Sunday, June 26, 2016

Career Change

With my support, Scooter has decided not to pursue radiology or clinical medicine any further. He has been offered a nonclinical fellowship position at Stanford University and we are moving to Palo Alto, California in a few short weeks!

For quite a while now, Scooter has been feeling less like being a doctor was a good fit for him. This last year while he has finally been practicing the specialty of his choice his unhappiness and dissatisfaction have only grown. With a minimum of four years of training still ahead of him, he got to the point where that amount of time seemed almost insurmountable. He became increasingly sure that he was not going to want to practice medicine as his future career, and didn’t see enough value in completing the training for a career that he didn’t want. His decision had nothing to do with his performance as a radiologist, in fact, he was doing very well, but the decision was necessitated by his coming to terms with his changing interests. I am so proud of my husband for being brave enough to take this drastic step to fight for his own happiness.

To some, this announcement might not seem as dramatic as it actually is. It is quite common for physicians to switch specialties mid-training, but to completely leave clinical medicine is rarely done. To illustrate, less than one hour after the staff of the radiology department at Mayo (where he currently works) were informed that he would be leaving the program, Scooter started receiving emails from people at other hospitals in Phoenix wondering what was going on. That’s how fast the word spread.

For those that are interested, I’ve answered some questions that frequently come up…

Did he get kicked out of his program? Absolutely not. The people at Mayo Clinic are sad to see him go and tried very hard to convince him to stay.

Did he not like his program/the Mayo Clinic? Scooter has nothing but good things to say about his program and, particularly, the people he worked with. The program director has been such a blessing and couldn’t have been more helpful and empathetic during Scooter’s decision-making process.

So, he won’t be a doctor anymore? At this point, we don’t foresee him treating patients in any clinical capacity in the future, but he will maintain an active medical license and hasn’t closed the door to that possibility.

Why can’t he just “suck it up and finish”? Scooter is the hardest worker I know, so he could make himself finish, but we didn’t see the point of him doing four more years of training (after the six he has already done) to then decide not to practice. Finishing his training just doesn’t really align with his long-term career goals anymore.

So all those years of training are wasted? We don’t see it like that. Firstly, in addition to his MD, Scooter has an MBA and a Masters in Healthcare Administration, so those two degrees will be extremely relevant in the future. We also feel that completing as much medical training as he has, makes him uniquely placed to understand the medical field and the healthcare industry generally. He has already been offered a leadership position in his fellowship program because of his prior training.

What are some of the things you guys are forfeiting because of this decision? We feel the main thing we are giving up is security and predictability. This may be over-simplifying things, but being a practicing physician has a very clear career path with a very predictable salary and trajectory. For now, the new path Scooter has chosen is completely full of unknowns, but we felt that giving up the predictability of clinical medicine was worth it for a chance for Scooter to really be passionate about and enjoy his career.

How could he get through so much training before realizing medicine wasn’t for him? If he felt unhappy in medical school we would tell ourselves that it was because he was the “pee on”, or he didn’t have any responsibility, or he was only getting to learn very general medicine which was less interesting to him than specializing. We told ourselves that when he got to residency and didn’t have to do broad, general medicine and could specialize in his chosen field that he would enjoy it more. Most people don’t enjoy their intern year as they are completely worked to death, so last year we were just looking forward to this year. This year was his first year of finally doing the type of medicine that made him want to go to medical school ten years ago when we started this process. 

What have the past couple months looked like for you guys? The past few months have been incredibly emotionally intense as we’ve weighed the pros and cons of our decision. We’ve been staying up half the night making pro/con lists, finding and applying for jobs and fellowships, filling out applications, writing and editing admissions essays, counseling with each other, family, friends, church leaders, colleagues, and acquaintances, and working on renovating and prepping our house for a move, all while sending Scooter off to work in the morning where he had to pretend like nothing was going on. Everything we’ve done has been wrapped in super high-stakes outcome stress. The stress has even bled into our sleep – I’ve been wakened up countless times by dreams where I feel like I am falling. It has really felt like a refining fire, but we feel like the end of this particular stretch of trying times is in sight.

What’s he going to do at Stanford? The Stanford University fellowship that Scooter has been accepted to, is called the CERC program.  The fellows design, test and evaluate models of healthcare delivery that lower population-wide spending for higher quality care. He is ridiculously excited about it. I’ve rarely seen him so passionate about something.

Where are you going to leave? The program starts on August 1st, but they prefer to have him there on July 15th! We only found out about his acceptance a couple weeks ago while we were in Switzerland, so we are feeling pretty overwhelmed right now.

What about your house? When we bought our home 12 months ago, we thought we’d be in Phoenix for 4 years, so now that we are selling it we are trying to do four years’ worth of updates in a few short weeks. We are hoping to have it listed by this Saturday! It has been crazy.
Are you sad to leave Phoenix? Yes! That has been something that is really hard because we have loved it here. We love our house, our friends, our neighborhood, my gym, our ward, the weather, the proximity to family, etc.

How are you feeling about all of this, Jessica? It’s been an emotional roller coaster. I’ve known that there was a high likelihood of this outcome for about three months now, so I have really had time to run the entire gamut of emotions. I feel like the five stages of loss- denial, anger, bargaining, depression and acceptance – really apply here. I still have high and low days, but overall I’m in a good place now and am so proud of Scooter (and me too!) for being brave enough to take this step into the unknown. This whole experience has built my faith more than almost any other experience of my life, so I am grateful for that.

I want to talk to Scooter about this! My Instagram account is basically the only social media that either of us use, so many of his colleagues and friends are hearing about our decision because we've linked
here. If anyone wants to reach out and talk to Scooter about this, he is more than happy to field emails and phone calls. I’ll try to answer any questions left in the Instagram comments as well.


Overall, we are so grateful and excited that Scooter is getting a chance to pursue something he is really passionate about. It feels like this course correction has finally gotten us on the right path. We are excited to see what the future has in store for us!