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

Should you stay or leave medicine?

Cindy Tsai, MD
Physician
September 11, 2021
Share
Tweet
Share

I left my primary care practice earlier this year to focus on life coaching. Why did I leave? Because I wanted to do more and make a bigger impact. I remember how eager I was to complete medical training as I approached the light at the end of the tunnel. I thought I could finally relax and enjoy life as an attending after all the delayed gratification from becoming a doctor. All I ever wanted was to help people feel better and live a life of ease myself.

However, I was disappointed and frustrated by our broken health care system and how care coordination could impact patient outcomes negatively. Working as a PCP in the pandemic didn’t make it any easier. I saw so many patients suffer and felt helpless that I couldn’t do more. I wanted to offer healing on a deeper level by examining the root cause in order to change things for good and care for the person as a whole. But I was feeling stuck. I was afraid to leave my stable job. Medicine was all I knew. What else could I do?

And then I started working with a life coach, and things shifted immediately. I learned how to examine my thoughts and feelings, take responsibility for how I was feeling instead of blaming others, and believe in my own self-worth and capabilities as a human, not just a physician. Having been a lifelong perfectionist and overachiever attending top schools, this was a big shift as I was constantly chasing the carrot and seeking training and certifications, thinking my accomplishments would change how others see me and make me feel better about myself.

Coaching helped me realize that I didn’t have to leave a challenging work situation or cut ties with people to feel better. I had the power to decide. In every moment. I didn’t want to quit my job to “escape.” I learned to love my job and was so grateful for the opportunity to serve as a physician. And then I made the decision to leave, because I wanted to. I wasn’t in a hurry, thinking somewhere out there would be better than here, and that’s how I knew it was the right decision for me.

When I tell people I left medicine for coaching, I get many blank stares and looks of confusion. They would lament all the school and training I went through, as if all those years of experience were wasted and didn’t serve me now. Let me tell you: Physicians do not give themselves enough credit. You are an expert. Many of the skills we developed as physicians are easily transferable in other roles. You have so much to offer!

If you are a physician exploring a career change, I invite you to consider the following:

  • Why did you pursue medicine in the first place?
  • What did you expect your career experience to be?
  • What do you like about your job?
  • Why do you want to leave?
  • What kind of life do you want to lead?
  • What are your priorities and values in life?

With the pandemic, I know it hasn’t been easy. Physician burnout is at an all-time high. Similar to the Great Resignation happening in the corporate world, many physicians are also at a crossroads considering leaving their stable jobs for the possibility of more time, wealth, and happiness. While everyone has different responsibilities and circumstances to consider, I want you to check in with yourself first.

Even if you have no clue what else you could do right now, I want you to play make-believe for a minute. In an ideal world where anything is possible, what would you really like to do? What were the things that you loved most as a kid? What makes you laugh and fills you up with joy and pride? How can you bring some of this fun and play into your every day now?

The good news is, you get to choose! This is not a post to convince you that one is better than the other but simply an invitation for you to pause and consider what would be in your best interest.

Medical training and clinical work is an intense and meaningful journey. A non-clinical career can be equally intense and meaningful. At the end of the day, you are at your best when you are doing something you truly love. Your energy and enthusiasm is inspiring and magnetic. Maybe you can’t wait to start work or the day is over before you know it, in a good way. You are focused and challenged, you are in flow and enjoying the present moment.

While I left traditional primary care, taking a break allowed me to see that medicine is still a part of my identity, and am exploring serving through an integrative and functional medicine practice instead. Just because you step away doesn’t mean it’s forever. Please know that whether you experience flow working in medicine or not, it doesn’t matter. Give yourself permission to explore. You can stay or you can leave. If you are concerned about what others will think, just remember that other people will always have an opinion, whether you like it or not. Besides, we just have our own ideas of what others are thinking but who knows what they’re actually thinking? We cannot control other people. Do you want to spend all your time explaining yourself to people who may never understand or do you want to focus your energy on sharing your gifts and talents and making an impact?

I know you are a good person who is here to make the world a better place, and you can do that by being you because you are enough, just as you are. Look for what’s working and bring some fun into your every day so you can live a life of ease and joy starting now. Thank you to all my fellow physicians for all the work you do!

Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

9/11: In memory of the blue man

September 11, 2021 Kevin 0
…
Next

As doctor burnout climbs, can we save primary care?

September 11, 2021 Kevin 2
…

Tagged as: Practice Management, Primary Care

Post navigation

< Previous Post
9/11: In memory of the blue man
Next Post >
As doctor burnout climbs, can we save primary care?

ADVERTISEMENT

More by Cindy Tsai, MD

  • Are these 6 habits making you unhappy?

    Cindy Tsai, MD
  • Don’t make this mistake with gratitude

    Cindy Tsai, MD
  • Perfectionism is a myth: Are you ready to hear the truths about perfectionism?

    Cindy Tsai, MD

Related Posts

  • How social media can advance humanism in medicine

    Pooja Lakshmin, MD
  • Why academic medicine needs to value physician contributions to online platforms

    Ariela L. Marshall, MD
  • The difference between learning medicine and doing medicine

    Steven Zhang, MD
  • KevinMD at the Richmond Academy of Medicine

    Kevin Pho, MD
  • Medicine rewards self-sacrifice often at the cost of physician happiness

    Daniella Klebaner
  • Medicine won’t keep you warm at night

    Anonymous

More in Physician

  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Why compassion—not credentials—defines great doctors

    Dr. Saad S. Alshohaib
  • Why Canada is losing its skilled immigrant doctors

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

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • 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
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

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

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • 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

    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician

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
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

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

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • 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

    • A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

      The Podcast by KevinMD | Podcast
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician

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...