When I finished residency, I set out to get the best job ever. I was determined to work at a top hospital, making a competitive salary and handling the most challenging cases. So I really threw myself into landing the perfect position.
And threw myself. And threw myself.
Five years and four job changes later, I finally had an epiphany: rather than find the perfect job, I realized I needed to create the best job possible. I came to understand that I had the ability to influence the quality of my practice.
This meant taking personal responsibility for the environment I practiced in.
When I decided to make an impact at work, everything began looking up. I delivered better experiences and outcomes for my patients. My relationships with colleagues and administrators deepened and became more satisfying.
And most of all, I discovered a new joy in the practice of medicine.
Now if only someone had explained this to me back in residency!
When I became a medical director a few years later, I finally had an opportunity to mentor new attending physicians. I saw this as a chance to help them avoid my worst mistakes!
So today, I'd like to share five of the most important tips I've learned about building a long and satisfying career in medicine.
No matter where you are in your career, always have a clear idea about what you're trying to accomplish. Why did you get into medicine? What drives you to come to work every day?
For me, my simple goal has always been to provide great patient care.
As a new attending, it was important to connect with patients and offer whatever support I could. As we all know, if you're in the hospital as a patient, it's probably one of the worst days of your life.
Later as a medical director, I needed to run the department effectively so that patients could get great care.
Maybe that sounds simplistic. But it really helped me to focus on the important stuff.
Most physicians leave residency pumped full of the latest medical evidence and advances. And that's awesome. New attendings can invigorate an entire department with fresh ideas and energy. It's just one reason we love to hire them.
But it's also easy to feel a bit full of yourself. This is especially true when you're moving from an academic medical center into a community setting. Suddenly everyone looks out of touch and in need of your help. But before you put on your cape to save the day, take a deep breath.
Start by recognizing that "knowing stuff" is just a small part of your long-term success in medicine.
Communication skills, empathy, and ability to run a complex department are just as important.
Next, decide that everyone you work with has something to teach you, from your medical director to the ward clerks. Observe people carefully. Ask questions, and invite them to share their wisdom.
Finally, accept that your new colleagues may have different priorities. For example, they may be less interested in working up a rare arrhythmia than making an appropriate referral so they can care for the next patient.
In summary, embrace humility. Learn from mistakes, accept help, and value everyone's contributions.
Which brings us to my next tip …
As an attending physician, your value isn't measured by your clinical skill. It's measured by how well the care team functions when you're leading it.
Now if you're an exceptional clinician who's passionate about the science of medicine, embrace that strength. Never stop growing and learning. But at the same time, recognize that no matter how much you know, you can't help the patient by yourself.
When it comes to delivering exceptional care, you're completely dependent on the team around you.
So to achieve great outcomes, you must learn to manage your team.
It's your job to bring people together, foster accountability, and inspire greatness. Now, this isn't easy, and few of us are natural-born leaders. It's normal to struggle and even fall on your face sometimes. In fact, if that's not happening, you probably need to put yourself out there more.
The good news is that when you finally find your groove, your success will be contagious. Everyone wants to be part of a winning team.
Careers in medicine are uniquely demanding. Depending on the specialty, between 40 to 60 percent of physicians reported symptoms of burnout in 2017.
One way to refresh and recharge is to practice excellent self-care. (This post covers some simple burnout prevention tips for healthcare providers.)
Another strategy to stay sharp and energized is to diversify your job duties.
Even as a new attending, there are many ways to contribute that don't involve direct patient care:
Your side role doesn't need to be huge or time-consuming. Trying something new for just a few hours a week is one of the best ways to refresh and renew your passion for patient care.
Which brings us full circle to my post-residency epiphany:
As a new attending — and at every career stage — you absolutely have the power to shape your practice environment. And accepting this responsibility is one of the keys to a long and satisfying career.
If you're feeling grumpy, disappointed, or demoralized at work, ask yourself why. What change do you need to rekindle the joy of practicing medicine?
Some familiar answers might include:
Once you've identified the problem, think about what you can do to change your circumstances. You can't relieve crowding by adding ten new beds to your ED. But you can:
It's fine to start small. Creating a great workplace might begin with talking up your teammates — or holding them accountable when you don't agree with something.
Finally, shoot for awesome, not perfect. No ED, OR, or med-surg unit will ever be stress-free. But you can still make it a great place to build a career.
Creating a positive practice environment takes time and effort. But it's one of the best investments you can make in your future happiness.
Last updated October 7, 2019.