4/16/2023 0 Comments Considering A Departure From Clinical Practice? Here are 5 myths that may be delaying your career transition.If you’re a physician who has thought about making the leap to a nonclinical career, you’re not alone.
In January 2022, the AMA published an article about medicine’s great resignation noting that 1 in 5 doctors plan to exit in 2 years. The surprising thing is that many physicians think about leaving medicine for years before they actually do it and some never take the steps required to make the change. If you’ve been thinking about making the move for more than 6 months, here are a few myths that may be contributing to your delayed action. Myth #1 - You have to stay in the same career/position for the duration of your career It's natural to want different things as your priorities shift throughout the seasons of your life. And if you think that there is something wrong with wanting a change, you may unknowingly sabotage your efforts to do so. You don’t need a “valid reason” to justify exploring a new career path such as a move to support your spouse or significant other, or to stay home with the children (yes, men I’m talking to you too as an increasing number of men are deciding to be stay-at-home dads so they don’t miss out on their kids early years). Give yourself permission to want what you want. If that means a change of position or career, so be it. Whatever your reasons, don’t be afraid to dream. I think it is a dying art that needs to be revived. If you believed that anything was possible and knew you couldn’t fail, what would you want to do? If you haven’t asked yourself this question in a while (or ever), carve out a little dream time this week to see what comes up. Myth #2 - Leaving clinical practice means you aren’t a doctor anymore. This was a big one for me. I remember the first time I asked myself the question, “What if I don’t want to be a doctor anymore?” In truth, the question I was really struggling with is, “What if I don’t want to see patients anymore?”. This was the one picture I had in my mind of what a doctor was and after all of the time, energy, and sacrifices how could I simply walk away from it all? I’ve learned a lot since then and now know that there are limitless ways that you can make a meaningful impact on health without seeing individual patients. But, the one thing that I want to emphasize is that once you’ve earned your medical degree, and the title of doctor, you are and will always be a doctor. You are a physician. No one can take that achievement away from you. Myth #3 - If you just work a little harder and wait long enough, things will get better. This one is a trap that many physicians fall into. We tend to be hard workers naturally. This leads to a tendency to overwork. And that overworking can keep you stuck because you never have time to even explore what could be possible outside of your current job. When you’re always exhausted and often feeling overwhelmed, there is no energy to consider the questions that arise when making a big decision like this. Before I made the decision to pursue a nonclinical career, I kept trying to reinvent myself within my organization. I accepted new responsibilities thinking it would make work feel better. The problem was that I didn’t release any of the existing tasks on my plate and ended up working more than before the change. And then when I decided to cut back on my time (lower FTE), the result was working the equivalent of a full-time position but getting paid less. The definition of insanity is doing the same thing over and over and expecting a different result. Don’t fall into this trap. Be honest with yourself about your situation. And if you’re just too close to it and need a more objective view, seek out a trusted advisor or close friend who has your best interest at heart and will tell you the truth. Myth #4 - You have to be unhappy in your career/position to consider new opportunities. When you’re frustrated and unfulfilled in your career, it makes sense to think about making a change. But did you know that you could explore new career directions when you’re satisfied with your work? Most people consider making a change at some point in their career and physicians are no exception. As you gain more experience and skills, you may find that you want to learn how to leverage your expertise in different ways. Investigating career growth strategies can help you augment the success of your long-term career trajectory. By proactively taking ownership of your career growth, you can intentionally drive the direction of your career path with exciting and lucrative professional development opportunities. Myth #5 - You can’t leave your current clinical position until you have a new nonclinical one lined up. There are different reasons that you may decide to leave your current clinical practice before you’ve secured your desired new nonclinical position. You may be burned out or in the midst of a personal health crisis for you or a loved one. If you’re in a toxic or abusive environment you may need to leave urgently without adequate time to find something else. In my conversations with countless physicians, one consistent fear that is shared is being without a job. It’s important to explore that fear to understand the underlying reason it exists. When you do this, you regain your ability to choose what is best for you (and your family) from an empowered place. If you need a break, you may be able to arrange a short-term leave of absence from your current employer. Check to see if you have short-term disability insurance that may provide some income during this time. Or you can secure a temporary job that allows you to earn income while freeing up time for you to take care of yourself and get clear on what you want in the next phase of your career. This could include locums tenens, consulting, teaching, or other opportunities that provide a greater sense of work-life balance while you begin preparing and planning for your nonclinical career transition. Have any of these myths pressed pause on your nonclinical career transition? If yes, I want to hear about it. Click here to send me a private message and share which of the above has delayed your progress.
