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The Importance of Staying True to Ourselves as Physicians

A profound and complex aspect of the medical profession- where the ethos of care for others often overshadows self-care and self-advocacy. This contrast y arises from various factors:

  1. Cultural and Professional Expectations: The medical profession is often seen as a vocation, emphasizing self-sacrifice and selflessness. Physicians are expected to prioritize patient care above all else, sometimes at the expense of their own well-being. This cultural norm can create a mindset where advocating for personal benefits or needs feels contradictory to the professional rationale.

  2. Training and Conditioning: Medical training focuses intensely on patient care, often in high-stress, high-stakes environments. This can condition physicians to deprioritize their own needs, as the immediate focus is always on the patient. Over time, this mindset can become deeply ingrained further enforcing the lack of self-care.

  3. Perception of Self-Advocacy as Selfishness: Many physicians worry that negotiating for better compensation or work conditions might be perceived as selfish or greedy, especially when contrasted with the noble image of a "self-sacrificing" doctor.

  4. Lack of Training in Negotiation and Self-Advocacy: Medical education typically does not include training in negotiation and self-advocacy skills. This lack of training can leave physicians feeling unprepared and uncomfortable when it comes to contract negotiations and personal advocacy.

  5. Fear of Repercussions: There can be a fear that advocating for oneself might lead to negative judgments or repercussions in a profession that often values resignation and endurance.

  6. Empathy and Compassion Fatigue: Physicians are trained and naturally inclined to empathize with their patients. This constant outpouring of empathy, especially in emotionally draining situations, can lead to compassion fatigue, where there's little emotional energy left to address one's own needs.

  7. Guilt and Responsibility: Physicians often carry a deep sense of responsibility for their patients' well-being. This can lead to feelings of guilt when prioritizing their own needs, as it might seem like a diversion from their duty to care for others.

  8. Difficulty in Setting Boundaries: The intense demands of the medical profession often blur the lines between personal and professional life. Many physicians find it challenging to set boundaries that protect their personal time and well-being.

To address these challenges, it’s important for medical professionals to recognize the value of self-care and self-advocacy as integral to their overall effectiveness and longevity in their careers. Building a support network, seeking mentorship, engaging in open discussions about these issues, and developing negotiation skills can be vital steps in changing this dynamic. Remember, taking care of oneself is not just beneficial on a personal level; it ultimately enhances the capacity to provide the best care for patients.

Author
Dr. Muhammad Zeshan Headshot Dr. Muhammad Zeshan My name is Muhammad Zeshan, MD, and I am a Harvard trained infant, child, adolescent, and adult psychiatrist at Inside Out, a private practice based in Princeton, New Jersey. I am currently working as an Assistant Professor of Psychiatry at Rutgers New Jersey Medical School-Newark, New Jersey. Through Inside Out CURE, my focus is to help individuals become more Compassionate, Understanding, and aware of their inner strength and vulnerabilities, while developing Resilience and Empathy. I offer a variety of mental health care services to all age groups (infancy through adulthood) by applying principals of cognitive behavioral therapy (CBT), mindfulness, positive psychology, family therapy, parent-child intervention therapy, pharmacology, and neuroscience.

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