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

A doctor dies twice

Baird Brightman, PhD
Physician
December 23, 2019
Share
Tweet
Share

I have had the opportunity to consult with several physicians who needed to abruptly and permanently give up the practice of their chosen career without their consent. Causes of this involuntary termination included illness, burnout, and loss of license. What became very clear to them and to me was that the standard strategies for managing a work transition (e.g., defining transferable skills, exploring a range of job/work opportunities, learning new things, revising the resume, networking, etc.) were going to be necessary — but by no means sufficient to adequately assist them in managing the traumatic change they were facing. There was another level of work that would need to be done before, in parallel with, and even after they made the transition to their next career chapter.

One of the first things people ask us is: “What do you do?”

We are, in part, what we work at. It turns out that people experience different degrees of separation between their personal identity (“self”) and their work identity. Some people view their work as a job. It is mostly a way to make money and is viewed as largely separate from who they “really” are in their lives. Others view their work as a career. Here there is more intermingling of the personal and work selves around core interests and abilities.

A minority of adults view their work as a calling. In this case, the work identity occupies a very large part of the self’s real estate and engages deep values and a sense of life’s purpose/meaning. For the physicians mentioned above, their work was definitely a calling, and its sudden and unplanned loss ushered in a dark season of the soul.

In an evocative article about the end of a dancer’s career, the choreographer Martha Graham is quoted as saying, “A dancer dies twice — once when they stop dancing, and this first death is the more painful.”

The end of a career, which is a calling, is indeed like a death of the self. It is the end of the opportunity to exercise much of what one is and values in a fully engaging and absorbing frame. To pursue a calling is a very deep form of happiness, and its ending is a grievous loss.

People who have lost so much of who they are need frequent opportunities to both remember (hold on) and to grieve (let go). They are in a zone of life experience, not dissimilar to a person who has lost a loved one or a part of their own body. The loss of the opportunity to do work that is a calling can rob life of its joy and purpose and hope. The prescription to “just heal and move on” is glib and dismissive, whether delivered to a person who has lost a calling, a spouse or a child, or a limb or the full functioning of their brain. It minimizes the magnitude of the mental work that needs to be completed before much energy or optimism for a new venture can be found.

To remember, recall and reminisce about what one has lost is vitally necessary for two reasons. First, it allows a person to hold onto parts of themselves and the world without which they would not be able to function. Memories are lifelines to the world that was — even if it no longer exists to the external senses. It allows us to hold on longer for as long as we need to, and this provides safety, control, and comfort to the afflicted. Second, each remembering triggers a simultaneous recognition of how much is lost and the grieving that is necessary to fully live after deep loss.

We are programmed by evolution and natural selection to experience the loss of important connections as painful so that we will not let go of those vital attachments without a fight. Grief must be felt deeply, and often before the mind can become free to create new attachments.

A number of approaches enable this remembering and grieving to be done, and different people will find different avenues to be most suitable in dealing with the loss of a calling. Some people find value in talking with a trusted person about what has been lost. Others benefit from meeting with a group of people who are dealing with a similar loss. Journaling, drawing, painting, sculpting, photography, videography, acting, music, and other creative routes to representing and remembering can be valuable to people who have some facility with those forms of expression.

A person who has lost a calling should not be asked to do the impossible, which would be to say goodbye quickly and walk away from a deep part of who they are and will continue to be. While the loss of their chosen career may not have been in a person’s control, the manner in which they cope with that loss must be. Otherwise, they will suffer a double trauma and be at risk for despair, addiction, and worse.

For people who have lost a calling (as well as those who have lost a spouse, a child, or a part of their physical self), coping with the loss of such a vital part of their world takes a lifetime. It involves an ongoing process of remembering and grieving (ideally not in isolation), meaning and perspective making and creation of new professional attachments that can compensate for but never replace what has been lost.

Baird Brightman is a behavioral scientist and can be reached at his self-titled site, Baird Brightman PhD.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

Physicians have been given weed killer. Administrators have been given Miracle-Gro.

December 22, 2019 Kevin 6
…
Next

Physician burnout as a consequence of systematic design, not an individual issue

December 23, 2019 Kevin 0
…

Tagged as: Practice Management, Psychiatry

Post navigation

< Previous Post
Physicians have been given weed killer. Administrators have been given Miracle-Gro.
Next Post >
Physician burnout as a consequence of systematic design, not an individual issue

ADVERTISEMENT

More by Baird Brightman, PhD

  • 3 reasons why doctors don’t unionize

    Baird Brightman, PhD
  • From physician to provider to health care worker: Names matter, even in a pandemic

    Baird Brightman, PhD
  • A roadmap for physician career transition planning

    Baird Brightman, PhD

Related Posts

  • Osler and the doctor-patient relationship

    Leonard Wang
  • Finding a new doctor is like dating

    R. Lynn Barnett
  • Doctor, how are you, really?

    Deborah Courtney
  • Be a human first and a doctor second

    Sarah Murad
  • Becoming a doctor is the epitome of delayed gratification

    Natasha Abadilla
  • International medical graduates ease the U.S. doctor shortage

    G. Richard Olds, MD

More in Physician

  • Why more doctors are leaving clinical practice and how it helps health care

    Arlen Meyers, MD, MBA
  • Harassment and overreach are driving physicians to quit

    Olumuyiwa Bamgbade, MD
  • Why starting with why can transform your medical practice

    Neil Baum, MD
  • Life’s detours may be blessings in disguise

    Osmund Agbo, MD
  • Inside the heart of internal medicine: Why we stay

    Ryan Nadelson, MD
  • The quiet grief behind hospital walls

    Aaron Grubner, MD
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • 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
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why more doctors are leaving clinical practice and how it helps health care

      Arlen Meyers, MD, MBA | Physician
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why regular exercise is the best prescription for lifelong health

      George F. Smith, MD | Conditions
    • When the weight won’t budge: the hidden physiology of grief, stress, and set point

      Sarah White, APRN | Conditions
    • Why starting with why can transform your medical practice

      Neil Baum, MD | Physician
    • Why your most heroic act might be in a department meeting [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

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • 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
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why more doctors are leaving clinical practice and how it helps health care

      Arlen Meyers, MD, MBA | Physician
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why regular exercise is the best prescription for lifelong health

      George F. Smith, MD | Conditions
    • When the weight won’t budge: the hidden physiology of grief, stress, and set point

      Sarah White, APRN | Conditions
    • Why starting with why can transform your medical practice

      Neil Baum, MD | Physician
    • Why your most heroic act might be in a department meeting [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

A doctor dies twice
1 comments

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

Loading Comments...