Why being a doctor might not be so peachy after all


From a typical acceptance letter:

Dear Premed,

It is with great pleasure that the Best Medical School admission committee would like to inform you that due to your exceptional dossier you were selected to the class of 201X... Blah-blah accepted this, blah-blah honored that...

You are so excited seeing positive words instead of the usual formally worded but apprehensively alike rejection jargon that you almost pee yourself right in front of your computer. Maybe not that excited, but close enough that you cannot even finish reading the rest of letter. Now the worries are over. Unless your letter was sent from the Caribbean, England, Australia or any other country than Canada for that matter. Let us assume you did get in a Canadian medical school. The hardest part is getting in...
Believe it or not, but this post brewed in my drafting drawer for almost one year. Partly it is due to me becoming more preoccupied with mitochondrial diseases and pelvic girdle muscle innervation, partly because what I am about to discuss will probably not have the impact I want it to. Neverthless, this afternoon I decided to post something, so here we go.

Most people, myself included, think that their sole objective is to obtain the aforementioned letter. We tend to assume that after you are in, everything's easy-breezy. Not without a reason, flunking medical school is indeed possible, but you probably have to try really hard. I've also heard horror stories of utterly incompetent residents who nevertheless made it through and now distribute their MD-laden cards. Moreover, once training is over everyone will, if they so wish, have a stable job in the 95th income percentile, excluding CEO's and big names, which are rather the exception. So to sum up we have a streamlined course to a guaranteed high paying job and a privileged place in society. However, let me tell you several reasons why becoming a doctor might not be so peachy.

  1. Before you become a doctor, there are many many many obstacles in the way. But we both know you just got more excited...
  2. Your self-esteem may suffer when you realize that the event you organized and worked almost a year on was previously put together by a girl in your class as a weekend thing.
  3. Although you might want to become X or Y specialist, the hard truth is you may have to settle with family medicine. To add insult to injury, the more competitive the specialty is, the sooner you will have to go "all in" on it to even have a shot.
  4. Medical school may destroy your family life if you had one. Or you will feel you are becoming a crappy doctor. Or you will lose that voice that tells you what kind of doctor you are becoming.
  5. To follow up on the previous point: regardless of the specialty you will choose, you will likely miss many important family events.
  6. For various reasons, you will be so much in debt that you will remember all those people that told you doing something else will be so much better to make money.
  7. Doctors work a lot. Surprisingly enough, the more you'll work - the more you'll make. If astronomic numbers attract you - endless hours of works should as well.
  8. Watch one of the current medical shows and secretly or even subconsciously fantasize about working in a big hospital where the latest and greatest is done? Well, you might need to spend an extra couple of years after the 4 years of medical school and 5 years of residency to get a fellowship. Yep, that makes 11 years or 132 months or 4015 days which is roughly 13% of your life that you will work for nothing/peanuts. You will do ALL THE WORK for somebody else who will bill and get all the credit.
  9. This one is one of my favorites: once you invest all your energy into getting into medical school, make all those sacrifices and start getting to the actually difficult stuff in the hospitals (or even before that) - you will start having doubts. You will consider really hard if you made the right choice. Oh, trust me, I know what you're thinking. It will be you and I know what I'm talking about. Wait for the punchline. Since you got in and you are in that self-selected group of people who endure and persevere, you will realize it would be IMPRACTICAL to quit now. Just imagine explaining to all your friends you bragged so hard about getting in how you are not really a wuss and you're not quitting because you can't take it, but because its not what you really want to do in life. And mom and dad, who were so proud of you on that memorable day that you told them you are going to be.... You get my drift. And so you will go on, no matter what your conclusions will be. Although not frequent, some people every year will fall victims to this sad and unhappy life.
  10. Thought about being a doctor as saving lives? Yet another disappointment. You will be filling out 10 papers for every doctor deed you do. Insurance form here, a chart and a consult there and before you know it - you are the world's most famous person. Or at least that is what you feel after signing your name so many times.
  11. Another one of those what-ifs. Only after getting through at least a couple years of medical school, but most likely by the end of your third year, you will figure that you really like specialty X. Unfortunately, specialty X will be filled with personalities that are clearly incompatible with your own. That could mean they are all douchebags and arrogant pricks, while you are a nerd. Or the reverse. It could mean they all are greedy and you are a humanitarian. Again, it may sound I am talking out of my ass, but that is one of those things you figure out for yourself only after having "been there, done that". The key is that your own interest in a medical specialty is not related to people's personalities in that specialty. What this realization will mean is that either you do what you like and become miserable (as opposed to what you see in House, you WILL HAVE to work with other people) or you choose what you don't like and have really good conversations during your lunch hour. Wait, I meant 10 minutes. Wrong again, 5 minutes every other day, while you are walking from the ward to the Emerg to check out that patient you just discharged yesterday.
I could go on and on, but it is clear that where there are cons there are pros. I am not trying to reduce my competition, I am just trying to counterbalance those naive dreams I used to have and probably some of you might.

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