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

ADVERTISEMENT

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

  • When a doctor becomes the narrator of a patient’s final chapter

    Ryan McCarthy, MD
  • Gaslighting and professional licensing: a call for reform

    Donald J. Murphy, MD
  • When service doesn’t mean another certification

    Maureen Gibbons, MD
  • Why so many physicians struggle to feel proud—even when they should

    Jessie Mahoney, MD
  • If I had to choose: Choosing the patient over the protocol

    Patrick Hudson, MD
  • How a TV drama exposed the hidden grief of doctors

    Lauren Weintraub, MD
  • Most Popular

  • Past Week

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • When a doctor becomes the narrator of a patient’s final chapter

      Ryan McCarthy, MD | Physician
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • Navigating fair market value as an independent or locum tenens physician [PODCAST]

      The Podcast by KevinMD | Podcast
    • Gaslighting and professional licensing: a call for reform

      Donald J. Murphy, MD | Physician
    • How self-improving AI systems are redefining intelligence and what it means for health care

      Harvey Castro, MD, MBA | Tech

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

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • When a doctor becomes the narrator of a patient’s final chapter

      Ryan McCarthy, MD | Physician
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • Navigating fair market value as an independent or locum tenens physician [PODCAST]

      The Podcast by KevinMD | Podcast
    • Gaslighting and professional licensing: a call for reform

      Donald J. Murphy, MD | Physician
    • How self-improving AI systems are redefining intelligence and what it means for health care

      Harvey Castro, MD, MBA | Tech

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...