Understanding Success in Medicine
Defining success within the realm of medical practice is a complex endeavor—one that transforms as years of experience accumulate. My personal view has developed and matured, shaped by the realities and lessons encountered over two decades.
Early Perspectives: Wealth and Achievement
In the early years of my career, stepping out of residency, I believed success was synonymous with financial gain. It seemed that greater earnings were the natural reward for dedication and hard work. A great mentor, Dr. Mark Scarborough, offered a lesson that stuck with me: “The amount of money you make only changes the things you buy.” As income increases, so do expenditures, with upgrades replacing essentials that were once satisfactory. While financial stability remains important, it is not the sole source of fulfillment. Over time, I’ve realized that wealth solves problems but does not provide purpose.
Academic accomplishments once stood as another measure of success. I devoted significant energy to publishing research and presenting at conferences, convinced these were the hallmarks of a distinguished career. Yet, this pursuit demanded time—a resource that cannot be reclaimed. Balancing research in private practice, absent institutional support, often led to sleepless nights and frustration. In one notable and very recent case, my commitment contributed to an unexpected dismissal from a position I valued, delivered abruptly via a Friday afternoon Zoom call. Today, I continue research to remain relevant, but I carefully consider the trade-off with precious time for family and personal wellbeing. Recognition matters, but not at the expense of balance.
Professional Growth and Its Challenges
Expanding a practice, increasing the number of cases, and striving for growth appeared to be straightforward indicators of progress. However, I encountered the complexities of workplace politics, where financial motivations sometimes overshadowed collaboration. Being let go from the largest group in the state seventeen years ago was a difficult experience, generating resentment that lasted for years. Ultimately, it strengthened my resolve and resilience, guiding me to create the career and life I am grateful for today.
Success Today: Impact and Relationships
Now, with twenty years behind me, I have come to understand that true success centers on making a positive difference in patients’ lives—restoring fucntion and quality of life. Equally important are the relationships forged with those who support and believe in my work. My athletic trainer, Brad Crackel, made a considerable sacrifice by relocating to continue working alongside me, and my PA, Jenna Nowlin, commutes an hour each way to remain a vital part of our team. These relationships form the foundation of a meaningful practice.
Family and Personal Growth
My upbringing in a fractured home taught me the pain of broken bonds. I had to unlearn patterns of conflict and abandonment, discovering the value of love and commitment through my marriage and the experience of raising three children. Witnessing their growth into accomplished young adults and enjoying genuine relationships with them is my proudest achievement. Marriage itself is a continual effort, but its rewards are profound.
The Value of Friendship
Trusted friends—Gregg, Dean, and Will—have remained constants since the demanding days of surgical internship. Nurturing these friendships and making time for them amid the demands of medicine is truly invaluable, creating memories that are beyond price.
A Philosophy Forged by Experience
In the end, my evolving philosophy is simple: work hard and strive to do the right thing. While patients and professional recognition may come and go, it is the connections with family, friends, and colleagues that matter most. Prioritizing these relationships amid the rigors of medicine is the definition of success I have come to embrace. This perspective, shaped by life’s lessons, continues to guide me.
What does success mean to you in your career? I invite you to share your thoughts in the comments.