

It's been just over 3.5 years since I walked away from my perfectly stable job as Resident Education Coordinator for the Department of Orthopaedics at the University of Medicine and Dentistry/New Jersey Medical School (try saying that 5 times fast). I liked my job, I did. For one, I had a wonderful working relationship with my the department's Program Director who was also my boss, Dr. Berberian. Dr. B would stop into my office on the way to his office when he had a 'moment' to spare between seeing patients in office hours, in the clinic or slicing and dicing feet and ankles in the OR. Those 'moments' often turned into an hour bullshitting about whatever gossip was going on in the department, which residents were driving us insane and on occasion, the details of the residency and what we could do to make improvements. All in all, I enjoyed my interaction with the residents who were all within an 8 year age range with me. Residency Coordinators tend to be older as they often play a "mother hen" type of role in the lives of 'their residents' (note: It's an odd pattern, but all coordinators refer to the residents in their department as "my residents", the same way they would say, "my kids" even though they'd birthed not-a-one). For me, I leaned more towards the sisterly position which worked out well for me. A few too many shots of tequila aside, we developed a mutual respect for one another and everyone understood, "I scratch your back, you scratch mine". Coordinating a medical residency is fraught with bribery, coercion and strong arming - it's not a position for the meek. The Orthopaedics department was particularly demanding, since Orthopaedic surgery is one of the most competitive residencies to get into (why anyone would fight tooth and nail to spend their days in a bloodbath is beyond me, but I respected their love for using power tools on humans; to each their own) and orthopaedists tend to be Type A, perfectionists, and way busier than other specialties overall. That meant I had to be Type A, a perfectionist and much more patient than other coordinators, overall. If that meant getting put through to an attending while they were in surgery to discuss setting up an appointment, that's what I did. If it meant running in heels from one building to the next to catch the chairman before he left for office hours, that's what I did. If it meant walking into the morgue during dissection of arms... well.... that's what I did. (The residents promised me the arms were covered when I walked in. Yet as soon as I got in the room, off came the sheet and there were four arms lined up on a table. They loved that way more than I did). I often walked into presentations where photos of patients were being blown up onto the big screen - fingers caught in snow blowers, bullet to the femur, feet hanging off the bone. I'm sure this is why I'm able to watch Dexter while eating dinner or just before falling asleep now without any vomiting or nightmares.It was a good four years at NJMS. I learned quite a bit about how to communicate with all types of people (especially, ahem, difficult personalities). I learned how to develop relationships with coworkers that were based on respect, appreciation and willingness to be flexible. I learned that getting too comfortable can set one up for difficulty (our beloved and well respected chair developed cancer and passed away, bringing a new Master of Ceremonies to the forefront who had... different ideas of how to do things). I learned a lot about what I'm good at, what comes naturally and what I need to work on. I learned what dedication means, watching the two women in our program get pregnant, have babies and raise their children without missing a beat (with support of husbands) next to the guys. I learned tenacity and not giving up by watching residents who started out having trouble put their noses to the grindstone and turn out to be excellent physicians. I learned the value of giving and getting appreciation from those around you and how much worth the words "thank you" can hold.
In the end, I left my position there because I was burned out. I wanted to move to Portland, wanted to try something new and different. It was hard leaving my residents. Each year they told me I couldn't go yet, not until THEIR class graduated. Just one more year, just one more year, just one more year. Eventually, one class was going to have to let me go and I was humbled by how disappointed my residents were when I told them about my impending departure. I still think of them now and feel proud that they made it through training - a sometimes harsh, sometimes militant program where daily expectations often exceeded what many people give in a week. When I left, I told myself I wouldn't go back to the same position elsewhere because I'd had my experience, learned my lessons and was ready for something new. However, times are tough. Portland is tough. I've been flexible with my job search but Portland has not been so open minded with me. As I work with my business partner on getting our lip balm company solidified, pressing through many a slammed door and declarations of "it can't be done", I crave productivity. Unemployment has been kind to me during my search and my bank account isn't in dire straits at this time. Working for me right now is about making things happen. Most people will tell you they're much more likely to get things done if they have a list of things to do ("Want something done? Give it to a busy person"). One thing on a list does not motivate me to jump up and get it done. I work most efficiently when my schedule and task list are filled. I've been incredibly lucky to have so much time to travel, go snowboarding, take a hike, sleep in, do crossword puzzles, volunteer, draw a picture, drink whiskey till 2am, go for a walk, sit and think, watch a movie, climb at my leisure, bake lemon poppyseed bread, take a sewing class and make pillows, make new friends, catch up on emails and do whatever else I managed to get myself into during this work hiatus. I've also battled with feeling like I'm not using my brain nor skills and having entirely too much time to think (trust me, this can be a negative). I'm from the east coast where it's ingrained in our beings that we must work or make babies to have value. Not working for the past year has certainly affected my view of myself in a way I didn't expect. I imagine bread winner fathers (or mothers) who lose their jobs and are left to find a way to care for their family. I have only myself to look out for, and financially I'm not about to burst. Yet still, not working has taken a toll on my self image as I believe it does for many. I'm reminded regularly that I haven't been doing 'nothing'. I have been working to start a business that is ever so slowly creeping along, two steps forward, one step back. I have grande visions of my life when BCBB takes off. Not grande meaning chandeliers, servants and jets so much as comfort, flexibility and security (maybe a jet ride on occasion - I don't need to own my own).
In the meantime, it appears I've been offered the position of Education and Training Manager for the Department of Psychiatry at Oregon Health Sciences University (say that 5 times fast). This job is, essentially, the job I held for four years in NJ but now I'm considered 'management' and I have an employee. It will be different; my interviewers all reminded me that psychiatrists are a far cry from orthopaedists. The woman who held my position two before me and was essentially the reason I got the job STILL talks about her days in Orthopaedics and it's been years since she's worked there (and our (2nd) chairman used to regularly make her cry). I used to joke with my boss that if I ever came across my job elsewhere, I couldn't ever do it for a department besides ortho because I was so comfortable with the mentality that went along with it; I'd scare the residents. I believe the most mocked field was Family Practice, but when it comes down to it Psychiatry is likely more mock worthy. As one of my interviewers said, "We're an..... eccentric group. We rarely make a decision." But hey, I moved from NJ to Portland so it only seems fitting that I would go from Type A to eccentricity. I've accepted the position and am looking forward to getting back to it. Not only for the productivity but for the relationship building, being the "mother hen" (I may just be old enough to fit the bill now), and having the run of a medical school/hospital. I'm told one of the top Seasonal Affective Disorders physicians works in the program (Portland? Where else?) and he can set me up with natural light lamps in my office to make the gray winters a breeze. Psychiatry may not be my beloved orthopaedics, but at least I won't have to hold meetings in the morgue.


