120,000 hours

Image credit: Hugh MacLeod

80,000 hours.

That’s the total number of hours that a person will spend working a 9 to 5 job, 50 weeks a year (2 weeks of annual vacation) over the course of a 40-year career.

40 hrs/wk × 50 wk/yrs × 40 yrs = 80,000hrs

And if you’re a Doctor working an average of 60 hours/week, this number goes up to 120,000hrs.

120,000hrs.

That’s the number you’ve got to work with.

And when you’ve used up your 120,000 hours as a Doctor, what will you have to show for it?

Show me the money

From a money perspective, the average Doctor earns about $90 for every hour they work:

$90/hour × 120,000 hours = $10,800,000

(Total amount earned over the course of 40 years trading time for money).

Broken down, this $10,800,000 is the equivalent of:

  • $90/hour
  • $5,400/week
  • $21,600/month
  • $259,200/year

And at the upper end of the pay scale, with Neurosurgeons earning about $398/hour:

$398/hour × 120,000 hours = $47,760,000

Broken down, this $47,760,000 is the equivalent of:

  • $398/hour
  • $23,880/week
  • $95,520/month
  • $1,146,240/year

Touching lives

From a patient perspective…the number of lives you can personally touch ovet a 40 year career as a Doctor…what does that look like?

Of course, this varies depending on your area of specialty.

But assuming 15-minutes per patient, then each hour you spend working will touch 4 lives.

120,000 hours × 4 = 480,000 patients

So in a best case scenario, you have the potential to touch almost half a million lives as a Doctor.

But that’s not the full picture.

In reality, you will only spend about half your time (52.9%) actually seeing patients. The rest of your time will be spent doing paperwork and administrative tasks.

So your 120,000 hours of patient time is more like 60,000 hours.

And the number of lives you can personally impact is:

60,000 hr × 4 patients/hr = 240,000 patients

So after 40 years of toiling away as a Doctor, you will potentially have impacted almost a quarter of a million people.

But sadly, that’s still not the full picture.

For one thing, we’re assuming that each patient you treat will only see you once in their life time. In reality though, each patient will visit you about 3 times per year.

So when you factor this in, the total number of lives you can impact is:

240,000 patients ÷ 3 = 80,000 patients

(About 2,000 patients a year)

And when you factor in the global death rate of about 7 per 1,000 people…you will lose about 560 of those patients over the course of 40 years.

But excluding the death rate, the total number of lives you will potentially touch over the course of 40 years is about 80,000 people.

40 years to touch 80,000 people.

40 years of battling beauraucracy, filling out paperwork, reacting to whatever your patients bring through the door, fighting fires, fishing the same 80,000 patients out of the river…

Meanwhile.

Mark writes some code in his dorm room and launches Facebook…touching over 1.86 billion people every month in less than 13 years after starting.

Blake starts TOMS shoes and gives away 10 million pairs of shoes to needy children around the world in just 7 years.

Jonas Salk and Albert Sabin decide to figure out a vaccine for the Polio virus and effectively eradicated the disease from the entire planet, and are continually touching the lives of billions of people every year.

Peter Pronovost decides to spend a few minutes writing out a simple 5-step checklist and instantly saved 1,500 lives.

The point is that if you’re goal is to make money while changing lives…there are more ways to do that beyond just going to medical school and becoming a Doctor.

And those ways don’t need you to spend 40 years doing something you mostly hate or are frustrated by.

How do you want to spend your next 120,000 hours?

This is a taster from Escape Velocity: a personalised email course that guides medics step-by-step in how to successfully make the transition from being stuck in medical school…to living a life of happiness, freedom and fulfilment. Admission is by invitation-only. Click here to apply for your FREE invite.

Get busy living, or get busy dying

Image credit: Hugh MacLeod

Go watch The Shawshank Redemption…and you’ll see the whole film is summed up in 7 important words:

Get busy living, or get busy dying.

Life or death.

Waving or drowning.

No in between.

Get busy living, or get busy dying.

Those 7 words are why you’re reading this right now.

