Don’t Let This Career Chew You & Spit You Out

It sounds dramatic, but it isn’t. In medicine, we do “eat our young,” so to speak. This isn’t always the case, but it happens more often than we think. According to a 2023 study published in the National Library of Medicine, nearly 50% of medical students reported experiencing bullying during their training. This bullying can take many forms, including verbal abuse, humiliation, and excessive workload. The high-pressure environment of medical school and residency often fosters a culture where younger doctors are expected to endure harsh treatment, which can lead to long-lasting psychological effects and burnout.

Some may say that “the younger generation of doctors are too soft” to downplay this reality. However, whether you ask me, an older Millennial, or those decades older than me, they will tell you the same thing. Getting into medical school is tough. Getting through medical school is tough. Getting through residency is tough, and private practice isn’t a walk in the park either. The journey to becoming a physician is undeniably demanding, both intellectually and emotionally.

Research shows that almost 40% of women physicians opt for part-time work or leave the medical field entirely within six years of completing their residencies. This statistic is telling of the unique pressures faced by female physicians, including work-life balance, gender bias, and potential burnout. Female doctors often have to navigate additional hurdles, such as maternity leave, gender pay gaps, and sometimes even overt discrimination, which can significantly impact their career longevity. It’s essential to address these issues to create a more equitable and supportive environment for all physicians, ensuring that talented individuals are not driven away from the profession prematurely.

I believe we owe it to ourselves and our young—the next generation of medical students—to be better. The challenging nature of medicine should not change in terms of the content a student needs to learn. Medicine is not for the faint of heart, as practical knowledge that can be applied clinically is crucial. Learning about bias in medicine, social determinants of health, and basic and advanced communication skills is essential. However, we need to teach by example by practicing sound wellness habits. Health is not just physical—it’s emotional, mental, and spiritual. The current curriculum should include comprehensive training that addresses these aspects, fostering a more holistic approach to healthcare. By emphasizing wellness and empathy in training, we can cultivate a new generation of doctors who are not only skilled but also compassionate and well-rounded.

In training, the days of endless sleepless nights should not be the norm but rather an exception. When crises happen, we physicians should have the bandwidth to rally together and rise to the occasion. Sleep deprivation and extreme stress can lead to mistakes, which are dangerous in the medical field. Ensuring that medical professionals are well-rested and mentally healthy is crucial for patient safety and the well-being of the doctors themselves. Institutions should prioritize the health of their trainees by implementing policies that limit working hours and provide adequate support for mental health issues. This shift would not only improve the quality of care but also reduce the burnout rates among medical professionals.

Quite frankly, when I push aside the most difficult moments, I’m very proud of the situations where I have gone above and beyond for my patients, contributing to turning potentially life- threatening situations into positive outcomes. These experiences are the core of why many of us choose to pursue medicine—to make a tangible difference in people’s lives. Despite the challenges, the ability to help others and see the impact of our work is incredibly rewarding.

Generally, we are living longer globally; however, we are living longer with chronic illnesses that are becoming increasingly complex. It might be too late for someone with multiple end-stage illnesses, but for the rest of us, we can help turn the tide around. Preventive care, early intervention, and lifestyle modifications are key components of managing chronic diseases and improving overall health outcomes.

Mentoring is important in medicine. Having empathy is essential, but it starts within oneself. You can’t give what you don’t have. One can put up a front, but the facade will only last so long, and those closest to us will see through it. Effective mentoring involves not just imparting knowledge but also modeling healthy behaviors and attitudes. By fostering a supportive and empathetic environment, mentors can help young doctors navigate the challenges of their careers while maintaining their well-being. This support system is crucial for building a resilient and compassionate healthcare workforce.

Our future generation of doctors is different from previous generations. They prioritize work-life balance, mental health, and a holistic approach to patient care. They value teamwork, diversity, and technological integration in healthcare. They are advocates for change and seek to create a more inclusive and supportive environment within the medical field. This shift in priorities reflects a broader cultural change towards valuing well-being and sustainability in professional life. Embracing these values can lead to more innovative and effective healthcare delivery models, ultimately benefiting the entire healthcare system.

After all, it’s the future generation that will be looking after us as we get old. What legacy do you want to leave behind? That’s something to think about. As we consider the future of healthcare, we must reflect on the kind of environment we are creating for those who will follow in our footsteps. By prioritizing well-being, empathy, and continuous improvement, we can leave a legacy of compassion, excellence, and innovation. This legacy will not only ensure the best care for future generations but also honor the profound responsibilities and privileges of the medical profession.

Until next week,

Dr. Tomi Mitchell