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Physicians contact us from around the country—indeed from around the world—to serve as a
sounding board for their careers. Here are some of their remarks, disguised to protect confidentiality. These are not complaints, per se, but pleas for help and guidance toward a new future. The comments come from East, West, North, and South, from all medical specialties, and from residents as well as established practitioners. Hopefully, as you read, you will feel a sense of kinship with the writers—and you will realize you are not alone in the pursuit of your dreams. ThePhysicianCareerNetwork™ is your ally.
"I want to continue working but not in clinical medicine.
I want to explore the possibilities including web-based health care."
—Board-Certified Obstetrician/Gynecologist
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"I want to move from clinical medicine to IT.
I'm ready for something new without the HMO behemoth to face daily.
It is time for a change and there must be something else I can do."
—Pediatrician
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"I'm a 55 year old orthopedic surgeon in practice for 25 years. I have a very busy and successful practice, but have become increasingly frustrated with managed care, the bureaucratization of medicine, excessive government regulation, declining reimbursements, and especially the malpractice mess, with my premiums tripling in the last 2 years and my income declining as a result—in spite of an ever increasing work load."
—West Coast Orthopedic Surgeon
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"I am searching for a new direction in application of knowledge and skills" - "need more time with wife and children" - "less night call" - "no AIDS or hepatitis" - "less risk of burnout so that if interested and challenged, I could work enjoyably past 65 years of age."
—48 Year Old Anesthesiologist
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"My current job will not be satisfying for much longer" - "already burning out and feel overworked, underpaid, and unsatisfied" - "tired of being the jack of all trades" - "would like to be more specialized or focused."
—Internist (Delivers primary care to major university.)
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"Progressively more disillusioned with the healthcare industry and looking for alternative careers to improve job satisfaction/reimbursement."
—27 Year Old ER Intern
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"Doubts about a career in medicine since third-year clinical rotations and would like to combine my medical knowledge with a business career."
—28 Year Old Fourth-Year Medical Student
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"Have MPH degree, am bored,
and need to find out what opportunities are available to me."
—59 Year Old Physician
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"Fed up, disgusted with the path my medical career has taken,
and excited about possibilities in the business sector."
—Urologist in New England
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"Interested in a career change-preferably into business (nonclinical)."
—Internist in Massachusetts
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"Can you help me find an executive position in healthcare management
that will utilize my education and experience?"
—Podiatrist in New York
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"Interested in re-inventing myself. How should an MD with some business and clinical experience position himself to start a new career in the non-clinical world?"
—Anesthesiologist
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"I want to pursue other areas of interest such as medical research, pharmaceutical sales/management, or HMO management."
—Physician in Lima, Peru
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"I have not enjoyed medicine as much as I thought I would" - "I have been looking into other uses for my MD degree, such as consulting, informatics or the internet" - "would appreciate some assistance about what the 'other side' is really like."
—Third-Year Medical Student
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"Looking to get out of patient care all together" - "finished residency training in 1999" - "please advise in finding a new career that can incorporate my MD."
—Board-Certified Internist
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"Not finding clinical practice satisfying" - "am interested in changing careers" - "would like to combine my medical knowledge with a career in computers."
—Family Physician
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"Contemplating making changes in my career" - "interested in opportunities in areas other than clinical medicine, possibly working for a pharmaceutical company" - "the ideal profession that I set out to enter has grown farther from reality" - "personal relationships with patients have become more and more difficult to cultivate as the economic pressures have intensified."
—40 Year Old Urologist
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"I am frustrated with medicine and the paperwork, HMO's, etc." - "I want to get out." - "Are there other related careers out there for someone like me who wants to use what I know but get out of patient care?"
—39 Year Old Physician
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"I am leaving patient care and looking to do something as a consultant or employee" - "areas of interest include medical office/practice; hardware or software development; marketing to physicians; medical product development; pharmaceutical sales rep training; politics; and religious/ethical issues in medicine" - "also have training in public speaking."
—43 Year Old Physician
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"Several aspects of my current situation are not satisfying" - "despite efforts on my part to adapt, improve, accept, and analyze what I do, no improvement occurs in my satisfaction" - "my involvement in clinical research has been taken away" - "my salary as an employee physician has been cut by over $15,000" - "increasingly difficult atmosphere for solo practitioners to be successful."
—Allergist
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"I would like to find a career I'm enthusiastic about" - "part of me enjoys the clinical and part of me would not miss it if I left" - "I doubt I will be happy remaining in clinical occupational medicine" - "how can I best sort out my career goals to find out what would make me happiest and most productive?" - "I would love to have a job that I look forward to every morning."
—41 Year Old Occupational Health Physician
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"I have had a good career but know the limited career span of an Emergency Physician" - "I am seeking to transition into non-clinical areas, other business ventures preferably related to health care" - "I am struggling with direction and strategy in how to execute this transition" - "I am looking to apply myself in a more profitable way."
—42 Year Old Emergency Physician
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"Should I go back to practicing internal medicine rather than keep looking for an administrative position?"
—Physician Executive
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"I had a terrible experience with clinical medicine" - "I do not love it nor does it arouse any passion" - "what can a person like me with an MD and a BS in computer science do outside of medicine?"
—30 Year Old Radiology Resident
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"It was both exciting and reasuring to talk with you the other night. Just the prospect of 'something else out there' has improved my outlook, and I'm looking forward to getting the process underway."
— Jeffrey Birch, MD
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