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Before I successfully made the leap to a nonclinical career I had to confront the fears that were holding me back.
I had been unhappy in my career for years but no one knew it. I was afraid to be honest with myself and didn't dare share how I was feeling with anyone else. In reality, I was unwilling to speak up about what I wanted. And if I'm being completely honest, I don't think I believed that I could have what I wanted. What I have since learned is that if you want to be considered for career opportunities that allow you to experience greater satisfaction, you need to be vocal about what you want. In speaking to hundreds of physicians, I realized that I was not the only one who found this hard to do. So when it comes to speaking up and advocating for yourself, why is it easier said than done? For one thing, we all have beliefs that we adopt from our childhood that can keep us from sharing our voice. An example is "children are seen and not heard". This taught me from an early age that it was not acceptable to speak my mind. But here's the good news. It is possible to develop a heart-centered assertiveness that clears the way for honest, empowered living—without being rude to others or surrendering to people-pleasing tendencies that silence your truth. “We all need to learn to dance in rhythm to the beat of our own soul,” writes Kelly Bryson in his book, Don’t Be Nice, Be Real: Balancing Passion for Self with Compassion for Others. As it relates to your career path, it's important to be clear on what direction you want to go. This allows you to share your interests, strengths, and passions with potential mentors, sponsors, and advocates. These are the people who will speak up on your behalf when potential opportunities arise. This includes positions that become available before they are even posted. You want them to think of you and put your name forward. They become your brand ambassadors, representing you when you're not in the room. Those who stay silent when they would be better off speaking their mind do so for a variety of reasons. Here are 5 common fears that can prevent you from speaking up: Fear of being rejected. Any time you risk disclosing your truth, you become vulnerable. Putting yourself out there by applying for new positions that push you out of your comfort zone can be scary. Fear of receiving a rejection notice can stop you from ever applying. The key to overcoming this fear is reframing it. Each time you speak up and go for what you want, you learn from the process. Applying the insight from those learnings can serve to make you a stronger candidate. Fear of what you would tell yourself if you or any requests you make are rejected. If you speak up and ask for a promotion or higher compensation, you definitely risk rejection. But if you receive a rejection, do you take it personally? What do you make it mean about yourself? It's important to notice the way you talk to yourself when you experience rejection or disappointment. Practice having your own back no matter the outcome. And celebrate yourself or having the courage to go for what you want. Fear of hurting feelings. Related to this is the belief that it is better to please others, even at your own expense. Too often we hold our tongue because we don't want to upset someone else. An example is saying "Yes" to requests when you really want to say "No". This can lead to being overcommitted and feeling out of balance because you're not honoring your truth. Practice saying no more often and notice what uncomfortable feelings come up as a result. The more you practice, the more you'll see that the world doesn't end because someone else is feeling disappointed. Fear of “rocking the boat,” or upsetting the status quo. The writer Muriel Rukeyser spoke to this fear in her memorable quote: “What would happen if one woman told the truth about her life? The world would split open.” We are taught to follow the rules and the fear is that something will go terribly wrong if you don't. Rules are important. And, there are times when disruption is necessary to bring about important change. When it comes to your career satisfaction, don't be afraid to be a disruptor. Fear that you have nothing worth saying. Years of feeling undervalued and unappreciated can lead to this. But your experience and unique perspective is valuable. Your contributions are needed. And when you speak up and share your observations, identify challenges, and offer possible solutions, you become known as someone with desirable leadership qualities. Start by speaking up in small ways when the opportunity presents itself. It is important to distinguish between being assertive and being aggressive. Aggression trespasses on another’s boundaries without regard for feelings. Assertiveness, on the other hand, communicates feelings, thoughts and needs clearly and directly. Speaking up after years of hiding or holding your tongue may not be easy. You may need to take baby steps—take classes or workshops to build new skills, consult with a career coach or counselor, join an assertiveness support group. But the payoff is more effective personal and professional relationships, genuine intimacy and, more than anything, an increased feeling of self-respect and empowerment. Do you find it hard to speak up as it relates to your career? If you'd like some support with this, click here to schedule some time for us to connect about it. With the anniversary of my last clinic session coming up this month, I’ve been reflecting on my nonclinical career journey.
