Saturday, September 25, 2010

Failures

I met with the women's MD-PhD committee yesterday to talk about events we'll be planning over the next academic year. Many of the events we had last year were very successful:

- Mixer with prospective students
- Panel about mentorship
- A couple of happy hours
- A book talk

There was interest in having a panel discussion with some woman faculty members who are physician scientists now.

But what would we have them talk about?

The usual ideas were thrown out regarding work-life balance and their stories about how they've become successful. A general advice session. (And I gotta say, many of us are tired of hearing the same advice re work-life balance: i.e. there is no convenient time to have a baby and have lots of family support nearby +/- a good nanny. Snooze.....)

Then someone mentioned failures. "Let's have them talk about times when they have failed at something, or when times were difficult and they overcame," someone suggested. I wish I remembered who because it was a brilliant idea.

See, we're all trained to come up with these beautifully crafted narratives of how we got where we are today that make it seem like our life courses were charted out perfectly from the day we were born to the day we got tenure. But the truth is (with a few nauseating exceptions) it's all total BULLSHIT.

For instance: me. My own bullshit beautifully crafted narrative goes as follows:
Old MD Girl majored in Sociology and graduated with honors from the University of Chicago. She worked with very important mentor on her senior thesis on predictors of voluntarism in hospices, and then took a job at a consulting firm that specialized in sales and marketing consulting for pharmaceutical companies after she graduated from college. It was at this time that she discovered that she loved working with data. Her next job at an industrial supply company taught her to manage supply chain operations, and she decided that she wanted to apply the principles she had learned working in the warehouse to health services research. Her next job, managing the health services research projects of two physicians back at the University of Chicago convinced her that the best way to make a real impact in the field was to pursue an MD-PhD in Epidmiology, so she completed a post-bac while working full time, and was admitted to medical school. She decided to focus her dissertation on the problems associated with inpatient patients flows through ICUs, rationing, and Dr-patient communication.

The reality is more like this:

OMDG had no idea what to do with her life during college. After reading an article in Newsweek on patient non-compliance the summer before her 4th year of college (and watching a lot of the X-files and being fascinated by Agent Scully), she decided to reconsider this whole med school thing and do a senior thesis on medical sociology. She was assigned her thesis mentor because the head of the sociology department thought she was cute, and that this very important dr would enjoy working with her because of that. The very important dr made her feel like she was the stupidest person on the planet and she quickly became disenchanted with the project quickly (also, it was on a topic she found boring at the time).

Because she had no idea what she was going to do with her life, she decided to get a job at a consulting firm. She knew the moment she started that she was going to hate it. PLUS, she realized half way through that she really wanted to do more analytical work. When she requested this, she was told that as a sociology major, she wasn't smart enough to do it. She thought about grad school but was too chicken to pursue it, and started dating a boat anchor who verbally abused her for the next three years.

Then (because she was desperate to get out of the consulting job) she got a job at the industrial supply company from hell. It was ok for a little while. She learned about supply chain operations and stuff. But again she was passed over for a more analytical position because, as a sociology major, she "wasn't smart enough" to do it. She eventually got promoted to the warehouse, and after a year of not touching a computer, realized she was getting stupider and stupider, and that she was losing any transferable skills she had developed over the past 3 years. She was probably also clinically depressed at this time. Eventually she got fired (pretty common for management candidates at that company), which FINALLY gave her the push she needed to think about how to go back to grad school.

She got the research job totally because of the very important dr who thought she was stupid (she name dropped him on her cover letter and it turned out he had previously worked with the drs she got the job with). She visited the mentors she had from undergrad (the very important dr who thought she was stupid thought med school was a great idea until he found out how old she was -- then he told her it was a bad idea, and the other one tried to get in her pants), and started a post bacc TENTATIVELY thinking med school might be a good idea. Her projects went awesome, and she got good grades and MCAT scores. Dumped the bad bf, met Luca, and applied EVERYWHERE since she had no idea what programs might accept someone like her. Somehow she got in where she is now (she really can't believe it sometimes). Med school's gone well, as has the PhD so far. Go figure. She does research on ICUs because she really can't stand outpatient medicine.


