Re: Nurse or Doctor *Please Help*
I am a former nurse turned doctor and just finished my first year of residency. I realized during my nursing career that I was frustrated by not fully understanding the pathophysiology and treatments for my patient's diseases. I think at first, I thought i knew a lot as a nurse, but it became clear that I didn't know as much as I wanted. I think one of the previous posters articulated this really nicely when they said that nurses focus on taking care of the patient, whereas doctors focus on the medicine/science. (Not to suggest that I don't enjoy spending time with my patients!) I also like making decisions about what tests to order, medicines to give, what the diagnosis is, etc.
I think that deciding to go to medical school was the right decision for me, but there have definitely been some sacrifices. I'm over $200k in debt and am currently making less money than I did as an RN. As an med student and intern, you get dumped on a lot by the more senior residents, the attendings, and nursing, which gets extremely frustrating, especially when you are working 80+ hours per week (my program is notoriously non-compliant with resident work hours). You give up a lot of your free time, since you're spending every third to fourth night in the hospital during residency and in some cases, fellowship. Then you finally become an attending, which pays better than residency and generally better than nursing, although many advanced practice nurses make more money than MD's. But, you've got to re-pay that $200k, which is now more like $250k because 3 years of interest have accumulated....and will continue to accumlate until you finish paying it back, which is well over a decade for many MD's. As a junior attending, you're taking the overnight calls, the weekends, the holidays, the less interesting patients and procedures, etc. And, as the doctor, you're ultamitely the responsible party for the patient's well being.
There are also some things I miss about nursing. I miss having only a few patients each day, rather than 25, so I can spend more time with them. I miss the flexibility....I was able to work in the ER as well as on the floor during my nursing career, but at this point am sort of stuck in a relatively narrow area of medicine. I miss working 3 days a week and going home and being done.
In the end, I think going to medical school was the right decision. I think I'm a way better doctor than I ever was a nurse. But, I think I underestimated how difficult medical school and residency would be, so I would advise you to really consider how much time, money, and energy you're willing to sacrifice.
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