are either highly reimbursed or have great hours or both. Primary care docs, from my experience, are not happy as a general rule. Most other specialist are. I spoke to a Urologist last week who is now 41 yo and said he would go back and do it again in a heartbeat. He loves his job and his life! Do you think that lawyers/investment bankers don't work weekends? They most certainly do. There are sacrifices in every job, medicine has more than others, yet for many, the rewards involved in patient care offset many of these sacrifices.

***PUFFTISSUE: If you are going to be so negative about everything then please tell use what field of medicine you are pursuing so we at least think twice before pursuing it ourselves.

BTW I also spoke with a family friend who is a cardiologist and is CHOOSING to continue to work b/c he continues to find the work so satisfying, he is going to take a pseudo-academic position. He is more excited about the future advances in his field than any non-medical professional I know ( they all cannot wait to retire). Medicine is not for everybody, but for others it is the best job in the world. You must decide for yourself.

Of note to the Original poster: Have you thought about dental school or optometry school. Neither have residencies aka. crappy lifestyles and both are better compensated/hr than primary care docs. If you got into a carribean medical school then I imagine you could get into an American dental school. I know many who have done this and they are very happy



Actually, Hudson, Pufftissue's 10% estimate is pretty much correct. For objective data look at the AMA's survey's on physician satisfaction. 10% are happy. And I think 40% are "satisfied". The rest are basically miserable.

I don't doubt your anecdotes are true, Hudson. I actually have my own anecdotes about "happy" physicans. But my anecdotes about unhappy physicians outnumber these by an order of magnitude.
 
Lawyers and I-bankers do work many hours. But they aren't treated as badly as residents are on a whole. For example, find me a lawyer that doesn't have a place to put his stuff when he gets to work. Find me an I-banker who has to take s**t from a secretary. Also, attorneys and bankers don''t accumulate the debt that MDs do by any stretch of the imagination.

And, no, things don't get better as an attending. You only get more responsibility that is not comensurate with your pay.

So if your arguement is that Medicine is the lesser of the three evils (because all these careers suck as far as I'm concerned), you are wrong.
 
banner said:
Lawyers and I-bankers do work many hours. But they aren't treated as badly as residents are on a whole. For example, find me a lawyer that doesn't have a place to put his stuff when he gets to work. Find me an I-banker who has to take s**t from a secretary. Also, attorneys and bankers don''t accumulate the debt that MDs do by any stretch of the imagination.

And, no, things don't get better as an attending. You only get more responsibility that is not comensurate with your pay.

So if your arguement is that Medicine is the lesser of the three evils (because all these careers suck as far as I'm concerned), you are wrong.

All careers have their pro's and con's. It depends on what makes you sleep well at night. If you weren;t going to be a doctor what would you rather do? Realistically, not any rockstar/proathelete type of ****. I would say that anecdotally I know more happy than unhappy docs, excluding those in primary care and gen surg/Ct surg/vascsurg. These guys are usually unhappy for a multitude of reasons. Check out his website and look at how many of each specialist are Very satisfied/Satisfied/Somewhat satisfied/etc. with their current life/specialty. Look at the stats of how many would chose their field again.

http://www.smbs.buffalo.edu/RESIDENT/CareerCounseling/interior.htm?specialty_profiles.htm

Medicine is a tough life, tougher than any other career paths I would have chosen, yet I would have been unfulfilled doing anything else. My friends who went to private law school have debt that rivals mine from a public medschool, and they are never guarnteed a good salary. A good specialists in medicine can pretty much expect to make 250K+/year until he or she choses to stop working. If you know what you are doing you can make a hell of a lot more than most lawyers.

Please share with us what specialties your happy and unhappy anecdotal storeies come from. I am interested to know.
 
Hudson said:
All careers have their pro's and con's. It depends on what makes you sleep well at night. If you weren;t going to be a doctor what would you rather do?

I was in a PhD student in nutritional science before applying to med school. Now the idea of regular hours and summers off does not seem so bad. I also realized that I am very unhappy with my personal life. Sad and lonely.

I have this idea this idea that I will not get married and my friends who all happen to live outside the US will slowly disolve. I think the realization about friends and my personal life is making this more difficult. I suspect that if I was married or close to it, i would not feel this way. This feels like a therapy session, but I am being honest. It is a pitty because I have no doubt that i have the potential to get through the next 7 years of training. THere is no way I can pack my bags for an island to study medicine feeling like this.
 
