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

Residency as a series of mini-interventions against physician suicide and depression

Amy Faith Ho, MD
Education
July 21, 2017
Share
Tweet
Share

They say you never forget your first crush. Or your first date. Or your first kiss.

And you don’t.

Just as we have landmarks events that shape us in the adolescence of our personal lives, physicians also have landmark events that shape them in the adolescence of medical training: residency.

No longer a child of medical school, needing constant supervision and clinical babysitting by elders, resident physicians start with a refreshingly nascent view of medicine still unmarred by the responsibility death and disease. Quickly, as the leash is lengthened with each year of residency, that view becomes increasingly more burdened.

They experience their first real patient. Their first medical code. Their first death.

They conduct their first barbaric procedures like filleting open chests of innocent teenage bystanders who were victims of gang shootings. They release a confetti of blood into air of the trauma bay, only to reluctantly call time of death moments later.

They question all that is right and wrong with the world, if there is even a right and wrong in the world at all.

They tell the first patient they personally relate to that they have terminal illness. They see themselves in that patient and share the same aspirations of early career greatness. They shatter those dreams with two words: “metastatic cancer.” They see themselves in that patient, and start to become obsessed with their own small aches and pains as potentially insidious signs of something more malignant. They face mortality in a way they’ve never had to before and become convinced that life is unfair and there is neither good nor evil.

They experience grief as a full body experience for the first time when they pronounce an infant’s short innocent life and face the parents with the news. They never forget that scream and fear it with their entire beings when they become parents themselves.

Like adolescence, residency is a time of formative firsts. We never forget them just as we never forget our firsts in our personal lives.  But at every step of the way, we do need to decide how they will shape us as not only physicians but as humans.

As a resident, you have the unique opportunity to map out in real time the steps to burned out cynicism or to a broader sense of the greater good and a resolve to defend it ever more.

As a young attending, you have the unique opportunity to recognize and intervene at each of these landmark events in a young resident’s life — to show solidarity, to encourage introspection, and to breed resiliency.

As a seasoned physician, you have the unique opportunity to share the color of time on these firsts — to show wisdom and provide advice on your own struggle in the peaks and valleys of defining life’s meaning in a field where death and life are fluid.

We as the house of medicine are increasingly infatuated with the buzzwords of “wellness,” “burnout,” and “resiliency.” We are constantly assaulted by a barrage of new statistics about how unhappy physicians are. Popular media seems almost voyeuristically captivated about each new young physician — full of life, hope and promise — who was self-slain by the dark underpinnings of medicine and medical training.

ADVERTISEMENT

We know we are high-risk group and depression is endemic in our field — yet, we’ve yet to figure out how to stage an intervention.

These firsts of residency are inherently traumatic and worse, delivered rapid-fire with little reprieve over the few short years of training. If we have hope of addressing our collective mental health at all, we need to stop the focus on resuscitative efforts when someone has already come to a cry for help.

Instead, we should recognize each of these firsts for the impact they have on the development of a physician, and help guide their impact every step of the way — into self-improvement, respect for life and dignity, and humility in the face of overwhelming circumstances.

Amy Ho is an emergency physician.  She can be reached at her self-titled site, Amy Faith Ho.  

Image credit: Shutterstock.com

Prev

Health reform everybody could love

July 21, 2017 Kevin 7
…
Next

The decline and fall of informed consent

July 21, 2017 Kevin 3
…

Tagged as: Residency

Post navigation

< Previous Post
Health reform everybody could love
Next Post >
The decline and fall of informed consent

ADVERTISEMENT

More by Amy Faith Ho, MD

  • An image that reminds us what life versus death looks like

    Amy Faith Ho, MD
  • How every female physician can be a somebody

    Amy Faith Ho, MD
  • Stop the abuse of hierarchy with these 5 tips

    Amy Faith Ho, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • Start with the students: Addressing the future of physician suicide

    Anonymous
  • Physician suicide: We need safe spaces to talk about it

    Ton La, Jr., MD, JD
  • Physician Suicide Awareness Day: Where are the patients? 

    Jennifer M. Sweeney
  • Residency training, and training in residency

    Michelle Meyer, MD
  • Why residency applications need to change

    Sean Kiesel, DO, MBA

More in Education

  • 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
  • Graduating from medical school without family: a story of strength and survival

    Anonymous
  • 2 hours to decide my future: Why the NRMP’s SOAP process is broken

    Nicolette V. S. Sewall, MD, MPH
  • What led me from nurse practitioner to medical school

    Sarah White, APRN
  • Bridging the rural surgical care gap with rotating health care teams

    Ankit Jain
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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

Leave a Comment

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

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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

Leave a Comment

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

Loading Comments...