Will Medical School Make Me Miserable?

Part II of ongoing series: Should I Become A Doctor?

Great question from a potential medical student:

"I got accepted to med school for 2011, but I am scared to commit to this decision. Will medical school suck all life out of me, leaving me passionless, tired and with no ambitions?"

For this question Doctor D called in a consult! Doctor D recruited a real live medical student! Ella the Med Student is a brilliant blogger and a winner of the coveted Big D Award!

Ella's Advice:

Medical school is difficult. It takes tons of time. It's stressful. It is a huge commitment. It's competitive. It is also a million other wonderful things.

Everyone in medical school has essentially the same experience, the same course load, the same time schedule, etc. Yet, you will hear very different opinion from students about their medical school experience... ranging from "it was the worst time in my life" to "this is so much fun!"

The MAJOR factor that contributes to the differences in student's experiences in medical school is why they are there.

"Why am I here?"

Let me describe a pattern I have noticed among medical student. I think there are three main groups of student attitudes about medical school. I'll describe them here...

Ella’s Taxonomy of Medical Students:

The Good

The happiest students are those who are enjoying the journey. They actually love medicine, love the material they are studying, love the lifestyle of continued learning and a high-paced academic environment. Of course, many have other interests and families, but to them medical school is not an obstacle in the way of those things. Med school is an awesome part of their life.

"I'm happier than a pig in mud! Medical school is Awesome!"

Personally, I love reading my huge Robbins pathology book with a cup of coffee in the early morning. I love going to lecture and participating in clinical problem solving. I feel a rush every time I am in the hospital, I talk to my patients for too long, and my brain is always coming up with ideas for projects and research. I look forward to residency and my future career, but I am in no way miserable in school. I absolutely could NOT imagine being anything other than a physician... it took me so much work to get here that I am actually in bliss all the time. I know this sounds weird... but I know a lot of other people like this. If you ask them about medical school, they will describe it just like I have.

The (sort of) Bad

The second group of people are those that like medicine just fine, and it came to it as a reasonable choice. They worked hard in undergrad, and are all around strong academic students. To them, medicine is more of "a good field to be in" but not "the most amazing and only possible career on the planet." They could have been attorneys or engineers or business entrepreneurs or stock brokers and would have been just as happy. They do well academically, but are a bit blase about medicine... often eager to get home, eager to skip extra discussion about a disease or patient, and tend to be a bit frustrated with the rigmarole that comes with medicine. This doesn't make them less of a physician, but they do not enjoy the ride of med school as much as the first group. They are "putting up" with med school... and looking forward to getting out so they can have a family, a paycheck and a steady schedule.

The Ugly

The third group are the Miserablites. They hate medical school. They are barely hanging on by a thread academically, and they are socially and academically absent. They are caught up in the idea that that are in the wrong spot. They've realized that medicine is a lifestyle that doesn't end after medical school... and they expect that stress and academic/hospital nonsense will be a theme in their lives forever.

Some miserablites ended up in medical school because of outside influences. They felt pressured to do something "worthwhile.” Their heart wasn't in it... but they either didn't have another readily identifiable passion, or they felt their other passion didn't hold enough weight.

Other miserablites came to medical school for the money or lifestyle, and quickly figured out that those reasons are not sufficient to motivate you through the insanity of medical school. And they also figured out too late that being a doctor usually doesn't make you rich. 90% of doctors are not free of financial obligations. Student loans, malpractice insurance, etc. make the life less than glamorous.

The miserablites are those who, as you say regard medical school as "sucking all life out of me, leaving me absolutely passionless, tired and with no ambitions." I can tell you I have NEVER even one day felt this way about medical school.

Search Your Soul!

So, you have a lot of thinking to do. I would really consider what this commitment means, and how it will effect your goals. You have already identified some gut feelings about whether this career is a good match for you. I really think you owe yourself, your wallet, your future family, your happiness and your overall sanity some real hard soul-searching.

If you decide not to go into medicine, there is NO SHAME in that!

There are a million other things you can do which are just as rewarding. And if you do choose medicine as a career, choose it because it is best for you. It is indeed a wonderful life, but only if it is the life you really want.

Good luck!

What do you think? Doctor D always loves hearing your thoughts in the comments.

Patients: Would you care if your doctor enjoyed learning medicine?

Medical Students: Where do you fit in Ella's Taxonomy? Any of your Miserablites want to explain themselves?

Go on over to Ella's blog and admire how awesome she is!

The Instinct To Link (Friday Links)

Since he is on vacation this week, Doctor D hasn't been keeping up with the world of Medblogging, but he does have some links for you:

You can still get your Doctor D fix because he did a Psyche Consult, so you can read his guest-posts over at the Reality of Anxiety Blog!

The first post Stress and The Survival Instinct explains the nature of stress instincts, and the second post on Anxiety Management explains how to take control of the stress instinct.

"For your hunter-gather ancestors violence and danger may have been around every corner, but you do your hunting and gathering at the local grocery with laws in place and police nearby to stop most violence. So why are the safest human beings in history always so stressed?"

Readers of this blog know D loves discussing how instincts that worked well in in the past cause a lot of poof health today from obesity to avoiding exercise. Doctor D hopes that understanding our instincts will lead to healthier living.

What do you think? Do you live better when you understand your body better? Or does understanding that certain instincts like stress instinct and eating instincts are hard wired make them harder to resist?

Doctor D will be returning home late next week after his stress-free vacation and he'll be posting some answers to your questions again soon after.

Crazy Brain Doctors: Why Are Neurologists So Strange?

Doctor D recently got a fascinating question about Neurologists. Rather than make something up, Doctor D decided to use his other strategy for covering his ignorance: consult a specialist. Luckily he was able to beg the finest Neurologist in the blogsphere to answer your question. If you haven't yet discovered Dr. Grumpy and his wacky patients you are missing out!

Question: After many years of seeing neurologists I've come to the conclusion that all neurologists are either A) a tad crazy or B) an asshole. I only continue my Doctor-Patient relationships with the ones that are crazy as I prefer crazy folks to assholes. Why do you think they seem to fall in one of these two categories? I haven't noticed this polarizing break down in any other specialists I've seen.

"I freely admit that it seems more neurologists are 'different', though the degree can vary from slightly eclectic to downright scary. I read years ago that, as a percentage, more neurologists are left-handed than any other branch of medicine. I assume this means something, but I have no idea what. I'd like to think I'm at least on the more benign side of the whole thing, but I have no idea what they say about me outside of here.

I agree that the field seems oddly polarized at times, though not sure I've noticed the extremes you have. In my position, though I don't personally don't see how another doc treats his patients in the office. I wish I had an answer as to why it is so, but I don't.

I could also say the same about patients. The majority of them (who I'm not writing about) are decent people. I wouldn't be doing this if I didn't like them. But there are certainly those who I've had acrimonious relationships with from the first moment. I've had some get up and walk out of my office. The bottom line is that how we-see-you and you-see-us is highly subjective, based on the intangible nature of human chemistry. The same docs that you think are assholes likely have a share of loyal patients, and those you like certainly have other patients who think they're incompetent and/or scum.

And I agree with you on who you choose to see. If the docs are equally competent, then I'd rather see a benign eccentric than an ass."

-Dr. Grumpy

Send Doctor D your question!