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Advice wanted for future female EM physician!

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  • #16
    Wow, I am so happy to see so many responses!  I was a bit hesitant to post (you all know how in medical school you are trained to not show weakness) but I'm glad I did. Thank you all -- this seriously makes me feel a lot better!

    It has been a bit hard for me because I am a very different situation than most of my class -- I go to a medical school in a small, conservative city where the majority of my classmates are younger than me, conservative, married, have children already and aren't in a similar situation as me. If anyone has taken a year out, it has been to do a "research year" where they have kids; I instead left a bad relationship and took a once-in-a-lifetime opportunity to work on an HIV/AIDS clinical trial in Uganda. It has been cool to be traveling a different path than the average med student at my school, but I am coming to find that the path less traveled is less traveled because it is hard!

    Many of my mentors and clinical instructors are in a similar boat as my classmates so I don't feel like many people I know can relate to my life, nor can serve as good life mentors. Most of my clinical instructors/mentors came to my institution because they were married and where I live is a great place to have kids. I also don't know many people who work in global health at my institution (though there are a few).

    Also, I'm the only person who has gone to med school in my entire family (both sides, immediate and extended) save my grandfather who was a pathologist but died several years ago, before I started med school.  Many of my friends in med school have parents or family members in medicine, so I feel like I have nobody in my family who can relate to my concerns. My mom met my dad at age 23, was married by 26 and had my brother at age 32 and she wants grandkids soon (but ain't none coming from me anytime soon), and she can't relate to the difficulties of dating as a medical student, nor give advice about marrying later or having kids later.  My non-medical friends stagger at the amount of debt I'm in too so it just makes me worry more!

    It has been hard for me to not worry since I feel like kind of an outsider in my current medical community and I don't feel like I have many people around me to give good advice.  But honestly, thank you all for the thoughtful responses -- I was starting to get pretty bummed out about my age, singledom and huge debt burden, but now I feel a lot better.   

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    • #17
      I didn't even finish all my training until I was 38.  I think being ahead with life experience served me well though. Did I miss out on years of MD income?  Of course, but with your head on straight and focused financially you will be light years ahead of so many others in your med school class, guaranteed. You are doing great.  You will still have a whole career ahead of you and like WCI said, you will make up for it quickly if you make the right decisions in residency and the first few years out.  I am male, so I will defer to other female colleagues about some of your concerns, but I would also tell you we just had twins (wife 41, Im 42), and no there was no fertility assistance.

      Good luck, and enjoy the journey!

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      • #18
        Seriously look for a residency not in a small, conservative town. It made all the difference in the world for me to go to a residency with other people like me.  I also agree with the other advice about online dating because that is how I met my husband (granted probably won't be happening as much while in Uganda).

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        • #19
          Residency is basically one giant human rights violation. That being said, if ceteris paribus those residency years are right for you to end up having children, do it. You can make the money back (less lost earnings in residency anyway). You might have to take the boards a year later depending on how much time you miss...but if having kids is important to you in your life, then be a human being first and worry about dollars/cents and GME junk afterward.

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          • #20
            Not sure if you would qualify but worth looking into the NIH loan repayment program if you're doing dedicated research. I believe it's 20 hours a week for 2 years which isn't tracked extremely closely.. they allowed me to "avg" my time over 2 years so if you crank full time that can make up for the slow months. Can qualify for 35k per year

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            • #21
              Agree with previous comments. Also previously active topic in the forum about having kids later in life:

              https://www.whitecoatinvestor.com/forums/topic/having-kids-later-in-life/

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              • #22
                duplicate

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                • #23
                  Agree with others reassurance regarding your financial situation. Just a thought re: REI while in training... I noticed you said you will be finishing around 35. Take a look at your insurance - if it covers REI that is a relative rarity in the insurance world and may be worth taking advantage of in your last year, depending on your personal situation at the time of course. Particularly if you have anything that can contribute to infertility besides age - oligo/amenorrhea, PCOS, fibroids, etc - if it's significantly subsidized, you might consider it.

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