But of course this isn't the perfectly manicured narrative I tell most people because people then think, "She got FIRED?? She didn't know what she wanted to DO with her life? My goodness, what is wrong with her. How unfocused. We will not be hiring/admitting/giving $$ to this person. How could we? She has FAILED before in life." And it's interesting, since most of the kids in my program have gone straight through from college, I really do wonder whether any of them HAVE actually even struggled (much less failed) with anything before in their lives. I've certainly never heard a comparable failure narrative from any of them, and when I tell snippets of my failure narrative, classmates look at me like I'm pond scum....

So in any event, I'm really looking forward to the failure panel. I am curious about what I will hear.

Dear readers, do any of you have a compelling failure narrative? Do tell.

25 Pearls of Wisdom:

nurse XY said...

Hmm, does $300,000.00 for a doctorate of Chiropractic I used for 6 months before returning to school to become an RN count?

megan said...

Hey hon! Interested in going to Rangoon with Brodie and me this weekend? Or maybe just taking a walk w/Boo? By the way, your story about the asshole with the bag problem made me SO ANGRY .. I am surprised Luca managed to control himself.

Anonymous said...

Almost flunked out of university after having a stellar high school (as if that really means anything?). When I tell people I failed some university classes, they always respond the same way: "YOU failed a class? But you're so smart!". Yeah, 'smart' people fail classes AND get fired from jobs AND sometimes don't figure out what they want from life until they're (gasp!) in their late 20s.

The most important lesson I've learned from this is and all my other life experiences is that the more I try to force life to go in certain directions the less likely I am to get there!

EMT GFP said...

I find it interesting that med students feel as if life will never have failures since a big part of medicine IS dealing with failures. Not everybody lives. Not everything goes as planned.

Cat said...

I've been pretty honest about my failures on my blog since I started writing it because I was the naive idealist who thought honesty was the best policy. I wanted to be the one who rips off the shroud hiding the secret lives of med students... Or something like that... But now you've got me worried about prospective employers coming across it and thinking, "We don't want to hire/admit/give Cat $$!" Of course, I leave out identifiers like my full name, photos of myself, where I go to school, etc., but with some investigative work, I don't think it'd be hard to figure out who I am. I mean, how many people can screw up in med school so badly AND be female AND go by the nickname of Cat? I've heard of 4th year med students changing their names on Facebook to avoid being found during the residency application process. Perhaps I should now go by Da'Kat? I think it's got a bit of a ghetto fab twist to it. Maybe it'll even add to my street cred. Or not...

Old MD Girl said...

Cat -- Well, I think I'm going to make my own blog private between the start of my residency applications and the match.... but that's a few years off yet.

I like the idea of ripping off the shroud of perfection among med students as well. My advice? Be open and honest as long as you're not applying for a job. In which case you can still be honest, just not open.

And anyway, everyone has failures (whether they will admit it or not), and *I* think that showing how you have overcome adversity is a much more compelling and interesting story than the story of the person who has always done everything right. BORING!!!! Drs have a big PR problem, and this whole perfection nonsense is part of the reason why.

Old MD Girl said...

Anon -- You mean you can fail a class and STILL GO TO MED SCHOOL????? OMGOMGOMG! ;-)

Old MD Girl said...

Nurse J -- Chiropractic school? WTF? Glad you saw the light and became a nurse!

EMT -- This is a really interesting point that I feel I need to ponder at greater length....

Anonymous said...

Old MD Girl - Yes, you CAN fail AND still go, but I did a second degree and had loads of community service to back me up :)

Anonymous said...

Hey OGMD. I had a few bumps and bruises before getting into med school. For example, I almost failed my physics I midterm..... in the same week that I got my first acceptance to med school.... yikes! It was devastating and I was sure that I was done, done, DONE (my MCAT score was gonna age-out, and I'd gone all-in for med instead of grad school). But somehow I made it.

