Dear Dr. Wible, We’ve talked before. To catch you up, I’m in my clinical years now and I keep waiting to feel the same starry-eyed excitement I felt during the first months of med school, when I thought that becoming a doctor would finally give me a tangible purpose and make me a better person by helping me do right by others in ...

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In the podcast below I interview a dear friend and therapist, Sydney Ashland, who shares the top 10 fears that hold doctors back. What prevents us from being the doctors we always imagined? We enter medicine as inspired, intelligent and compassionate humanitarians. Soon, we’re cynical and exhausted. How did all these totally amazing and high-functioning people get screwed up so fast? Attention, medical ...

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  I recently reported on a doctor-turned-dog-walker who says with her career switch she’ll enjoy more happiness — and income! In her own words:

Dear Pamela, Today I realized that if I become a dog walker and charge $25/hour and walk five dogs per day, I would make my equivalent salary with fewer hassles. I’m seriously considering this as a career move. I could ...

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Attention all nurses, nurse practitioners, physician assistants, midwives, doctors and anyone else in health care: Here are the top 10 warning signs that it is time to quit your job. The first three are mine. The rest are from colleagues. If you recognize anything on this list, please quit your job. 10. You feel nauseated when you see your clinic logo. You alter your commute to avoid streets with your clinic’s ...

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Recently, the ACGME (Accreditation Council for Graduate Medical Education) made the reckless decision to increase work hours to 28-hour shifts for new doctors. Here are the catastrophic consequences of their decision. Here are actual quotes from physicians (de-identified with some patient details changed to protect confidentiality): “I did my internship in internal medicine and residency in neurology before laws existed to regulate resident ...

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Dear Dr. Wible, I want to fill you in on what really goes on behind the scenes at my medical school and maybe you can help inform other students about what happens here before they make a huge mistake. If students slip through the cracks of a U.S. medical school, then international med schools in the Caribbean may be the next choice. Some have better residency match rates than others so ...

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In this podcast, I share insights from a doc who barely survived his suicide attempt plus simple ways to prevent the next suicide. Listen in. You may save a life. Dear Pamela, I’ve never been so happy to fail at something in my life. Four weeks ago today I died. Cardiopulmonary arrest in jail. Why was I in jail? My wife alerted ...

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This week, a resident asked, “What do you say to suicidal physicians?” 1. I don’t say anything. I listen without judgment. Our culture doesn’t support physicians asking for help — or revealing their suffering. As a result, physicians fear sharing suicidal thoughts with friends and family because we’re the ones that others rely on for help. Physicians fear speaking to their program directors or employers because of professional retaliation and loss ...

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I asked a group of docs I’m coaching how much they’re worth per hour. Interesting question given docs have 11 or more years of specialized training beyond high school. Surgeons spend most of their 20s and 30s in school. By the time these folks graduate, they’ve got 200K+ med school debt — before the kids, spouse or house. Many docs just don’t have time to develop a social life, fall ...

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I grew up studying my physician parents. My dad, a pathologist, was a hard-working hospital employee with multiple odd jobs on the side. He always worried about whether he’d have enough for retirement, though he never really wanted to retire. My mom, a psychiatrist, is more of an entrepreneurial businesswoman. She had her own private practice (even though all the other employed doctors warned she’d never make it ...

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