Top 10 fears that hold doctors back →

Top 10 fears that hold physicians back

In this podcast I interview a dear friend and therapist, Sydney Ashland, who shares the top 10 fears that hold doctors back.  Learn how to overcome your fears and boost your self-confidence in this 45-minute segment extracted from our physician teleseminar today: (brief written synopsis below)

What prevents us from being the doctors we always imagined? We enter medicine as inspired, intelligent, 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 students and doctors: It’s not your fault. Here’s why you are suffering and what you can do about it.

With decades of experience helping people break trauma bonds, overcome destructive thinking patterns, and reach and transcend their personal goals, Sydney Ashland now helps physicians boost self-confidence & break free of fear-driven medicine.  Here’s a brief summary of her best advice for physicians (and all health professionals).

Top 10 fears that hold doctors back: 1. Low self-confidence  2. Financial concerns 3. PTSD/guilt 4. Family responsibility 5. Anxiety and depression 6. Health issues 7. Addiction 8. Isolation 9. Lack of direction, passion, purpose 10. Abuse cycles. (Listen to podcast for complete analysis)

So how do we overcome our fears as physicians? How do we build our self-confidence? 

Top 5 warning signs you lack self-confidence (and how to get it back)

1) Confusion—fear of not knowing. What if I don’t know what’s wrong with the patient? What if I’m not smart enough to figure it out? Fear of not knowing is often rooted in traumatic med school or residency training. If you’ve managed to get through training without self-doubt, it can develop in toxic/dysfunctional work environments. ANTIDOTE: CLARITY.

2) Perfectionism—Fear of mistakes. Perfectionism is a major issue for many physicians and health care professionals. We take our jobs very seriously and know that getting it wrong can have far-reaching devastating results. Wanting to get it right at our own expense leads to obsessing, overworking, lack of balance. These behaviors deplete our self-confidence. ANTIDOTE: ACCEPT YOUR HUMANITY. 

3) Trauma/PTSD. Working in the field of medicine often triggers old trauma and PTSD. Acknowledging and healing our trauma has to happen in order to build self-confidence. ANTIDOTE: CHOOSE OPPORTUNITIES TO HEAL YOURSELF. 

4) Destructive beliefs. Choosing stress as a belief and lifestyle has devastating consequences. “I have chosen a stress-filled profession and therefore I will live a stress-filled life,” is distorted, destructive thinking. Fueling the stress in our lives only erodes our self-confidence. What we focus on grows. ANTIDOTE: IDENTIFY YOUR POSITIVE BELIEF SYSTEM. 

5) Losing your sense of purpose. There was a time when you entered medicine inspired by a vision or passion. You had a dream. You had a sense of purpose. Now, these many months and years later, you are lost. Jaded by all you have been through, you no longer easily connect with what you are here to do and have begun to doubt yourself. ANTIDOTE: CONNECT WITH YOUR PURPOSE, YOUR DREAM, YOUR REASON FOR BEING HERE. 

YOUR PATIENTS NEED 1) To Be Seen, 2) To Be Heard, 3) To Feel Safe, 4) To Feel Connected.

This is a brief synopsis of our interview. Please reference (and download) podcast for complete discussion. Additional resources below:

Read Medscape article on physician self-confidence  

Join our ongoing physician teleseminar

Attend our next physician retreat

Pamela Wible, M.D., reports on human rights violations in medicine. She is author of Physician Suicide Letters—Answered

Posted in Business Strategy, Human Rights Violations, Physician "Burnout", Physician Abuse & Bullying Tagged with: , , , , , , , ,
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Pregnant physicians punished (& babies die) →

Stacey-Maddox MD

Four female physicians share their life & death experiences. Miscarriages from overwork. Sexual harassment. Threats of termination. No legal protection. Medical training in America. Listen in:

Stacey Maddox, M.D. 

I failed my first ED [emergency department] rotation in third year because I had a miscarriage. I had to take two weeks off and the attending agreed to pass me for a two-week rotation, but then didn’t. All I ever wanted to be was an ER doc. The subsequent glowing recommendations I received from other ED rotations didn’t help. All residencies saw was that failure. And my school let it stand. Apparently, you’re supposed to still be on rotation and seeing patients with your baby falling out of your uterus.