And now, I'm not really enjoying MSI. People here just seem soooo happy with school-but I feel outmatched, outgunned, out... everythinged. Hopefully I'll make it.

Thanks for your service with this question and your blog. It makes me feel more... normal.

nik

Old MD Girl said...

Anon -- Don't worry, they're not enjoying it nearly as much as they're pretending to. I remember feeling the same way. (I mean it wasn't SO bad in retrospect, but dude, med school is a lot of work!) I would say something to a new friend like, "Wow there is a lot of reading to do," or, "I feel exhausted," and I would get some quip about how it was no big deal, or how THEY do FINE on 5 hours of sleep a night and what was my problem.

*Sigh*

It gets better. You'll find your friends and your specialty and it will all be fine in the end.

Albinoblackbear said...

This is really interesting to me as I am trying to arrange a 'women in medicine' panel here at the school...what I do not want is for it to come across as a 'how to have babies and be doctors' but actually look at some of the other issues/struggles/frustrations/limitations/opportunites for women in medicine.

If you are comfortable with it--would you send me your email so I can bounce some ideas off you? (If not--totally cool). subtleanvil [at] gmail [dot] com.

Heh. Now I want to work on my 'real' narrative. :)

nurse XY said...

OGMD: it's me, nurseXY that was the idiot that went to Chiropractic school, not Nurse J, I wouldn't put that on him.

Hey, what can I say? They got me with their spiel. No call, super income, work your own hours. I bought into it. Lies. Lies. Lies. They forgot to mention you'd have to sacrifice your integrity to make money.

So here I am.

Old MD Girl said...

XY -- SO SORRY!! Probably I replied not really paying attention!

DoctorMama said...

I just want to give a little reassurance to med students who think that their opinions and/or jokes will prevent them from getting a residency ... our committee has rejected someone only ONCE after googling them -- and that was because we discovered that they'd been convicted of a sexual assault.

We kind of hope our residents are humans with senses of humor.

nurse XY said...

OMDG: No worries at all. The more I get to know Nurse J it's like we're long lost brothers anyway.

Now if only I could get the student loan companies to make the same mistake. You don't mind, do you J?

Old MD Girl said...

DM -- So I can still apply without fear in [your specialty] at [your institution]? Phew!!!

;-)

Anonymous said...

Mine is a long and twisted tale, chock-full of setbacks, outright failure and the occasional triumph. All I can say publicly is: sometimes you gotta bounce like Tigger!

101Md said...

"since most of the kids in my program have gone straight through from college, I really do wonder whether any of them HAVE actually even struggled (much less failed) with anything before in their lives. I've certainly never heard a comparable failure narrative from any of them, and when I tell snippets of my failure narrative, classmates look at me like I'm pond scum...."
- - - - - - - - - - - - - - - - - -

Well, my failure story didn't begin until med school. I had decent grades and MCATs, did a year of research before starting med school, and began in the MD/PhD program at my school. Unfortunately, I made three Cs right off the bat, and nearly killed myself trying to bring my GPA up enough to stay in the program. I ended up being just a few test questions short of the score that would've swung me into the next highest bracket and given me the GPA I needed.

That WAS my first failure, and it devastated me. It was even worse because I couldn't talk about it with my classmates without getting that "pond scum" look, so I started retreating into myself. Because of the advice of a very wise administrator at my school, I got tested over the summer and discovered that I have ADHD, which probably contributes quite a bit to my shaky test performance.

My goal is to bring my GPA up before December so that I can reapply to the MD/PhD program. And even though I just got my grades back from the first module (yep, got another C by exactly 3 test questions) I'm not pleased, but I'm not on-the-verge-of-suicidal like I was last year, because this experience has taught me that my worth is not measured by my successes. It's measured by how I respond to, and grow from, failure.

Best of luck with your "failure panel"...I think that this is the BEST idea ever, and I truly hope that one day we are all able to "rip of the shroud of med student perfection" and still be respected. That's part of the reason I started my own blog.

101Md said...

