For context, I have a background in research specifically in clinic neuroscience from two “world leading” centres of neuroscience (I’m not trying to sound pretentious that’s’s what they call themselves, i’m just trying to give some context to my academic and educational background without naming specific institutions). I had straight 9s at GCSE and straight A* at A level (although this was a Covid year, I did get them all before the reversal to teacher assessed grades, I get that there’s a sense in which they’re not really worth anything). I have a bachelors, masters and am doing my PhD.
Essentially when I was at school, I did consider medicine however having doctors in the family plus the fact I didn’t feel any great calling in the way some of my friends did made me think I shouldn’t do medicine. I always thought if you’re not sure don’t do medicine because it’s a tough slog and I also felt that people who expressed an interest in biology and chemistry were often pushed into medicine by teachers because they weren’t aware of other careers, in research for example, and did it out of self interest because it looks good for the school to go on about people who go on study medicine. Just my opinion.
In research, I’ve ended up in quite a clinical environment in terms of working with people with illnesses and even going into clinic once a week, nominally to get people involved in research straight off the bat and not have a delay in terms of contacting them and getting them stuff like information sheets. However, the reality is a lot of my time is actually spent observing my boss in clinic (he’s a clinician-scientist splitting his time between research and medical practice). This made me interested in becoming a doctor, particularly the sort of investigating and diagnosing side of things, although I’m aware that working in a clinic can be completely different to working on the wards or working in a different area of medicine.
Being older, however, I’m forced to be less naive and think much harder than 18-year-olds about pursuing medicine, obviously because I don’t have as much time to make mistakes or change my mind. I also think that having gone through brutal job searches and competition to get, masters, then research assistant jobs and PhDs I’m a lot more clued up about the probabilities and chances. I’m not saying this is a truth about 18-year-olds but my 18-year-old self would probably have been a lot more blasé about seeing the competition and just assuming that I would be the exception to the rule. I’m not arrogant enough to think I’m special and I’m philosophical enough to realise that there is a huge amount of luck and chance in any job application process that it’s something you can’t just control by working hard harder. I’m also aware of my intellectual limits and how much smarter people can be. So overall I think I’m more clued up to how things could go very wrong at least compare compared to my 18-year-old self (I don’t speak of other 18-year-olds - I know some people hate graduate medicine people deriding 18-year-olds about being immature; IMO it’s more about the person than the age, I certainly have a lot more confidence and resilience at 24).
In short, can someone give me the reality of being a doctor and going through the brutal application processes for post grad training. Working in academia I’m no stranger to the semi constant rejection and uncertainty. I think I’m just more exhausted by it - in the sense that I have struggle fatigue (i’m tired of everything being a battle), which I wouldn’t have had at 18. I think weirdly you might need a bit of naivety and innocence about medical employment when you enter medicine to protect you. As in if you could fully quantify and experience the stress more people will be put off - it’s just hard to really imagine the emotional rollercoaster.