Reflections on My Medical Career: Triumphs and Turmoil
Throughout my medical career, I have experienced a range of challenges that have shaped my practice and personal growth. As a seasoned trauma surgeon, I have faced both remarkable achievements and significant disappointments. Reflecting on these experiences, I aim to share insights that may be relevant to fellow medical professionals and those interested in the field of surgery.
Level III Trauma Center: A Realization of My Dreams
Before moving to a new community after completing my surgical residency, I received an unexpected call from a prominent general surgeon inquired about my passion for trauma. In response, I mentioned that expressing a preference for trauma should not imply a fondness for injuries. However, I was eager to embrace this opportunity and contribute to the establishment of a Level III trauma center.
With the support of a dedicated trauma nurse coordinator, I worked tirelessly to build a Level III trauma center. Our efforts included developing protocols, establishing a trauma committee, organizing an annual educational conference with renowned speakers, and engaging surgical staff in the care of the second-largest volume of trauma patients in the state. Our center served as a vital resource for the entire lower half of the state, capable of providing comprehensive care for all trauma cases except those requiring specialized vascular support.
My professional contributions extended beyond clinical work. I served as the chair of the state EMS Trauma Advisory Committee and became an instructor for the American College of Surgeons Advanced Trauma Life Support for Surgeons courses. These roles allowed me to live the dream I had as a trauma surgeon, and I dedicated myself fully to this pursuit.
Retreat and Reflection in Upstate Temporary relocation
In 1996, we temporarily relocated to upstate to support my husband's PhD studies. During this period, I continued to serve as the chair of the trauma committee and trauma medical director, guiding the hospital through its first-ever verification as a Trauma Center. The experience was fulfilling, and my husband's promising job offer at the university in our former town seemed like a perfect return.
However, the situation quickly took a turn for the worse. Upon returning to our old house, I realized the extent of the interpersonal challenges within the surgical community. Peculiarly, members of the existing surgical staff began to distance themselves and became less collaborative, despite my past efforts in mentoring and supporting their careers.
The Unspoken Divide: Exacerbated by Political Dynamics
The most significant disappointment stemmed from a choice made by my fellow surgical colleagues. This decision was further complicated by my limited political skills, leading to a series of events that indirectly affected patients. While the exact circumstances are sensitive, it's clear that my personal and professional life were significantly impacted.
On a more personal front, my career changes and the challenges within the surgical community had a profound effect on my life. I had to forfeit my beloved teaching duties, as maintaining my credentials required an adequate volume of cases that were insufficient to support this aspect of my career. Additionally, the collegiality I once enjoyed with my fellow surgeons deteriorated, with several of them becoming distant and contentious.
Lessons Learned and Future Prospects
Reflecting on these experiences, I have gained valuable insights into the challenges faced by trauma surgeons and the complexities of professional relationships. While these experiences were challenging, they have also provided me with a more nuanced understanding of the importance of political acumen and interpersonal skills in a surgical setting.
As I continue on my medical journey, I am committed to advocating for a more collegial and supportive environment for all medical professionals. By sharing my experiences, I hope to contribute to the broader discourse on the challenges and triumphs of a career in surgery.