Tameika Lewis MD

Tameika Lewis, M.D.   

Like all female residents in my program, I was not supported during my pregnancy. I had my first child during my chief year and the dept chair threatened not to let me graduate on time if I took one day more than 6 weeks with my newborn. Imagine that… an OB/GYN residency refusing to support the rights of their residents to have families…. So I prematurely ripped myself from my tiny newborn at exactly 6 weeks so I could graduate, even though I wanted at least 8 weeks, seeing as I had a cesarean. I deal with the “mommy guilt” of that decision to this day. Its such a shame because I worked like a Hebrew slave for those people (I even worked the day I went into labor…I finished my rounds completely out of breath, and then had my baby by c/section 2 hours later)….I wasn’t alone though…the director actually insinuated to another resident that if she had another child they would fire her. I always thought that was illegal, but unfortunately we don’t get any legal protection in residency, and everyone was too afraid to challenge authority (we just wanted to hurry up and graduate). The same guy even sexually harassed another resident, but again, she was too afraid to come forward. 

EilisClarkMDBabyAlex

Eilis Clark, M.D. 

I was senior resident, with severe spinal headache, lying on lounge sofa, supervising junior residents, afraid to use anymore leave. I was told to get up. I had cerclage for preterm labor, and doctor recommended bedrest but told me he knew I probably couldn’t do it as a resident. Residency director told me if I took leave, it would extend my graduation date, and that meant I probably couldn’t get a job. I believed him, and worked. My water broke in clinic. I gave birth to 21 week infant who died 2 hours after his birth. I hate my decision.

AnnWeiss MD

Ann Weiss, M.D.

I became pregnant in my 3rd year of EM training. I did not feel very supported. My sense was that everyone (other residents and attendings) was fearful that I wouldn’t be able to do my work, in turn, causing more work for them. I think I managed pretty well overall. I remember difficult shifts with sciatica and feeling hypovolemic in trauma lead during procedures. But I always showed up every SINGLE day. Only once in 9 months I was told by an attending to go sit down and eat lunch while he covered things. I was so shocked at the offer that I can’t even remember if I took the break. Somehow I made it to month 9 without preterm labor and had arranged to do an easy rotation (radiology) out of the ED until my delivery. I was SO happy to put my stethoscope away. I remember putting it in my drawer and crying that I made it through 8 rigorous, nauseous, and uncomfortable months. But the very next day, I was ripped out of radiology to work an extra ED shift to cover a resident who outright quit. It was the most disheartening thing to happen. I went into labor after that excruciating extra shift, about 3 weeks early. Thankfully my daughter was healthy and I had 8 weeks home with her. 

Going back to finish residency was the hardest thing I have ever done. I wanted to breastfeed and made it a priority to pump at least once during a shift but had very little support to make it happen. No resident had done this in recent memory according to the nurses. I eventually found the “grieving room” as a place to pump because it was in the ED and not a bathroom or closet corner. I was walked in on a few times. Everyone was shocked that I dare take 15 min away to pump. No one helped me do my work. I answered calls and ate a snack while pumping. It felt like a passive aggressive protest against a nursing mother, not pitching in. I had to miss some traumas, and attendings covered me during those times, but none of them made it very easy. I’m not sure where the inner strength came from to be able to do something so daring. Somehow, I stuck it out until I graduated residency. I’m sure everyone around me thought they were very “tolerant” of my condition but I felt surrounded by critical and resentful eyes that didn’t make any conscious effort to make things more do-able for me. Everyone seemed out for themselves- and any threat to their schedule or workload was frowned upon. I don’t remember complaining. I didn’t miss a single day in the ED. And I made up a few weeks after graduation to meet the program requirements. If ever asked by a student/resident if they should consider pregnancy while in training, I would highly discourage it!! I wonder how other women have dealt with this?

Have you practiced medicine while pregnant? Share your story below.

Pamela Wible, M.D., was conceived during her mother’s psychiatric residency and reports on human rights violations in medicine. Need help? Contact Dr. Wible

Posted in Human Rights Violations Tagged with: , , , , , ,
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