A new mom in medicine

Months before my life was upended, a doctor friend tried to explain my forthcoming role in terms I’d understand. “Imagine being on call 24 hours a day, seven days a week,” he said. “You’re in charge of a single patient, but she is needy as hell.”

Medical training prepared me for motherhood in some ways (the assortment of facts blurrily retained from my pediatrics rotation in medical school; the skill, or delusion, of combating the inertia of sleep), but not at all in most others. And now, after two months devoted to tummy time and 5 a.m. staring contests with my sweet, saucer-eyed baby girl, I join the ranks of countless men and women attempting the uneasy balancing act of work and parenthood. I’m doing so at a time when the terms of re-entry for new mothers into medicine seem particularly disputed.

Internal medicine is a fast-evolving field (since my daughter’s birth in late October, experts have decided to lower the bar to treat high cholesterol and raise it for high blood pressure, so I have some catching up to do. But I’ve quickly realized how essential maternity leave has been in allowing me to heal and to connect with my daughter. It is incredible, and a disservice to women as much as to men, that we do not (at least here in the US) offer fathers this right to the same extent.

Maternity leave has also confirmed for me what I already guessed: as much as I enjoy being a mother, I am my best self when I am also taking care of patients. I suspect that the vulnerabilities inherent in being a parent may make me a more empathic doctor, and I hope that one day my passion for my work might inspire my daughter to pursue something she loves.

For me, returning to work is both a personal and a practical decision (crippling debt and all). Some have even argued that, as a doctor, it is the only socially responsible one. In 2011, anesthesiologist and mother Karen Sibert contested in The New York Times that the women who choose to leave medicine for parenthood are to blame for our shortage of doctors (my reaction here). Last week, J. Meirion Thomas, a “leading” male surgeon and “feminist” in the United Kingdom (parenting status: unknown) decided that female doctors are stealing from taxpayers and crippling the National Health Service because they are more likely to work part-time after starting families.

The particular absurdities of his argument aside, such claims completely miss the point that our workforce shortages are an institutional failure, not because women finally represent a proportionate share of doctors but because here in the US we haven’t made the best use of our doctors to begin with (and I gather Canadian doctors face similar challenges).

If fewer women than men are staying in medicine, which is indisputably A Bad Thing, then we ought to figure out how to accommodate mothers in the profession – through equal pay and accessible childcare – and to do away with the pervasive and anachronistic expectation that women shoulder the bulk of responsibility for raising children. 

In the meantime, my pager just went off: a certain someone needs a diaper change and my husband won this game of Rock-Paper-Scissors.

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Ishani Ganguli


Ishani is a journalist and a second-year resident in internal medicine/primary care at Massachusetts General Hospital.  She blogs at Short White Coat. Ishani’s blogs are reprinted on healthydebate with the permission of the author.

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