Hudson said:
Pufftissue,

I do believe that you feel the way you do, but I do think that there are many more than 10% of docs that are happy. The schedule demands of medicine are the same now as they were 20 yrs ago. Maybe even less due to the formation of large groups and shared call. The difference is that now reimbursement has declined drastically. It seems like the specialist that ARE happy are either highly reimbursed or have great hours or both. Primary care docs, from my experience, are not happy as a general rule. Most other specialist are. I spoke to a Urologist last week who is now 41 yo and said he would go back and do it again in a heartbeat. He loves his job and his life! Do you think that lawyers/investment bankers don't work weekends? They most certainly do. There are sacrifices in every job, medicine has more than others, yet for many, the rewards involved in patient care offset many of these sacrifices.

***PUFFTISSUE: If you are going to be so negative about everything then please tell use what field of medicine you are pursuing so we at least think twice before pursuing it ourselves.

BTW I also spoke with a family friend who is a cardiologist and is CHOOSING to continue to work b/c he continues to find the work so satisfying, he is going to take a pseudo-academic position. He is more excited about the future advances in his field than any non-medical professional I know ( they all cannot wait to retire). Medicine is not for everybody, but for others it is the best job in the world. You must decide for yourself.

Of note to the Original poster: Have you thought about dental school or optometry school. Neither have residencies aka. crappy lifestyles and both are better compensated/hr than primary care docs. If you got into a carribean medical school then I imagine you could get into an American dental school. I know many who have done this and they are very happy

Hudson,
I am cleary a the-glass-is-half-empty kind of person. I had no idea general medicine was this stinky. I am now pursuing allergy. It's uber-competitive right now, but if you can get in, it's a great lifestyle and insulation from primary care. Some say it may be boring, but I guess I'm just a boring person.
I admire those who are called to primary care. I know a few docs who are that way. I want them to be my docs, seriously. But I know a whole lot more who feel like I do. I am just not the type of person to do primary care. I am suspicious of patients who come in with chronic pain. I think a lot of htem are wimps. I can't stand those who aren't working a lick and come in feeling entitled. I really can't stand the anxious people who make me explain away every little trifle and sniffle that they may have. I can't stand all those who read the internet just so they can come in and argue with me. I don't like those who keep bugging me for after hours telephone advice like it's a toll-free hotline so they don't have to come in. I don't like those who pose unanswerable questions like I must have advil but not motrin. And don't even think about giving me ibuprofen. But if you give it to me, do you think 300 mg is too much of a dose? Oh crap, I took tylenol 325 and advil 300 at the SAME time. I'd better go to the er. What do you think, doc? You get crap with every territory and in every phase of life, but in my experience, primary care gets more than their fair share by a big amount.

BUT, if primary care fills your heart and satisfies your soul, go right ahead and do it. It won't be such a drag for you. In a few years we'll need primary care docs because pcps will be a dying breed if this attrition rate keeps up.
 
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pufftissue said:
Hudson,
I am cleary a the-glass-is-half-empty kind of person. I had no idea general medicine was this stinky. I am now pursuing allergy. It's uber-competitive right now, but if you can get in, it's a great lifestyle and insulation from primary care. Some say it may be boring, but I guess I'm just a boring person.
I admire those who are called to primary care. I know a few docs who are that way. I want them to be my docs, seriously. But I know a whole lot more who feel like I do. I am just not the type of person to do primary care. I am suspicious of patients who come in with chronic pain. I think a lot of htem are wimps. I can't stand those who aren't working a lick and come in feeling entitled. I really can't stand the anxious people who make me explain away every little trifle and sniffle that they may have. I can't stand all those who read the internet just so they can come in and argue with me. I don't like those who keep bugging me for after hours telephone advice like it's a toll-free hotline so they don't have to come in. I don't like those who pose unanswerable questions like I must have advil but not motrin. And don't even think about giving me ibuprofen. But if you give it to me, do you think 300 mg is too much of a dose? Oh crap, I took tylenol 325 and advil 300 at the SAME time. I'd better go to the er. What do you think, doc? You get crap with every territory and in every phase of life, but in my experience, primary care gets more than their fair share by a big amount.