Well, my failure story didn't begin until med school. I had decent grades and MCATs, did a year of research before starting med school, and began in the MD/PhD program at my school. Unfortunately, I made three Cs right off the bat, and nearly killed myself trying to bring my GPA up enough to stay in the program. I ended up being just a few test questions short of the score that would've swung one C into a B, thus giving me the GPA I needed.

That WAS my first failure, and it devastated me. It was even worse because I couldn't talk about it with my classmates without getting that "pond scum" look, so I started retreating into myself. Because of the advice of a very wise administrator at my school, I got tested over the summer and discovered that I have ADHD, which probably contributes quite a bit to my shaky test performance.

My goal is to bring my GPA up before December so that I can reapply to the MD/PhD program. And even though I just got my grades back from the first module (yep, got another C by exactly 3 test questions) I'm not pleased, but I'm not on-the-verge-of-suicidal like I was last year, because this experience has taught me that my worth is not measured by my successes. It's measured by how I respond to, and grow from, failure.

Best of luck with your "failure panel"...I think that this is the BEST idea ever, and I truly hope that one day we are all able to "rip the shroud off med student perfection" and be respected for who we are and what we've overcome. That's part of the reason I started my own blog.

Old MD Girl said...

101 -- OUCH! That is really rough. You're definitely not alone, though. Plenty of people do fail classes in med school or barely scrape by. There were 3 people my first year who had breakdowns of sorts and decided to take a year off and start over. Fortunately, my med school is very forgiving in that way. Can you still test back in?

I didn't know you had to keep up a particular GPA to stay MD-PhD some places. That sucks. Things are so different in PhD land... it seems odd that your MD grades should matter at all.

Jennifer said...

I love the difference between your failure narrative and the front narrative you provide. I think everyone does that. My husband certainly does.

I don't, but that is only because I have my own business and no asks me for that kind of information anymore! ha ha!

My failures are what have taught me the most about my work.

As for the work/family balance, I am still learning. I will probably have it figured out by the time my kids are grown up and don't need me anymore.

old boy new trick said...

Great topic. Just great. What a wake-up call the real world was/is.

I was almost fired about 2 years ago. I was a little prick. I hated my job and because of this was doing piss poor work. For some reason I thought I was untouchable. I had ego coming out of my ears. It took two poor reviews before I got the message. The company doesn’t care one bit why I was doing a bad job, and I needed a major overhaul. The “fired” word never officially came up, but that’s what I would have done if I had been my boss.

Talk about a reality check. I was not that special nor was I irreplaceable, and I was lucky to have the opportunities that I had been afforded. Gratitude, humility, and countless other virtues were crammed down my throat in about two days time. There is no way that I’m ready to be successful, and I definitely didn’t have it at 22. I am still almost a year away from applying to med school, and I still hate my job, but I hate it much less now that I see it with new perspective.

Jacqueline said...

I know you wrote this a while ago, but I've just checked your blog now...been a busy few weeks with my classes.

This was such an inspiring post as I am in the middle of revising my personal statement for Medical Technology school...and of course, I have to make my journey to MT School (complete with one undergrad degree in Bio under my belt 5 years ago) sound prettier than it actually is. In actuality? I wanted to go to Med School but got burned out...was too scared and not interested enough to go to grad school for a PhD...and through luck found something that I actually wanted to do with my life. But yeah...making that sound pretty and not pathetic has been quite the process. I think I did it, though :)

Anonymous said...

Honestly, you are my hero. I'm a sophomore at a super tough liberal arts college who has no fing idea what do with his life (few truly meaningful goals he can get behind). I cling to medicine because its so enmeshed with my identity, but I'm so bloody confused (also, am technically depressed, but forgoing the meds for personal reasons) I haven't been able to decide on a major or stem the future anxiety.

Sometimes, alums tell stories like yours (I know of one lady, who, at 32, went to med school) and they make me smile. Hell, I hope I fail some more and turn out like you. And those assholes should watch who they treat as pond scum...they've got plenty to learn.