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

Leaving medicine behind: a quest for purpose and well-being

Dana Fletcher, MD
Physician
August 15, 2023
Share
Tweet
Share

In April of 2022, I decided to leave medicine after 18 years of practice, 13 of which were spent working with electronic medical records. During my final visit with a patient and her husband, as I informed them of my decision to retire from medicine, I noticed a peculiar look on the husband’s face. He was a quiet man who rarely said much during their visits, but I could tell he had something to say. With tears welling in his eyes and a quiver in his lips, he stood up, took my hand, and said, “Thank you, young lady, for all that you have done for us. We’ll miss you. Thank you.” This heartfelt expression of gratitude became one of the most memorable and meaningful experiences I had in the days leading up to my departure. Additionally, I received a flood of beautiful messages through the patient portal, making the decision to leave even more difficult.

Like many others, I chose to leave because I had grown tired of staring at a computer screen and tirelessly trying to navigate through numerous boxes to check, which were created merely to satisfy insurance-driven documentation requirements for reimbursement purposes. Many of these boxes seemed irrelevant to the actual quality of care I provided to my patients. The constant search and data entry for orders, tests, and medications had become an exhausting and time-consuming task, reminiscent of working at a fast-food restaurant. It wasn’t that I considered such tasks beneath me or found them difficult, but they drained my energy and consumed time that could have been better spent providing my patients with the attention and care they deserved. We requested additional support, such as scribes or more medical assistants, but were told they were too costly. Moreover, I was frustrated with the pharmaceutical industry’s practices of overpricing their drugs and devices, knowing that insurance companies wouldn’t cover these costs, leaving patients unable to afford necessary treatments. This led to the burdensome need for prior authorizations, samples, rebates, forms, signatures, and an ever-increasing number of inbox tasks throughout the day, all while trying to see patients. It wasn’t just me who faced these pressures; our nurses and other hard-working staff in the office were also affected. As time went on, I felt my brain and soul becoming increasingly numb.

After much contemplation and discussions with my husband, who is also a physician, I made the decision to leave before burnout completely consumed me. I didn’t want to be that “burned out doctor” merely going through the motions without purpose. So, I walked away from my lifelong passion, my purpose, and my livelihood—everything I had ever wanted. Since childhood, I had dreamed of becoming a doctor and had been captivated by the idea of attending medical school. Initially, caring for patients and helping others was an added bonus, enhancing my excitement and intrigue about medicine. However, over the years, I discovered a deeper meaning and purpose in caring for my patients, which extended beyond medical treatment. It involved listening to their stories, understanding their families, their struggles, and their triumphs, and assisting them in finding their “why” to achieve better health. Their well-being became intertwined with my own. Despite my dedication to giving 100 percent to every patient every day, as well as striving to provide the same level of attention and care to my family, I realized that something needed to change.

Dana Fletcher is a physician.

Prev

The harm of the "just do it" culture in medicine: a story of postpartum depression

August 15, 2023 Kevin 0
…
Next

Building a fulfilling research career as a physician [PODCAST]

August 15, 2023 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
The harm of the "just do it" culture in medicine: a story of postpartum depression
Next Post >
Building a fulfilling research career as a physician [PODCAST]

ADVERTISEMENT

Related Posts

  • How social media can advance humanism in medicine

    Pooja Lakshmin, MD
  • More physician responsibility for patient care

    Michael R. McGuire
  • Street medicine: You don’t know about it, but you don’t care to

    Ti Hoang
  • Family medicine and the fight for the soul of health care

    Timothy Hoff, PhD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • The health care system will cause its own physician shortage

    Advait Suvarnakar and Aashka Suvarnakar

More in Physician

  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Why medicine must evolve to support modern physicians

    Ryan Nadelson, MD
  • Why listening to parents’ intuition can save lives in pediatric care

    Tokunbo Akande, MD, MPH
  • Finding balance and meaning in medical practice: a holistic approach to professional fulfillment

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • 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
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • 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
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [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 4 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

    • 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
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • 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
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [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

Leaving medicine behind: a quest for purpose and well-being
4 comments

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

Loading Comments...