BUT, if primary care fills your heart and satisfies your soul, go right ahead and do it. It won't be such a drag for you. In a few years we'll need primary care docs because pcps will be a dying breed if this attrition rate keeps up.


Puff,
Glad to hear you are going to specialize. I myself, have never even thought of doing primary care. I would much rather do surgery or anesthesia. The system has taken the fun out of it. I am planning on cards/gi. I'm someone with more of a procedural lean who was going into a surgical subspecialty for a while. I look at three years of medicine as a means to an end. It will get me to where I want to be. I enjoy the knowledge one acquires while training for internal medicine, but would not enjoy the practice of implementing this knowledge in a primary care setting. The beauty of a specialty is that most of the BS complaint/visits that you speak of in you post are filtered out by the PMD. I commend those that truly do love primary care b/c we need them. Good luck in you endeavors, and I think there are still plenty of GREAT jobs in medicine, albeit competitive to get into.
 
protoplano said:
I am 31 years old, about to begin med school and feel like I made the biggest mistake of my life. I feel like I will enter a time machine and exit it when I am 40 years old. I have no doubt that being a physician is an incredible privilage in this life, but am not sure if this outweighs the personal sacrifices necessary to get there and afterwards. I dont care about money and cache, just simple and precious things that can get squashed. A physician once told me that if there is anything else that would make me happy as a career outside of medicine that I should really consider it before embarking on this trip.

If there any non traditional docs who are nearing the end of training or anyone with some sage advice from the reality of the field. I think the bad part about being older is that you realize what is important despite your career choices.

Protoplano,

Mosey on over to Old Premeds for maybe a little bit of a more positive perspective from a bunch of older folks at various stages of a career in medicine. Maybe it will cheer you up a bit.
 
To the OP,

I'm sure something to this effect has already been stated but whatever you are doing in 15 years, you'll be 46 years old regardless. So, I'd say take care of yourself (btw, you're a youngster) physically and every other way.....plan to work until you're 70 or 75 because you love it and are in great physical shape and presto.......... you're now in the same boat (age wise) as the average medical student. It's all relative.

I understand what you're going through as I'm a 41 yo 3rd year student.


Carpe
 
I want to say that the responses from everyone have helped a great deal. I do realize that in the end my choice must come from within. My greatest concern is to begin med school with such uncertainty. Somehow I suspect it will only get worse when I am there in the trenches. Especially on an island.

I decided to shadow a physician for a few weeks and start from there.

My indecision in relation to age is just a sympton of a greater fear of choosing the wrong path.
 
No you cant live life to the fullest as a general internist. If you are unsure, the ROAD to happiness shoud be taken.
 
NO. Your life will suck for eternity. Drop out and get a job at Wal-Mart.
 
oldandtired said:
No you cant live life to the fullest as a general internist. If you are unsure, the ROAD to happiness shoud be taken.[/QUO

The ROAD to happiness is paved differently for everyone. Not everyone would be happy in one of these four specialties. For some, working 12hr days all week long plus call in a more demanding specialty is bliss. Not because that person enjoys long hours, or does not have interests outside of medicine , but because they gain a personal fulfillment from their job that others never found. I have met very few radiologist/dermatologist that LOVE their job. They love their life and therefore their job fits the bill of happiness. I would hate my job, but would love my life, doing either of these specialties being that I maid bukoo bucks and had cush hours. I need more to make myself feel fulfilled and to sleep well at night. My point is there is not one ROAD to happiness, everyone needs to factor in all the variables into THEIR equation for happiness. The generation of docs we all knew growing up underestimated the value of lifestyle and overestimated the fulfillment they would gain professionally. I feel our generation of docs, at times, overvalues lifestyle and undervalues the true rewards present in medicine. However, I will agree with OLDANDTIRED that if you are UNSURE the safest bet is lifestyle. If you do not feel passionate enough about something to trully be successful at it, then do not do it! Keep in mind no one has enough experience to make this decision until after their third year of medschool. Good luck.
 
