If you’ve come to the conclusion that you don’t want to continue residency, it’s time to create a transition plan! I made sure to have mine mapped out before I gave my residency program my final decision (although they had known for some time that I was considering leaving). I would recommend the same for you. Keep in mind, your transition plan can include some unknown variables, just make sure you’re prepared to handle them however they turn out.
I purposely saved this for Part Three because it shouldn’t affect your answer! I’ll tell you why. During my self-reflective journey, I realized that the two questions “do I want I quit?” and “can I afford to quit?” were more valuable to me if they were answered independently of one another. I came to this conclusion by imagining two scenarios:
Scenario 1: I first answer “can I afford to quit?” and find that the answer is “no.” I don’t properly explore whether I want to quit or not. I just continue residency, possibly sentencing myself to decades of misery.
Scenario 2: I first answer “do I want to quit?” and find the answer is “yes.” THEN I find that I can’t afford to financially. The two upsides here are that I have learned something really valuable about myself (that I want to quit) AND with that knowledge I can start planning how to overcome the financial obstacles.
Even though Scenario 2 is clearly the better option, I’m sure having at least a little reassurance that you’ll be able to make money will go a long way (it did for me), so here we go. I’ll start by saying:
there are PLENTY of non-clinical jobs for MDs
It may take some effort to find the jobs that specifically require MDs, but they exist. You also don’t have to stay in the healthcare arena if you don’t want to. Think about all the work you put into your medical career. If you apply a fraction of that effort into any other field, chances are you’ll be just fine. And contrary to what you may think, you’ve gained skills and knowledge along the way that are transferable to other fields, so your training was not for nothing. Please, just check out the Resources page. The books address this much better than I ever could. You’ll also see that there is a huge community of non-clinical MDs out there! I hope someday we’ll have an online tool to connect MDs to nonclinical jobs. As far as I know, it doesn’t exist yet.
Everyone’s financial situation is different, so I can’t say much other than make sure you have a short-term and long-term plan. This will depend on whether or not you have student loans, a family to support, a family/partner who can support YOU, an emergency fund, etc. This subject could fill up a book on its own! For what it’s worth, I do briefly mention my situation in My Story.
The Rest of the Plan
Let’s be honest, money was the most important part. But here are a few additional things to consider:
Full medical licensure
Determine whether or not you’re eligible for a full medical license. This can open up some doors for you, check out the FAQ for more details. If you require a license for your next job, apply ASAP because it can take a few months.
Determine how you will get health insurance. I went through healthcare.gov initially.
That’s the end of the guide! There’s much more website, so go explore and feel free to give me feedback of any kind!