Personality Change

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almost_there

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Hi folks,

I am a 28-yr old former software-engineer who is switching into medicine. One thing that I've noticed among my friends, many of whom are in medicine, is that their personalities have changed since going to medical school. And it hasn't been for the better. They are more impatient, less compassionate, less introspective, tend to listen less, and much more cynical about their fellow humans. I'm a little worried that it will happen to me.

Common? Good reasons for this? No, this doesn't happen?

Thanks,

a_t
 
almost_there said:
Hi folks,

I am a 28-yr old former software-engineer who is switching into medicine. One thing that I've noticed among my friends, many of whom are in medicine, is that their personalities have changed since going to medical school. And it hasn't been for the better. They are more impatient, less compassionate, less introspective, tend to listen less, and much more cynical about their fellow humans. I'm a little worried that it will happen to me.

Common? Good reasons for this? No, this doesn't happen?

Thanks,

a_t

YES. I was once a nice, reasonably sane kid. Now I have no real friends, have all too casual sex with different people each night and spend most of my free time counting my $.
 
This field does change people, especially while they are in medical school and residency. There was a thread recently that discussed this, titled "If you could do it again, would you." One of the best responses, I though, was from roygbasch. I hope he doesn't mind if I quote him. Here is what he wrote:

No way, not a chance. But I don't really know what I would choose to do instead either. Drinking beer and watching sports just haven't made it as a career path. Like just about everyone who've posted here have said, medical school is so different in ways that are hard to explain than you could possibly imagine. There is really little resemblance between what I pictured medical school, residency, and practice to be like and the reality. At times you may feel misled. It is in some ways a bit of a trap, the med school thing, and by the time you have a grasp on it, it is too late to easily turn back. I am a little surprised how many positive responses there have been here. I can't decide if these are just better people, more naive, or folks who chose their specialties wiser. For me, the whole experience and how bizarre it really is have proven to be isolating. You simply cannot explain or complain to your friends, family, spouse about the realities of medicine and expect them to really be able to understand. Even when they listen and sympathize and seem to get it, they really don't. Try it and see. Other docs will nod knowingly, but everyone else is left out of the little club.

I can recall a clinical professor telling our class one day late in the M2 year, "You will never be as nice a person as you are right now." It has proven to be true for alot of us. That is one major reason I wouldn't do it over. In some ways, I would rather be the person I was before I went to med school, even if it was founded on ignorance and naivete. I wasn't nearly as cynical, impatient, hateful, and disinterested toward humanity in general. I didn't stay so stressed all the time. The water tasted better. The air was fresher. I wasn't so fat.

I don't see too many practicing docs who unequivocally without pause would say they would do it all over. Most don't REALLY enjoy seeing the majority of their patients; they have to see them to be able to do what it is they do for/to them. The patient happens to be the only place to find coronaries to stent, etc. Just check out the tremendous resentment clinical docs have toward those who managed to avoid the whole seeing-patients-for-a-living bit, particularly rads. Seeing patients is a terrible burden alot of the time. You cannot appreciate how many crazy, stupid, and screwed-up people are out there until you go to med school. People you wouldn't even come across on your worst day in Walmart will suddenly be there in the ER to see you. The personality pathology alone is astonishing. Reasonable, intelligent people are so rare. You truly get a different view of human nature as a doc.

People are much less respectful and appreciative in general than you probably expect. It is a business through and through. Managed care runs everything. Cookbook medicine is rampant. Forget about much intellectual stimulation. The reseach being done is mostly worthless and tainted by drug companies. Evidence-based medicine is a lie and a hoax. Administrators will drive you nuts. You get put in impossible situations all the time. Gomers really don't die, it's true. You'll send granny to a nursing homes and not even think twice about it. You'll be ordering pain meds and benzos for all sorts of losers like a waiter in some cheap restaurant. They'll demand demerol, and send it with phenergan on the side. No, don't try to substitute, look at all those drug allergies.

What was it called? The Hypocritic Oath? Something like that.

I will note one thing, though. While most residents really don't have time to listen, be compassionate, etc, this is not as true for attendings. Attendings once again have the time to talk to patients, and their empathy seems to return (for some of them, from what I've seen). So if your friends are still residents, they may revert back to the compassionate people they were before residency, once they actually have time for it. This is what I am hoping, anyway.

I thought that since I had studied medical sociology in undergrad and understood the ways in which the medical education system changes people (makes patients the enemies who keep you from sleeping, etc), that I would somehow be immune to it. But I wasn't. I'm still just a med student, and I can feel how I have changed. Residency will probably just make it worse. But hopefully when I'm an attending I will once again have time for compassion and patience.
 
While the field can change someone's behavior in certain situations, the literature would suggest that about after age 27 your personality is pretty much set. Therefore, I would conjecture that while there many be some abberances due to stressors of residency and medical practice, the true personality really doesn't change for most people.

I don't think my personality has changed although I'm probably not best placed to answer that question.
 
Definitely different personality now but personality changes as we age anyways. I'm tougher mentally than I was before, more cynical meaning more humor toward life but more humbled;
more tolerable of people who piss me off, but, have less patience for simple BS.

