Finding joy in practice - From mentoring to volunteering to reinventing your workday, here are some ways you can stay happy and inspired - ModernMedicine
Finding joy in practiceFrom mentoring to volunteering to reinventing your workday, here are some ways you can stay happy and inspired

Source: Medical Economics


Key iconKey Points

  • True satisfaction comes from the work itself, not the money you earn or the things you get.
  • Identify the positive and negative elements in your work life and start eliminating the negative and expanding the positive.
  • If your workday is so long that it is interfering with your private life, examine whether your practice is using resources effectively.
  • Focus on always learning and growing professionally as well as mentoring newer doctors.

After practicing medicine for seven years, Beth Hodges, MD, a family physician in Asheboro, North Carolina, was looking to recapture the passions that attracted her to the profession. She succeeded—by becoming a medical director for hospice five years ago.


Beth Hodges, MD (white coat, left of sign), has found joy in her work life from an unlikely source: working with hospice patients. She says the work keeps her grounded and fresh.
"I started with one county, then added another and yet another," Hodges says. "I now travel up to 200 miles every Friday. It might sound odd that helping the dying makes me happy, but the work I do with hospice makes a huge difference—not just for hospice patients, but for their loved ones, who see them comfortable and not suffering. Hospice work has a spiritual nature to it that keeps me grounded and fresh."

She explains: "This has made the work I do in my practice seem more important and rewarding, and it helps me appreciate every day I have with my husband and children."

Because the roads to capturing—or recapturing—professional fulfillment veer off in many directions, deciding which path to pursue requires introspection, resolve, and a willingness to experiment. "Physicians, in general, enter the medical profession for beneficent reasons, but then things that they were not anticipating—such as having to oversee a highly administrative business—become part of their professional life," says organizational psychologist Charles L. Sodikoff, Ph.D., a consultant with Corporate Performance Consultants of Hauppauge, New York.

"True satisfaction," he says, "comes from the work itself, not the money you earn or the things you get. You need to figure out what is satisfying and dissatisfying to you, then act accordingly."

See related sidebar article, "How to bring up the 'happiness quotient' by investing in your practice" for suggestions from Sodikoff and others.

PINPOINT THE REASONS FOR JOB DISCONTENT

Jack Valancy, of Jack Valancy Consulting in Cleveland Heights, Ohio, cites four broad areas of physician satisfaction:

  • The patients or cases that you handle. What kind of clinical work do you like to do? What types of patients do you like to see? What types of cases do you like to treat? "Not surprisingly, doing work that you really enjoy elicits the most professional satisfaction," says Valancy.
  • The culture of the practice. "Every medical practice has a culture. You might get a really good fit, a good-enough fit, or a bad fit," says Valancy. "Some people, for example, thrive in a high-performance, high-pressure environment; others buckle under the stress."

Practice culture also encompasses relations with colleagues. According to Valancy, this can range from "I love working with these doctors; we're a great team; I could be here for the rest of my career" to "We don't have much to do with each other" to "The politics of this place is terrible; I don't like being around these people."

  • Location and lifestyle. "Most folks want to live within reasonable proximity of family and friends," says Valancy. "In addition, if you're a country kid in the city, or a northeasterner in the Southwest, you could feel culturally isolated."
  • Compensation. "Remuneration is on the list, but it's number four, because in my experience it's the least important," says Valancy. "Compensation tends to be more of a dissatisfier than a satisfier. You might be unhappy if you feel you're not making enough money. But if you have a lousy job and make more money, you still have a lousy job. You're just getting paid a little bit better."


(GETTY IMAGES / Thomas Northcut)
To identify how you might boost job satisfaction, Valancy recommends starting by imagining that you have had a great day at work. "Identify what made the day great," he says. "Was it the presence of interesting or challenging cases? Appreciative patients? Working alongside good colleagues? A day that flowed smoothly? Now recall a terrible day at work. What made it terrible? Routine or boring cases? Hostile or otherwise difficult patients? Conflicts with coworkers? Severe time pressure?"

Next, think about what you can do to increase the positive elements and reduce—or eliminate—the negative elements. "If you're unhappy with your patient panel, what can you do to cultivate the types of cases you enjoy?" Valancy says. "You might trade assignments with another physician, or reach out to community groups in an effort to attract more interesting clinical cases."


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Comments from our Readers
 Posted 2010-07-16 08:34:28.0
Preparing material for this book changed my perception of medical practice and made in much more enjoyable and, for that matter, possible. I continue long after many have burned-out. Suggest check-out: Trust in a Medical Setting. Hauppauge, NY: Novinka Books, Nova Science Publishers, 2006. Award-Winning Finalist in Medical Reference Category, 2006 Book Awards, USA Book News. Experience dealing with a host of difficult to impossible situations may help others in their encounters with these difficult and distrusting patients. These individuals may make up a small per cent of patients and family members, probably less than 2 per cent, but take up 90 per cent of energy in coping with day-to-day conflicts that arise from their behavior. Difficulties managing distrustful patients and family members must be dealt with on the spot, and they donÂ’t go away. Examples come from office experiences or wards, including situations that keep doctors and nurses and therapists awake at night, aggravate waking hours and poison leisure, that is, empirical, based upon experience and observation alone without science or theory. To survive an outrageous patient or relative requires resourcefulness, patience and imagination. Street wisdom learned the hard way is what I present, and without a guide or mentor to soften the bewilderment and sense of failure and frustration that accompanies these individuals. We seldom talk about these difficult, distrustful and sometimes threatening individuals amongst ourselves; rather we suffer and endure them silently, by ourselves. The problem is timeless as recorded in the worldÂ’s literature. Out of the wreckage of human behavior comes valued experience leading to maneuvers and tactics of survival that are appropriate to almost all aspects and settings of human interaction including day-to-day medical care.
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