Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The striking parallels between doctors and journalists

Michael Breen, MD
Physician
June 24, 2017
481 Shares
Share
Tweet
Share

Once during my TV news days, I was feeling pretty good about myself during a three-hour drive to the Mayo Clinic. “I am so glad I don’t practice!” I crowed to my photographer. “Practicing physicians are so sad. They’ve lost their income, their autonomy, and the public’s respect.”

My photographer didn’t miss a beat. “Yeah,” he replied. “They sound just like you.”

By which he meant that as a journalist, I’d lost those very same entitlements. As they say: You can’t see the paradigm when you’re in the paradigm. For better or worse, though, I’ve lived through (and been marginalized) in two paradigms. And the striking parallels between doctors and journalists have many lessons for physicians.

First, there are the similar temperaments. In each case, we often chose our professions because we hated a bureaucratic world we viewed as impotent and corrupt. We wanted our lives to revolve around absolutes beyond anyone’s power to taint. Medicine offered life and death: journalism offered the “search for truth.”

We also sought autonomy. We had been told we were the brightest, we knew what was best, and we didn’t need to be paralyzed by compromise and the need for building consensus.

Doctors and journalists also, I believe, often shared something else: a desire to avoid emotions. Both professions require an emotional distance to perform at our best. Both professions wear that distance as a badge of honor. It’s “cool,” but it’s also a convenient socially acceptable way to avoid our own personal pain.

Looking back I feel very young and very naïve. Both “life and death” and the “search for truth” are now barely more than punch lines. In addition, both professions open appeal to autonomy, an uncompromising nature, and emotional avoidance has only accelerated our decline.

A second similarity between medicine and journalism: the triumph of control over talent. When I started in TV news, I was rewarded for my initiative. If I showed up at the morning meeting filled with ideas, I was praised. I was an “enterprise” reporter, someone who didn’t need an assignment editor to tell him what to do. I was also given enormous latitude to do the stories I deemed important.

But that all changed as the “suits” realized setting the agenda was source of all journalistic power. Pretty soon the assignment editor told me what stories to do, then the news director told him, then ultimately a general manager on the third floor would scan his screen every morning and dictate not only every story we’d do, but every slant, and which newscast that story would be on.

It reached the point where if I even mentioned a possible story, I was dismissed as a nuisance. This is not what I had signed up for. It made me furious.

Physicians know the feeling; they’ve been victims of that same need for control. Your sense of ownership and mission has also been co-opted by the need for control (often couched by professed concerns about value, consistency, and more coordination).

This turn to “command control” in both medicine and journalism bothers me on so many levels. First, because it actually discourages initiative or excellence. The best reporters now are those who uncomplainingly simply “actualize” a news director or general manager’s preconceived story.

Similarly, a physician’s job is to simply follow the algorithm. Any personal contribution is frowned upon. In each case, the professional who’s actually dealing in the real world has the least authority. And in each case professionals with a strong sense of personal mission are now pawns in other peoples’ visions.

I’m also bothered that in each case authority has bred contempt. After first minimizing their roles, the next inevitable question for executives becomes, “What makes our employees so special, they’re just tools doing what we tell them to do?” We see this, for instance, with PCPs. They were turned into “routers,” and inevitably expendable routers. Incredible hubris even leads executives to believe their brilliance is the basis for any success (conveniently justifying their enormous salaries.)

Medicine and journalism aren’t unique. The centralization of power, and the bridling and open disrespect of employees, is occurring across society. I know in both medicine and journalism this has been driven largely by computers. A computer allows a general manager to personally oversee and choreograph the day’s news coverage, and a computer instantly reports a physician’s every financial decision. Ultimately, a computer may one day replace clinicians’ themselves.

The writer L. P. Hartley wrote, “The past is a foreign country; they do things differently there.” Such is my past. I had thought jumping from medicine to journalism was a leap; it was inevitable. I thought I’d escaped an unfortunate fate: I simply leapt from the frying pan onto the fire.

Michael Breen is a physician who now heads a marketing firm.  He can be reached at Dr. Michael Breen Associates.

Image credit: Shutterstock.com

Prev

Doctors should fight fake health news at the checkout aisle

June 24, 2017 Kevin 3
…
Next

Toward the stars: On humility and pain in medicine

June 25, 2017 Kevin 4
…

Tagged as: Mainstream media

Post navigation

< Previous Post
Doctors should fight fake health news at the checkout aisle
Next Post >
Toward the stars: On humility and pain in medicine

More by Michael Breen, MD

  • Advice for PCPs from Gene Siskel

    Michael Breen, MD
  • Physicians are low-hanging fruit. Here’s why.

    Michael Breen, MD
  • Where will disrupted primary care physicians go?

    Michael Breen, MD

Related Posts

  • Why do doctors who hate being doctors still practice?

    Kristin Puhl, MD
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • Doctors die. But the good ones leave a legacy.