And, I don't see too many doctors who seem truly happy. I have met a few, but, they are either passionate or have the specialty with the good lifestyle (derm, radiology, anesthesiology, etc); most others look unhappy to me. The eyes don't lie.
 
Kimberli Cox said:
While the field can change someone's behavior in certain situations, the literature would suggest that about after age 27 your personality is pretty much set. Therefore, I would conjecture that while there many be some abberances due to stressors of residency and medical practice, the true personality really doesn't change for most people.

I don't think my personality has changed although I'm probably not best placed to answer that question.


I agree with the above post. I don't think the "personalities" per se change, but maybe their view on things. For instance, I don't think Type A's become more like Type B's or vice versa, or that someone really outgoing becomes quiet... these are usually set traits. HOwever, I do believe that people become more self centered and less naive causing them to become more cynical about the world we live in - I wouldn't say this is true personality CHANGE though 🙂

I wish you lots of luck, and hopefully you'll find a nice balance.

I found my balance by marrying someone completely seperate from the medical field, he won't let me talk about it (in fact, he finds me quite dull when I droan on and on), this way I am forced to stay true to myself and not be completely digested by my work.

🙂 Poety
 
I disagree that personalities don't change with age. It is believed that antisocial personality declines in a person by age 40-45 and above.

I think aspects of personality do change. Life experiences change people. Belief systems change and some aspects of our behavior and personality is based on our belief system.
 
I dunno about a permanent change but when I was on surgery I got very irritable. Not towards patients though-towards other drivers on the road in the way of my sleep. I think the testosterone in the air was being absorbed through my skin and I got agressive.

I have a pretty steady personality so it went away in a couple of days after the test...and it didn't happen when I was on Ob with worse hours.

I think if you're a person who has a tendency to change with the people around you it happens. If you buy the cool car because it's cool even though it sucks kinda person... But if you're a stubborn but calm bull like me, it doesn't happen for more than a short while...I'm unique and I like it that way.

But then again I am married and didn't start clerkships until 29 years old - so according to Cox my personality was set already! :laugh:
 
HP11 said:
I disagree that personalities don't change with age. It is believed that antisocial personality declines in a person by age 40-45 and above.

I think aspects of personality do change. Life experiences change people. Belief systems change and some aspects of our behavior and personality is based on our belief system.


I understand your point about the antisocial declining HP11- but I don't think it "changes" I don't think they become for instance, reformed antisocials that grow a conscious and develop remorse for behaviors they engaged in during their youth. But I do agree that certain aspects can change- and as for life experiences, do you really think it changes most peoples entire personality? Perhaps it brings out more "tendencies."

I don't know, all I know is that I was an older student as well, so maybe my view is skewed, but the people I've known throughout my years of med school haven't really changed since the beginning - maybe they've grown up a bit, or opened their eyes a bit, but underneath it all, I still see who they were when we all started 🙂
 
IMO, the idealism of medicine often crumbles in the face of the reality of one's workload combined with the challenges posed by teaching hospital patients.
 
I think about this subject all the time. My goal ever since the start of medical school has been not to let it all get to me in the end. I realize that it is going to get to me acutely, but I keep reminding myself of the person I wanted to become. I just hope that 8 years of this routine hasn't changed me for good.

It is so true though. Medical school and residency SUCK YOUR SOLE right out of your body. Sometimes I feel like a mindless drone doing what I have been trained to do. I want to get out of residency and still have a sole to climb back into.

Is it the hours or the system. I'm truely convinced that it is the hours. What other job do you know of where people routinely put in 30 hour shifts. I can only think of the ARMY. God, what have I gotten myself into.
 
med99 said:
Medical school and residency SUCK YOUR SOLE right out of your body.

No big deal, just see a cobbler! :laugh: :laugh: :laugh: :laugh: :laugh:

Or did you mean SOUL? Sorry, I couldn't resist. 😉
 
Kimberli Cox said:
While the field can change someone's behavior in certain situations, the literature would suggest that about after age 27 your personality is pretty much set. .

The literature is wrong.
 
TommyGunn04 said:
No big deal, just see a cobbler! :laugh: :laugh: :laugh: :laugh: :laugh:

Or did you mean SOUL? Sorry, I couldn't resist. 😉

:laugh: :laugh: :laugh:
 
HP11 said:
And, I don't see too many doctors who seem truly happy. I have met a few, but, they are either passionate or have the specialty with the good lifestyle (derm, radiology, anesthesiology, etc); most others look unhappy to me. The eyes don't lie.

This quote scares me. Not only as a spouse of a soon to be medical professional (with a still long road ahead) but also as a consumer in the medical industry!!!



I agree with those saying for the most part large personality traits do not change. Values and beliefs can change over time though. I also think you adapt as you learn more and enter new situations. Also, if you've had a life changing experience you might be more likely to change personality-wise.

I think, since starting med school, my husband has become more competitive and outspoken. I wouldn't say he was an introvert or shy by any means, but he used to be more laid back and quiet. Overall he's the same guy though. I don't think his reasons for choosing medicine have changed or his outlook of his future career. [ 😳 I think he might be a borderline gunner.... 😛 ] Haha not really- after reading some more detailed "descriptions" of a gunner, I definitely don't think he's one.
 
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