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Every year spent in medical school and residency provides invaluable lessons about life as a physician. Yet, many doctors reflect on their journey and realize there were crucial insights they wish they had known earlier.
Dr. Thomas Strobel, a pediatric gastroenterologist in Nashville, Tennessee, emphasized this sentiment. “I think it’s true that many doctors have things they wish they had known about the job coming out of med school,” he said.
We spoke with several physicians who shared key lessons they learned along the way—insights that medical students may not typically receive in formal education.
1. The ‘Real’ Education Starts After Graduation
While four years of medical school provide a foundation, the real training begins afterward, especially for aspiring clinicians.
“For people who want to be clinicians, the real ‘training’ begins after finishing medical school,” said Strobel. “Many people realize this near the end of medical school, after they’ve already committed to a specialty.”
Dr. Martina Murphy, senior associate dean of graduate medical education at the University of Florida College of Medicine, agrees. “Medical education is excellent at teaching the science of medicine, but there are many aspects of the profession—business, leadership, communication, and work-life balance—that are often learned on the job.”
2. The Only Constant Is Change
Medicine is an ever-evolving field. Physicians must constantly adapt to new guidelines, treatments, and diagnostic methods.
“Medical school did not prepare me for how much the practice could change over time,” said Dr. Helmi Lutsep, a neurologist and stroke specialist at Oregon Health & Science University. “In neurology, for example, there were few acute treatments when I trained. Now, treating strokes requires immediate intervention.”
Murphy highlighted the importance of staying flexible. “Some of the most fulfilling aspects of my career emerged because I was willing to adapt rather than rigidly follow a set plan.”
3. You’re Always on the Job
Even outside the hospital, doctors often find themselves in situations where their expertise is needed.
“A challenge of the field that was not covered in medical school is that you are a physician 24/7,” said Lutsep. “You will be called upon for advice or help at unexpected times, such as on a flight during a medical emergency or while on vacation.”
4. Financial Literacy Is Crucial
Many doctors experience a sudden increase in income after residency, but managing finances wisely is essential.
“Unless you have a background in finance, most doctors learn that they need to seek opportunities to be more financially literate,” said Strobel. “Attending financial planning meetings for physicians can be very helpful.”
He also emphasized the importance of learning money management skills early. “Being a doctor can be financially rewarding, but learning how to save and invest early on can provide long-term stability.”
5. Comparing Yourself to Others Is a Waste of Time
Surrounded by ambitious peers, it’s easy to fall into the trap of self-doubt. However, physicians advise against it.
“The medical training is so demanding physically and mentally that it’s really important to focus on things that matter,” Strobel said. “Comparing yourself to others instead of working on becoming a better physician, family member, or friend is a waste of energy.”
Murphy added that teamwork and leadership skills are just as crucial as clinical expertise. “Success in medicine depends on how well we collaborate, delegate, and support those around us.”
She also highlighted that success looks different for everyone. “Some thrive in academic medicine, others in private practice, policy, or industry. It’s okay for your goals to change, and it’s okay if your version of success doesn’t look like someone else’s.”
Disclaimer: This article is intended for informational purposes only. It does not constitute professional medical or financial advice. Readers should consult relevant experts for personalized guidance.
