Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Time macho: Why I’m part of the problem

Rebecca E. MacDonell-Yilmaz, MD, MPH
Education
March 8, 2016
Share
Tweet
Share

It was a concept intimately familiar to me long before anyone gave it a name. From my earliest days in college, I felt surrounded by people who packed their days with meetings, activities, sports practices or competitions; classes, study groups, and research; for whom every moment had been spoken for and each day didn’t so much end as spill over into the next. The standard was clear: to do any differently was to be lazy, unmotivated, and destined for failure.

During medical school, the feeling only intensified. Free time was a prize to vocally lust after but also a guilt-inciting purgatory to be avoided at all costs. After all, we could never learn all there was to know about medicine, so how could we ever stop trying?

When I read Anne-Marie Slaughter’s description of “time macho” — the idea that “somehow you’re better and tougher and stronger if you work harder and longer” — during my last year of school, it gave me a tangible practice toward which to direct my frustration and a paradigm away from which to direct my own behavior. Throughout my training, I tried to assign some priority to sleep and to the people and things outside of medicine that nourish my soul. And until recently I thought that I had done an adequate job of it, and of encouraging the same in my colleagues.

Last month a speaker at my hospital’s grand rounds presented data highlighting the importance of sleep — how many benefits it brings and how much physical and emotional damage a deficit of it can unleash. When she presented the recommendations for sleep durations according to age, she asked how many people in the audience had young children who were getting the appropriate amount of sleep. Less than half raised their hands. What about teenagers, she continued. Again, less than half.

What about all of you, she finally asked. How many people in the audience regularly slept for the recommended seven to nine hours each night?

Only a smattering of hands popped up across the auditorium. My own hand stayed down, despite the fact that I have been sleeping eight to nine hours per night over the past few months. I felt embarrassed, guilty for allowing myself such an extravagant amount of rest when colleagues all around me were working so hard. Never mind that I had entered my year as chief resident, with my work hours nearly halved and allowing much more time for rest, and that I was exhausted from preparing for the pediatrics boards while caring for my toddler son and navigating the first trimester of my second pregnancy. It still felt somehow shameful to be a physician getting so much sleep.

Most of the day passed before I realized that my reaction — my embarrassment, my instinctive need to offer justification for taking care of my own basic needs — only contribute to and perpetuate the culture of time macho that pervades medicine and so much of our society. The speaker could just as easily have asked how many of us value ourselves, our health, our well-being? And while that might have garnered a few more raised hands, it would by no means have been met with universal commitment, even in a room full of health care providers.

As with any effort toward culture change, the first steps involve shifts in the beliefs and behavior of individuals. So this is me urging myself and my colleagues to stop judging ourselves based on how many hours we’ve worked, the depth of our exhaustion, how thoroughly we’ve driven ourselves into the ground. To direct at least a little bit of care that we provide toward ourselves.

This is me raising my hand.

Rebecca E. MacDonell-Yilmaz is a pediatrician who blogs at the Growth Curve.

Image credit: Shutterstock.com

Prev

The problem with cultural competency in medical education

March 8, 2016 Kevin 87
…
Next

The heartbreak of dating an exhausted medical resident

March 8, 2016 Kevin 17
…

Tagged as: Medical school, Residency

Post navigation

< Previous Post
The problem with cultural competency in medical education
Next Post >
The heartbreak of dating an exhausted medical resident

ADVERTISEMENT

More by Rebecca E. MacDonell-Yilmaz, MD, MPH

  • A physician’s mistakes as a rookie MD

    Rebecca E. MacDonell-Yilmaz, MD, MPH
  • Always check the back seat before you leave the car

    Rebecca E. MacDonell-Yilmaz, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    Can we get more from our medical meetings?

    Rebecca E. MacDonell-Yilmaz, MD, MPH

Related Posts

  • Finding happiness in the time of COVID

    Anonymous
  • It’s time to focus medical education on training the whole person

    Tracy Asamoah, MD
  • More than three hours late, but somehow still on time

    Tasia Isbell, MD, MPH
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • It’s time to abolish the MCAT

    Inginia Genao, MD
  • The next time you see a medical student, give support

    Gurbaksh Esch, MD

More in Education

  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Why medical student debt is killing primary care in America

    Alexander Camp
  • Why the pre-med path is pushing future doctors to the brink

    Jordan Williamson, MEd
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Time macho: Why I’m part of the problem
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...