This is a taster from Escape Velocity: a personalised email course that guides medics step-by-step in how to successfully make the transition from being stuck in medical school…to living a life of happiness, freedom and fulfilment. Admission is by invitation-only. Click here to apply for your FREE invite.

The Ultimate Suicide

Image credit: Pamela Wible MD

Here’s the punchline: it isn’t going to get better by itself.

Ignoring how miserable and stressed you feel because “that’s medicine” or because of how terrified you are of disappointing those whom you love…isn’t going to make the problem go away.

The longer you walk on this journey without changing anything…the closer you get to the fate of the Doctors profiled in Dr Pamela Wible’s book Physician Suicide Letters — Answered.

Ah, but I’m different. They were weak/ unmotivated/insert diminishing adjective here.

No they weren’t.

They were just like you. Smart men and women who wanted to make a difference…but they ended up being broken by the system they’d dedicated themselves to serve.

That’s why 1 in every 4 Medics is reported as being severely depressed.

That’s why Doctors have the highest suicide rate of all professions.

And that’s why 400 qualified physicians commit suicide every year in the US.

Just a little more than 1 suicide every day.

Or to put it into perspective, 400 is about the size of a 1st year medical class.

So imagine 400 students crowding into a lecture hall on their first day of term…and then simultaneously slitting their wrists or blowing their brains out.

Yes, that’s a graphic image.

But the statistics show that this is exactly what’s happening…just protracted over a longer period of time.

What the numbers don’t show, however, is the number of Medics who don’t commit suicide…but are living lives of “quiet desperation”.

Doing their job, going through the motions, keeping the health care system ticking along…

Saving every life except their own, and never tapping into the full potential of who they were created to be.

That’s the ultimate suicide.

No, it isn’t Med School’s “fault” (not really).

Yes, you need to pay attention to how miserable you’re feeling…and commit to doing something about it.

Reading this blog is a step in the right direction.

This is a taster from Escape Velocity: a personalised email course that guides medics step-by-step in how to successfully make the transition from being stuck in medical school…to living a life of happiness, freedom and fulfilment. Admission is by invitation-only. Click here to apply for your FREE invite.

How To Drop Out of Medicine

Image credit: Hugh MacLeod

You need to drop out of medical school, right now.

And if you don’t need to…then this blog isn’t for you.

Instead it’s for those who feel frustrated, burnt out, disillusioned, out of options, overwhelmed and right at the end of the line.

It’s for those who joined medical school because they wanted to make a difference/ make their parents proud/ make the most of the good grades they got in school/ make sick people better…

…and then found themselves with various addictions, on their third suicide attempt, with no joy, no purpose and trapped in a pressure cooker of debt, depression, and the expectations of other people.

This blog is for those who feel that they’d “rather die than face the disappointment of those around them”.

This blog is for those who know — deep in their marrow — that something needs to change.

Something. Anything. You’re not sure of what, exactly. You only know that you can’t keep living the way you have been any longer in this “thing” called medical school.

That’s where I was the first time I got kicked out of medical school in 2003.

And having gone through this experience, “survived” it, and coached others in how to make their escape over the last decade…I’m hoping this book gives you 2 things I desperately needed all those years ago.

Hope…and a compass.

Hope, because when you’re under the weight of your own misery, financial obligations, family expectations, no sleep, uninspiring lectures, unrelenting test schedules…you can feel as if you have no way out other than to end your own life.

Hopefully this blog will play a part in shining a light on all the options and possibilities that you can’t see right now.

And once you’ve seen what’s possible, I hope this blog will serve as a compass… to guide you from where you are, to where you want to be.

It’s not a map, because the terrain of each person’s experience is different.

But wherever you are, and whatever you’re feeling right now, How To Drop Out Of Medicine will give you the tools and mental&emotional frameworks to help you successfully navigate whatever you’re facing.

You’ve been talking about making a change, pursuing your dreams and dropping out of Med School for months and even years.

How To Drop Out Of Medicine is your personal guide to help you do this.

This is a taster from Escape Velocity: a personalised email course that guides medics step-by-step in how to successfully make the transition from being stuck in medical school…to living a life of happiness, freedom and fulfilment. Admission is by invitation-only. Click here to apply for your FREE invite.