After years of making numerous changes to try to make my clinical position a better fit, I finally made the decision to leave clinical practice. I didn’t make this decision lightly. I struggled with it for a long time. When I first asked myself the question, “What if I don’t want to be a doctor anymore?”, no one was openly talking about leaving medicine. I felt like quitting would be the equivalent of “selling out” and “abandoning my patients and colleagues”. As I looked around, everyone else seemed to have it all together. At that time, people would have probably looked at me and said the same thing. I was smiling and calm on the outside. But I was secretly miserable. Ultimately, I made leaving mean that I would be a failure. Besides, what would I do if I left? Medicine was all I knew. It was what I was trained and qualified to do. The only options I was aware of from medical school were seeing patients or doing research. I knew of a few doctors who had “gone over to the dark side”. But the little I knew about pharma didn’t fit my idea of a meaningful career. I couldn’t see myself as a researcher. I was dealing with feelings of doubt, insecurity, guilt, and overwhelm at the thought of leaving. So, I pushed all those feelings away by staying busy with work (I mean the work never ended anyway, and I always felt behind so this was easy to do). Everything changed when I started being honest with myself. I got crystal clear on what I wanted…a life where work wasn’t all-consuming, but still allowed me to make an impact in meaningful ways. One where I didn’t have to regularly work nights and weekends. And where I could make time for the things that mattered most – my marriage, my family, and my personal health and well-being. And that shift allowed me to finally make the decision to leave. I was no longer ambivalent about clinical practice and straddling the option to love it or leave it. Indecision vanished. And so much relief followed after making the decision. Although I hadn’t yet figured out what I would do and how I would get there, an end was in sight. It’s kind of like when match day results are announced for the new interns and you realize that you won’t be an intern forever (even though it sometimes feels that way). I gave myself permission to want what I wanted. And acknowledged that what once made me happy, no longer did. The interesting part is that after the decision was made, I found ways to be happy each day. That’s not to say that there still weren’t challenges because there were. But the way in which I was relating to the work changed. I was able to set better boundaries and follow through on them. It was easier to say no to things that weren’t working for me while still contributing incredible value to my patients, colleagues, and organization. What followed was a 3-year exploration of what I wanted and needed in an opportunity that would be aligned with what mattered most. When an ideal opportunity presented itself, I was ready for it and able to take advantage of it. Next month I will celebrate my 7 year anniversary in that nonclinical career position. I am thriving and living a life beyond clinical practice that I didn’t believe was possible. After I started talking about my transition and the joy I’d found in my new nonclinical career, physicians began reaching out to me to ask for help in navigating their own process which includes first making the decision. The reason I started coaching physicians like you is so that you didn’t have to struggle with that decision alone. It was important to me to remind you that you get to choose what you do with your career. You have options. And when you are ready to make the leap, you will have support and guidance from a trusted partner who has been there and done it. I know from my own experience and that of the physician clients I’ve helped, that support is invaluable. You are not the first to make this decision and you won’t be the last. You don’t have to do it alone. But making the decision will move you from feeling disempowered to feeling empowered. Do you struggle with the decision to leave clinical practice? Click here to let me know via a confidential email and I’ll send you some specific tips to help with the decision-making process. |
Life Beyond Clinical Practice with Dr. Michelle Bailey
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Hi, I'm Dr. Michelle Bailey.
I help physicians who are unhappy or unsatisfied with their current career find a nonclinical career that they love. Retiring early from clinical practice after almost 20 years as a board-certified pediatrician I successfully made the leap and transitioned to a nonclinical career. I'm thriving in my new career and am on a mission to help other physicians do the same with the support, guidance, and community that I wish I had when I was struggling with this decision. You're invited to connect with me in my private Facebook community for physicians to learn about all things related to your nonclinical career transition. Join here. |
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