The Developing Doctor
Blog Store Book a Consult Contact
← Back to all posts

She has started over more than once

by Ben Reinking
Aug 02, 2026
Connect
Share to…
Share

 

The sentence comes up in some form in almost every coaching conversation I have. "I'm too far in to change now."

Sometimes it's a senior resident. More often it's someone twelve or fifteen years into a career. They are very good at what they do, and they feel stuck on a treadmill with no stop button. The length of the training. The weight of the debt. A lifestyle built on a specific salary. No obvious options. It adds up, and it all points one direction.

I don't argue with the facts. I ask who they've talked to.

Because the trapped feeling usually rests on a thought that was never tested against all of the facts. It starts as private doubt. The doubt shapes the actions. The actions produce the result that proves the doubt right. And the thought survives because no one has ever said it out loud to another human being who might disagree.

My most recent podcast guest is a fairly direct rebuttal to it.

Dr. Maria Sokolina went to medical school and dental school in St. Petersburg, Russia. Then she came to the United States and had to learn an entirely different healthcare system. She built a practice in New Jersey. Then another in New York City. Then life circumstances pulled her toward sleep medicine. And she has just published a book, Breathless, built out of her patients' stories.

What we spend a good part of the conversation on isn't grit. It's mentorship, and the networks she built at each of those transitions. That's what she points to. And I notice it's what nearly everyone points to, once you get them describing how a change actually happened rather than how it felt while they were deciding.

That part gets lost when we tell these stories as before-and-after. The interesting middle isn't the decision. It's the long stretch of conversations with people who had already done it, most of which went nowhere in particular.

Listen to this week's episode

Reinvention rarely looks like a leap. It looks like someone who knew a person who had already done it.

I can't tell you whether to change anything. That isn't modesty. I'm not living your call schedule or paying your mortgage, and anyone willing to tell you what to do from that distance is selling something.

What I can tell you is what the ones who moved had in common. They were not braver than the ones who stayed. They were less alone. Someone a few steps ahead had made the next move thinkable — and thinkable turns out to be most of the work. Courage is expensive and comes in small amounts. A conversation costs nothing and you can have one this week.

Which brings it back to where we started. A private thought does its damage precisely because it stays private. It never has to survive contact with somebody who has seen it go another way. Said out loud, it either holds up or it doesn't. In my experience it usually doesn't.

You are probably not too far in. You may just be the only person who has heard the argument.

I'm here if you need me.

— Ben

 

Book A Coaching Consult 

 

Responses

Join the conversation
t("newsletters.loading")
Loading...
The only holiday named after work
Tomorrow is Labor Day, and somebody I work with is spending it in the hospital. That is the part of a holiday also seem a little ironic. Most people get a Monday off. A hospital, and plenty of other service industries, get a coverage problem that was solved months ago in a spreadsheet by. The reason you have tomorrow off is that a colleague does not. I have worked plenty of holiday. Working the...
I've gotten good at overriding them
It is 7:30 on a Tuesday morning. Someone at home sick, or a pipe burst, or the tire is flat. It doesn't much matter which one it is. Each is one of modern life's inconveniences that cannot be ignored, and they arrive at 7:02 in morning when you have a full clinic ahead of you. You could cancel. You could ask for coverage. You already know there is no real backup system for that. Ignore the thin...
No one loses summer all at once
I love this time of year. Living in a college town, there's a hum of excitement as students return. On Friday I helped cloak the M1s at the white coat ceremony put their white coats on them. They start medical school on Monday. The garden is mature and cranking out cucumbers, peppers, and zucchini faster than we can eat them. The tomatoes, unfortunately, did not do well this year, so it looks l...

Mastery and Wellness: Thriving in Medicine

A weekly newsletter designed to empower medical professionals to achieve mastery, balance, and well-being in their careers and lives.

Join Our Free Trial

Get started today before this once in a lifetime opportunity expires.