    Jaime B. Gerber, MD
  • When doctors are right

    Sophia Zilber
  • We’re doctors. We signed the book.

    Jonathan Peters, MD
  • Why doctors-in-training need better nutritional education

    Abeer Arain, MD, MPH

More in Physician

  • Physician return-to-work policies

    Deepak Gupta, MD
  • How my patients’ Zoom backgrounds made me a better doctor

    Joseph Barrera, MD
  • Understanding reproductive rights: complex considerations

    Anonymous
  • Challenging the diagnosis: dehydration or bias?

    Sydney Lou Bonnick, MD
  • Practicing medicine with conviction

    Arthur Lazarus, MD, MBA
  • The power of memory in shaping human identity

    Emily F. Peters and Sandeep Jauhar, MD, PhD
  • Most Popular

  • Past Week

    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • Challenging the diagnosis: dehydration or bias?

      Sydney Lou Bonnick, MD | Physician
    • COVID-19 unleashed an ongoing crisis of delirium in hospitals

      Christina Reppas-Rindlisbacher, MD, Nathan Stall, MD, and Paula Rochon, MD | Conditions
    • Air quality alert: Reducing our carbon footprint in health care

      Shreya Aggarwal, MD | Conditions
    • A teenager’s perspective: the pressing need for mental health days in schools

      Ruhi Saldanha | Conditions
    • Physician return-to-work policies

      Deepak Gupta, MD | Physician
  • Past 6 Months

    • Medical gaslighting: a growing challenge in today’s medical landscape

      Tami Burdick | Conditions
    • I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

      Nandini Erodula | Education
    • Balancing opioid medication in chronic pain

      L. Joseph Parker, MD | Conditions
    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • Mourning the silent epidemic: the physician suicide crisis and suggestions for change

      Amna Shabbir, MD | Physician
  • Recent Posts

    • Physician return-to-work policies

      Deepak Gupta, MD | Physician
    • Communication, power dynamics, and organizational culture in health care

      Beth Boynton, RN, MS, CP | Conditions
    • How my patients’ Zoom backgrounds made me a better doctor

      Joseph Barrera, MD | Physician
    • Understanding reproductive rights: complex considerations

      Anonymous | Physician
    • Innovations in surgical education [PODCAST]

      The Podcast by KevinMD | Podcast
    • Everyday dangers unknowingly impacting our health

      Tami Burdick | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

CME Spotlights

From MedPage Today

Latest News

  • COVID Vax in Pregnancy Protects Young Infants Against Omicron
  • Repeat Tests for Inflammation Aid Prognosis After Acute Heart Failure
  • FDA OKs Another Injectable for Rare Kidney Disorder
  • Loneliness Tied to Subsequent Parkinson's Risk
  • A Promising New Approach to Reducing Burnout and Workforce Depletion

Meeting Coverage

  • Hot Flashes: Precursor to Alzheimer's Disease?
  • SABR Offers New Hope for Older Patients With Inoperable Kidney Cancer
  • Menopausal Women With Obesity Endure Worse Symptoms, Less HT Relief
  • Study Pinpoints Growing Use of Cannabis to Manage Menopause Symptoms
  • Fezolinetant Benefits Women Not Suited for Hormone Therapy
  • Most Popular

  • Past Week

    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • Challenging the diagnosis: dehydration or bias?

      Sydney Lou Bonnick, MD | Physician
    • COVID-19 unleashed an ongoing crisis of delirium in hospitals

      Christina Reppas-Rindlisbacher, MD, Nathan Stall, MD, and Paula Rochon, MD | Conditions
    • Air quality alert: Reducing our carbon footprint in health care

      Shreya Aggarwal, MD | Conditions
    • A teenager’s perspective: the pressing need for mental health days in schools

      Ruhi Saldanha | Conditions
    • Physician return-to-work policies

      Deepak Gupta, MD | Physician
  • Past 6 Months

    • Medical gaslighting: a growing challenge in today’s medical landscape

      Tami Burdick | Conditions
    • I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

      Nandini Erodula | Education
    • Balancing opioid medication in chronic pain

      L. Joseph Parker, MD | Conditions
    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • Mourning the silent epidemic: the physician suicide crisis and suggestions for change

      Amna Shabbir, MD | Physician
  • Recent Posts

    • Physician return-to-work policies

      Deepak Gupta, MD | Physician
    • Communication, power dynamics, and organizational culture in health care

      Beth Boynton, RN, MS, CP | Conditions
    • How my patients’ Zoom backgrounds made me a better doctor

      Joseph Barrera, MD | Physician
    • Understanding reproductive rights: complex considerations

      Anonymous | Physician
    • Innovations in surgical education [PODCAST]

      The Podcast by KevinMD | Podcast
    • Everyday dangers unknowingly impacting our health

      Tami Burdick | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The striking parallels between doctors and journalists
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...