Tag: lifestyle

Why every doctor needs a side hustle

Doctors are impressive individuals. This statement is by no means objective, but this is the truth. ? I’m not even referring to the medical miracles that a decade of training allows us to perform.  Some of the most talented and diverse people I know have primary careers in the medical profession, many of whom have tremendous drive outside of medicine.

Take, for example, the following people I know:

  1. I had a classmate who contributed to the scriptwriting on the set of Scrubs prior to entering medical school.
  2. Another friend of mine patented some special brace for treating scoliosis. In grade school.
  3. Another one of my colleagues once conducted the New York Philharmonic. Over ten times!

All of these people are true hustlers in their own league.  But hey, don’t discount your successes!  The rest of us mere mortals who entered the medical profession, too, have that inner drive that has carried us thus far into our careers.  We opted to become “experts” in our respected fields.  At least several gallons of midnight oil were burnt to get us anointed as medical doctors. We’ve all got the grit to hustle if forced to.

 

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Physicians are at high risk of burnout.

Imagine signing charts and refilling prescriptions every day for 2 hours after clinic!

Hustling for no good reason but to hustle, unfortunately, can be unhealthy.  You can’t run at 110% all the time.  And medical practice can drive you to go 110% all the time.  Our actions can determine whether someone will be alive or dead, walking or wheelchair bound, blind or sighted. Even the results of cosmetic surgery will impact someone’s physical appearance, self esteem, and livelihood. We deal with high stress situations daily. These actions wear on us. Over time, this can lead to burnout.

Interesting, the term “burnout” was coined by a psychologist in the 1970’s named Herbert Freudenberger.  He was a workaholic who burned out himself.  Stress, fatigue, and irritability…these are the common symptoms of burnout.  We’ve all seen it.  We’ve all had those days, the days where we want to call it quits.

You might also like: How to identify physician burnout: and how to prevent it.

Burnout is prevalent in medicine. Recent studies from the Mayo Clinic and @Medscape have burnout rates for physicians in the 50% range. One study reported that Emergency Room physicians, Internists, and Urologists have a burnout rate of 55%!  Another study reported that Critical Care physicians had the highest burnout rate.  It’s also not just the stress of medicine or long hours that contribute to the burnout; survey respondents report that the increasing amount of bureaucracy and computerization of the healthcare system that are the top offenders. Essentially, many of the tasks that cause burnout are things that we don’t like doing.

 

You need to have a hobby to avoid burnout.

Just as how the scriptwriter or conductor-turned doctor has diverse interests, we all should have hobbies to fall back to outside of the workplace. These are activities that we can enjoy without the demand of outside influences. Doctors are artists, musicians, athletes, and photographers. These are hobbies and outside interests that got us into medical school, and these are the same solutions to combat burnout.  You don’t have to be as good as Lebron to play basketball either.  Your interests don’t even have to be productive either.  Hell, you can just go read @Corporette or @RealitySteve in your free time and have a blast…I know I do.

The lack of external pressure magically reduces the stress and anxiety of an activity.  I see this behavior with one of the doctors at my hospital. When the administrators mandate us to see additional patients, this doctor refuses, stating that he doesn’t want to see more patients. However, he volunteers on the weekends and in mission trips to care for patients on his own time. Without pay. The truth is that he DOES like caring for patients.  The irony is that he just doesn’t like to get told what to do.  It makes little logical sense, but that is human behavior.

Hobbies can turn into side hustles.

Many of our hobbies are actually full-time occupations for some people. I know several computer programmers who dabble in photography in their free time. Some of them actually are transitioning to full-time photographers, starting with small-time events through Craigslist and then eventually larger venues through word of mouth.

One of the plastic surgeons in my area dabbles in woodworking and produces craftsman-style furniture. Could he dive into this full-time? Absolutely, but I’m sure that he wouldn’t be happy if his livelihood depended on it. However, it is conceivable that he could turn this skill into a side-hustle. Will he do that? Probably not, because he is busy enough correcting ptosis or making people beautiful.

Then there are doctors who really kick themselves into overdrive and basically find ways to make a name for themselves outside of clinical medicine. Some of the more popular routes include becoming a CEO of a hospital, joining an advisory board of a company, and or even becoming a writer.

 

You just need to do something that makes you happy.

Not everyone dreams of becoming the next @JohnChow or @FinancialSamurai who works on their own time while money rolls in his bank account.  Most of us actually like practicing medicine or law. We just need a break from it sometimes.

