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 hard lesson for new attending physicians

Anonymous
Physician
July 13, 2022
Share
Tweet
Share

It is the time of the year in which freshly graduated residents and fellows finally enter the health care systems as an attending after years of hard work and training. A time of celebrating and reflection, and a time to stop and think of what you have done and what lies ahead of you. I am sorry, this may not be what you want to hear, but I am tired of seeing burned out and unhappy doctors, and I hope in this you may find some guidance and a way to navigate a period of your career in which I failed myself.

Let me tell you, there is more to it for myself and many others who have been there. In a newly minted attending, there is a natural and unavoidable void. You have spent years striving for something, and it is finally here. There are no more tests, no more lectures, no more didactics, no more supervision, just the wild and open world of freedom. But in the void, there is nothingness, and if you do not fill it with something, it will be filled for you: money, expenses, drugs, alcohol, or the next never-ending career transition, whether it be to a director or the next educational endeavor. Take time to reflect, look back, and feel proud of what you have done. Not many are capable of such feats. Make sure your next decisions are ones of true intent, not born out of the loneliness and emptiness that naturally exist early in your career.

Three months from now, I know I will receive a call from a recently graduated resident, reflecting on how now “that they have gotten here,” they don’t know what to do next. The camaraderie residency is gone, the structure and organization no more. It’s just you and the years of practicing ahead. You are now stuck with your decisions, and there is nothing worse than the slow realization that you have been making mistakes that you were completely unaware of. Nothing is sadder than seeing a young physician burn out. So much potential, but they already hate medicine and haven’t even started with a 20 to 30-year career ahead.

At the peak of my burnout, patients were not people to me anymore. Not men or women or children. They were things. Things to be fixed and that is all, nothing else. Some could be fixed, others not. Whether they died or lived or suffered did not matter, nor did I care anymore. The only thing that mattered was if I was right and not wrong diagnostically. I assure you, the way forward, through burnout, is not to care less and less.

Being endlessly placed in impossible situations for which there are no right answers and by which you will be hunted for the rest of your life, no matter what decision you make. Ultimate responsibility with no control of anything. All this eventually took its toll on me, and before I knew it, I had become something else: a metric-driven and heartless machine.

The words I hear all too often:

“I am already burned out and haven’t even started.”

“I can’t turn back this far out.”

And the worse words of all: “This is not what I thought it would be.”

There are not many careers that are capable of completely destroying you as medicine does. Physicians who burn out and burn out early become used to it, will know nothing else, and will have short and troubled careers. You must understand that practicing medicine is a two-way street. You can use it, and it can use you. A career in medicine can be used for good or bad but is neither. It matters what you do and your relationship with it.

In medicine, you see the river of hell that runs through this human existence. Not many know or acknowledge it. There are few, like us, that must wade in it, and if you become weak and fall, you will drown and be taken down river and become part of it.

Practicing medicine is a gift that will never match how much it can take from you. The more it takes, the less you have of yourself. Until there was nothing left. And when you have nothing left, you are dangerous. Dangerous to all, not just patients. They called it “moral injury” or “burnout,” but what it really was the summation of emotional, mental, and spiritual loss. Everything about you is gone. Lost bit by bit. Day by day. Patient by patient. Never-ending trading of what you knew for how you feel.

The decisions you make early in your attending years are important, and many don’t realize it.

ADVERTISEMENT

It is a hard lesson, learning to be a new attending. Some learn it right away, some never learn it and will suffer endlessly.

I am sorry to tell you, but your greatest challenge lies ahead.

Your career.

The author is an anonymous physician.

Image credit: Shutterstock.com

Prev

The new 988 hotline has the potential to transform mental health care, but challenges loom

July 13, 2022 Kevin 0
…
Next

How to tackle the physician shortage [PODCAST]

July 13, 2022 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
The new 988 hotline has the potential to transform mental health care, but challenges loom
Next Post >
How to tackle the physician shortage [PODCAST]

ADVERTISEMENT

More by Anonymous

  • When the white coats become gatekeepers: How a quiet cartel strangles America’s health

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

    Anonymous
  • Why young doctors in South Korea feel broken before they even begin

    Anonymous

Related Posts

  • The risk physicians take when going on social media

    Anonymous
  • Attending physicians should not pass down their impressions of trainees

    Cherilyn Cecchini, MD
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • Beware of pseudoscience: The desperate need for physicians on social media

    Valerie A. Jones, MD
  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD
  • Surprising and unlikely rewards of social media engagement by physicians

    Lisa Chan, MD

More in Physician

  • 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
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Why even the best employees are silently quitting health care

    Dr. Suhaib J. S. Ahmad
  • 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 doctors are reclaiming control from burnout culture

      Maureen Gibbons, 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 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
    • Why perinatal mental health is the top cause of maternal death in the U.S.

      Sheila Noon | Conditions

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 doctors are reclaiming control from burnout culture

      Maureen Gibbons, 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 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
    • Why perinatal mental health is the top cause of maternal death in the U.S.

      Sheila Noon | Conditions

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...