while u.s. medicine is in need of immense reform, including intuitive electronic health records and higher pay for primary care, there is something physicians-to-be can do to protect themselves from some of the problems that plague doctors today: spend their formative years working at a first career and meeting their life partners, and wait to begin medical school until age 28. why 28? not only did he have money to pay for medical school, but having self-actualized without wondering “what if?” he was able to study and achieve the level of mastery needed to earn a residency position in orthopedic surgery at a top program that was typically out of reach for graduates of our school. attending doctors — the ones who do most of the teaching — tend to be age 35 and older, while medical students can be as young as 23 when they enter the hospital setting, with no real-world work experience. in other words, going to medical school is no guarantee of working as a resident and becoming a doctor.
i took a year after college to work and earn money before medical school, and the savings decisively cut down the loans i had to take out in my first year. i think if you delay medical school to pursue other endeavors, you will lose a lot of talented individuals because they will be established in a career and making money which they will not be squirreling away to pay for medical school, but instead saving to take care of their young families. i think the payback, however, should be a period of service of perhaps five years in providing healthcare to underserved populations and clinics. in my internal medicine practice i was also lucky to eventually work “part time” for childcare purposes, clocking in less than the 60-80 hours a week that many endure. i think this route is still harder for women as we often shoulder the lion’s share of house and family needs but i applaud the younger generations where the men help out more and thank my medical director at ny presbyterian who agreed to a part- time position.
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