"I have met very few radiologist/dermatologist that LOVE their job. They love their life and therefore their job fits the bill of happiness"

You will meet far fewer non-rads/derms who LOVE what they do. Most of my radiology colleagues could not imagine doing anything else and are very satisfied with their professional lives.
 
protoplano said:
I am 31 years old, about to begin med school and feel like I made the biggest mistake of my life. I feel like I will enter a time machine and exit it when I am 40 years old. I have no doubt that being a physician is an incredible privilage in this life, but am not sure if this outweighs the personal sacrifices necessary to get there and afterwards. I dont care about money and cache, just simple and precious things that can get squashed. A physician once told me that if there is anything else that would make me happy as a career outside of medicine that I should really consider it before embarking on this trip.

If there any non traditional docs who are nearing the end of training or anyone with some sage advice from the reality of the field. I think the bad part about being older is that you realize what is important despite your career choices.

I was an aircraft mechanic before coming to medical school. I will graduate in May. Keep in mind that most careers come with sacrifice. When I was working on airplanes, the threat of a layoff was always there. I met so many guys that thought they had it made, only to get laid off and have to move across the country for the third time. I know guys that were ready to retire after 25 years of loyal service and then they found out that the complany they worked for spent their pension and is now bankrupt. Also, my dad was a farmer and is now a mechanic. I've watched him toil year after year. He lives a simple life, but he will need to, since his only retirement plan is our problematic social security system. Having said all this, medicine is not perfect and time is valuable. I do feel like I've stepped into a time machine, and I honestly can't tell you if it's worth it. . . but, it's better than drinking your life away and better than living with the idea that you didn't follow your dreams. I work hard, and people are proud of me. Sometimes their pride keeps me going and makes me think it might be worth it. You will have to decide for yourself. Good luck. Follow your gut.
 
This is a great thread with some excellent insight. I have the same question and I am wondering if any perceptions have changed since 10 years ago. Is it possible to have a life outside of medicine as an IM/IM-specialty doc?
 
This is a great thread with some excellent insight. I have the same question and I am wondering if any perceptions have changed since 10 years ago. Is it possible to have a life outside of medicine as an IM/IM-specialty doc?
Yes, it's "possible." But that depends on a number of factors like which subspecialty you're in (e.g. endocrinology and cardiology have very different lifestyles!), which stage of training (e.g. intern, resident, attending, partner), practice environment, are you working part-time or full-time, etc.
 
Hospitalist is a reasonable option but the gig is what it is. You have to accept that.

The time off, however does provide the opportunity for "life outside of medicine."

Pretty much every other job in IM, well, let's just say "YMMV."
 
We are DOCTORS for life and to the after life, DOCTORS!!!!!!!!!
 
Correct me if I'm wrong, but I think that working in outpatient primary care (which I plan to do) actually has a good lifestyle. It's a stable (which is what I want), weekdays, ~9-5 job.
 
Correct me if I'm wrong, but I think that working in outpatient primary care (which I plan to do) actually has a good lifestyle. It's a stable (which is what I want), weekdays, ~9-5 job.

I have never seen a primary care clinic that opened that late at 9am. It is usually 8am which would be 45 hrs/wk. Also you have to take into account whether or not you are able to complete your charting at work or have to take it home. If you have to take it home then that is additional work.
 
you slowly become a withered husk, slowly losing the capability of expressing any emotion, the moment you start an IM residency.
 
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Correct me if I'm wrong, but I think that working in outpatient primary care (which I plan to do) actually has a good lifestyle. It's a stable (which is what I want), weekdays, ~9-5 job.
not sure what outpt clinic where the hours are 9-5...most start with 8am apps and last appt 430pm and unless you have a great emr or can dictate all your clinic notes between pts, you are staying after 1-2 hours to finish up your documentation and other paperwork and phone calls to pts...more like 8-630...
 
This is a great thread with some excellent insight. I have the same question and I am wondering if any perceptions have changed since 10 years ago. Is it possible to have a life outside of medicine as an IM/IM-specialty doc?

No. But they pay you enough to be able to buy regular cocaine and hookers. So you don't mind so much.
 
No. But they pay you enough to be able to buy regular cocaine and hookers. So you don't mind so much.
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I have never seen a primary care clinic that opened that late at 9am. It is usually 8am which would be 45 hrs/wk. Also you have to take into account whether or not you are able to complete your charting at work or have to take it home. If you have to take it home then that is additional work.
True. But then you don't have to work weekends or nights though
 
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