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The quiet shift: Practicing presence in the fast-paced medical profession

Stephanie Wellington, MD
Physician
April 16, 2025
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I’m in this place of noticing—not reacting—simply noticing the dance between myself and my environment, in the clinical setting and beyond.

I’m noticing myself in conversation with colleagues. I’m asking the tough questions I hadn’t thought to ask before: Do my thoughts, ideas, and opinions truly contribute to moving the conversation forward? Do they actually help shape the actions needed to reach the end result?

As physicians, we often believe they do. In fact, we can get so invested in our contributions that we feel frustrated when they’re dismissed, only to see them resurface and prove useful later on. But I have to ask: Is the cost of that frustration—my frustration—really worth it?

“Work harder on yourself than you do on the job.” That quote by Jim Rohn has staying power. It holds multiple layers of meaning.

It doesn’t mean not showing up fully. I show up fully for the patients and families I serve, with my knowledge, my skills, my care, and compassion. It means I do all of that, and I add myself to the equation.

Working harder on myself in this season doesn’t mean earning another degree or spending more hours studying. It means mastering myself in medicine and in life.

It means sitting in meetings, conferences, and even casual conversations with the intention that I am being poured into as I share my expertise. It means asking: How does this information assist my growth, professionally and personally? What is my takeaway?

Thirty years in medicine, and I don’t think I’ve had this level of discernment and consciousness. Sure, I’ve walked away from lectures and conferences with new insight or a deeper understanding of the information presented. But this is different.

Now, I’m actively seeking knowledge from a new perspective, with a new lens. It’s happening as a result of no longer living in a state of constant stress. Down-regulating the fight-or-flight response has created this opening. And with it, clarity and focus have emerged. What once seemed difficult—even impossible—is now exciting and within reach.

Life shifts from something we react to into something we get to live into.

Here’s how to begin observing your life experience with more ease and clarity:

Recognize when you’re reacting. You’ll know because you’ll feel off-constricted, disconnected, not quite yourself.

Break the cycle. In that moment, you have two paths. You can feed the frustration with more thoughts and actions, or you can short-circuit it with a thought or action that feels better. That’s a pattern interrupt.

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Shift your perspective. Reframe the experience with these powerful questions: What am I being called to learn? Who am I being asked to become? Where is my next level of growth?

This is the work of transformation, not just as physicians, but as people. And it starts with awareness. We don’t have to push to grow. We just have to become present enough to notice.

Here’s your invitation to pause, observe, and choose—again and again—the path of more ease and flow.

Stephanie Wellington is a physician, certified professional coach, and founder of Nurturing MDs, dedicated to guiding physicians from stress and overwhelm to ease and flow in the demanding medical field. She empowers clinicians to infuse new energy into their careers and reconnect with their identities beyond the stethoscope. She can also be reached on Facebook and LinkedIn.

When Dr. Wellington integrated life coaching principles into her medical practice, her clinical experiences transformed. While she still faces long shifts, critical patients, and systemic challenges, she chooses to be solution-focused, prioritizing the best outcomes for her patients, her team, and herself. For over a decade, she has been teaching physicians the life strategies needed to transform their medical careers and optimize their well-being.

She is a speaker, author, and recipient of the Excellence in Teaching Award. If stress and overwhelm are part of your practice, get started with the free guide: “15 Ways to Infuse New Energy.”

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