You don’t have to be the next Dr. Oz, but finding a way to maintain your sanity will carry you a long way in your career.

What have you all done to find a good balance between work and life?

(Photo courtesy of Flickr)

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The Daily Life of A Dermatologist

The Daily Life of A Dermatologist

Dermatologists are busyThe television perception of doctors is often skewed toward drama, sex, and a rockstar lifestyle. Take Grey’s Anatomy, Mistresses (plastic surgeon character), Scrubs, or Dr. 90201. Even reality medicine shows like NY Med or Boston Med portray a more sensational view of a doctor’s life. Our lives are both exciting and boring at the same time. Exciting in that most specialties involve troubleshooting symptoms and boring in that there is quite a bit of repetition.

To help the general layperson get a broad sense of an average doctor’s routine, I will detail the daily life of a dermatologist. Note: I am not a Dermatologist, but have spent considerable time working with them and have colleagues in the field.

Clinical Lifesyle

The average workday of a Dermatologist is not easy by any stretch of the imagination, but it is also a very manageable day. A typical day runs about 8-10 hours including some amount of time to use the restroom and eat lunch (10 minutes – 1 hour). Most of the workday for a clinician dermatologist involves patient care. An average Dermatology office will have its doctor see about 40-50 patients a day, although I have seen numbers up to 100 a day! What this means is that you haul ass, as a Dermatologist! Minimal chit-chatting, and a lot of spot diagnoses and treatments. Our reimbursements have dwindled over the years, and many offices are often forces to pile on our patients. Nonetheless, the brief time the Dermatologist spends with her patients is quite sufficient for accurate diagnosis.

Rinse and repeat for each of the days the doctor is in clinic. Some Dermatologists may have certain half days dedicated to biopsies or particular skin treatments in order to operate more efficiently. Most doctors will also have administrative duties like business meetings that often add on 5-10 hours a month to the work schedule.

There’s no loitering around. On an average 20-day month, a Dermatologist seeing 50 patients per day will see 1000 people!

Academic Lifestyle

An academic Dermatologist will have more dedicated time to research, teaching, administration, or writing. Many university-based doctors will have perhaps two half-day clinics of patient care with perhaps two days a week of research time. One day of the week may even be dedicated to administrative duties. Revenue generated by the academic Dermatologist is minimal and likely insufficient to even cover the doctor’s salary. Income thus comes from donations (appointed chairs), state/governmental funding, and grants to perform research. The perks of academic medicine include the fact that you can be removed from the financial considerations of medical practice. You involve yourself with interesting technology and are given the opportunity to work with thought leaders (and become one) of your field. You can’t really put a price on fame. And what you do daily really shouldn’t be boring. You can immerse yourself in the cutting edge of medicine. Most academic physicians I know bring their paper-writing home and spend a lot of their free time on their careers. Not necessarily a bad thing to do, but it really shows that you love your career.

One of the downsides of the academic lifestyle is that you are removed from many of the practical matters of medical practice (read: finances). Most doctors I know in academia are quite ignorant of finances and actually think that their one-day a week clinic actually covers their salary. There is no free lunch. You really aren’t generating your worth in cold, hard, cash but rather intrinsically through your research, teaching, and innovations to the field.

Dermatologists Are Busy 

You can basically substitute in any medical specialty in the sentence above (except for maybe rehab medicine—j/k). Dermatologists are no different. The clinician routine is quite repetitive. Imagine spending your entire 20’s training to see thousands of patients a month for your entire career! It is not an easy task. Maybe that’s why we often seen doctors with those fancy cars, homes, and yachts….

Do you have any comments to add regarding the lifestyle of a Dermatologist? Sound out below!

Those of you who are interested about the life of a Moh’s surgeon, see our post on this specialty.

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Enrich your life outside your career

do you limit yourselfI am guilty of this myself. Doctors are notorious for keeping a narrow mind within medicine. We think that being great at medicine helps compensate for other shortcomings.

News flash: it doesn’t.

We need to spend time outside of our career to keep a well-balanced lifestyle. It really doesn’t matter what you do, whether you cook, exercise, wash your car, read, or all of the above. I will intersperse my entries on occasion with tutorials on routine “blue collar” work that will help you get ahead.I know too many medical residents or students who are “too busy” to clean their apartments or cook their meals. Read Ben Brown’s analysis of a doctor’s value.  Unless you’re financially independent several times over think twice if you’re too good to wash your dishes.

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