Zach Highley Quits Medicine | Doctor Dropout Reacts
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- เผยแพร่เมื่อ 21 พ.ย. 2024
- Another doctor and known TH-cam personality quits medicine. Dr. @ZachHighley shares his medical journey and breaks down why he ultimately decided to leave medicine behind. These are my thoughts on his struggles, achievements, and decision making-we agree on quite a bit, but certainly not everything. 🤔 Is it Dr. Goobie 2.0?
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Kevin, was waiting for this video haha.
Really appreciate your take here, my favorite part was “F*** em,” appreciate it.
100% agree on parts of Goobie as well as my take. I was too black and white with the “advances” of medicine, I was heavily influenced by life expectancy data I saw and didn’t dive deep enough. Agreed much more to it and it’s not just one end point.
Also agreed I attributed way too much to these big ideas and “being a doctor” to who Zach is, working on it now. (Would love any tips!)
As for what’s next. I have had all my medical education paid for and TH-cam has allowed me to really never be concerned for finances after leaving residency. I am very lucky and can’t imagine what it’s like to have such financial burdens weighing on these decisions.
I was definitely misleading with the “I have no idea what I’m doing part.” I do have 3 or 4 things lined up but am actively deciding between them, I’ll release a video in the next two weeks about this decision.
Finally to the last point about money and my background. I agree, it’s a sticking point for me personally (and has been my whole life) I am extremely extremely lucky in my background and to who my parents are and where I was geographically born. I am hyper-privileged.
I am scared that if I share more about my background people will attribute all of what I have done to my background instead of me. Even seeing the thumbnail of your video after reading all Reddit comments (brutal), felt like another heart stab (again, not saying it’s not true, I’m just still insecure about that part of my upbringing so criticism around it stings that much more).
All in all, great video, we should talk/meet in real life, would love any life tips you have!
Love
Z
Zach I'm really happy for you and for this next chapter. You're a sharp guy - I'm sure you're going to do well, and I'm looking forward to seeing where you take things.
I completely get the sticking point on background and people attributing success to your background and not your own efforts. There are always going to be haters (vocal minority), no matter what, and the reasonable people (who are the non-vocal majority) know better than that.
Apologies for anything in the video (or the thumbnails) that came off as too harsh. Let's definitely chat further.
@ZachHighley Insecure? Man you should be so proud of your parents and how successful they are, what a blessing to have.
Very few people are as lucky as you, but it seems like you recognize that already and don't flaunt your background or familial wealth. Don't get lost in the criticism; none of the comments you're reading comes from people that know you as a person. A lot of it comes from insecurity and jealousy, so take it with a grain of salt and don't worry about these things.
@kevinjubbalmd That you reacted to his life decision with derision and criticism makes it just that much harder for people to live authentically. It makes me wonder why does his decision make you insecure in yours?
Its not a real quitting medicine video until you film it in nature
😂😂
😂😂😂😂
it's the only way to quit 😂
@@mustang8206 I wish I was Zach-Rich
😂😂
The more i watch zach the more I am confident that he needed to see a therapist someone to help him to work on his anxiety and work through some of his thoughts and feelings of uncertainty and his striving to please others. Also his pursuit of greatness thats always around the next corner instead of enjoying how far he had come. I think he made a wrong choice picking internal medicine and other specialties might have been better tailored for his personal interest.
100% agree, not a doubt.
I think his residency program failed him so severely that it’s close to criminal.
He’s really intellectually motivated + very empathetic. ironically, it’s this combination that makes the best doctors, so him leaving is a testament to how disgusting today’s healthcare system/culture has become.
With that said, he should’ve went into Radiology or even Pathology. Less patient-interaction obviously + a higher volume of investigative thinking throughout the day. He chose the wrong specialty.
@@fredred5037May I ask in this case, can he switch his specialty and start over again his residency in another specialty? Coming from a doctor from overseas.
@@mytube785 why do u say so?
Hi Dr. Jubbal. I like the way you maturely broke it down and explained it. I'm an Internal Medicine resident and I start Heme Onc from next year. I have the unique distinction of being somewhat of a late bloomer and joining residency at the age of 31, I'm gonna be 34 this year.
I realize alot of things about Zach, that I saw as part of myself at his age, I guess in a way we all do, and I love that with age, comes nuance and growth and with it, a maturing perspective.
I think Zach's a really bright guy, but more so, because he's also driven and works on the basis of purpose. He wants to a doctor more than anything else, and I feel, that's a good and bad way of approaching things.
Good, because you are motivated by purpose. But bad because you see yourself as only what you want, and your entire meaning is derived from that, especially that part where he's like, "If I'm not a doctor, then what am I?"
I feel like Zach's also a guy who feels that he should or shouldn't be in a place, based on the people he's surrounded by. It's kinda like he derives purpose not just by his own motivations, but also the motivations of others. Like it's not enough that he should want to do Medicine more than anything in the world, but that everyone else should too.
And that's wrong, because frankly, Medicine too vast a field and too long a career before one sees actual gains.
Most people just want to do their job and go home. I know I have, countless times. Like the time when I'm nearly done with my call, and I'm nearly done with morning rounds and the handover, that all I wanna do is go back, shower, eat and sleep. For most people, it becomes a job. They come in, clock in and clock out and that's it. It pays the bills and affords them a fairly good life. And there's nothing wrong in that.
Alot of people find the beauty of Medicine and the passion reigniting much later in their careers, like 5-10 years after they become an attending and then they hit their stride.
And well, there's also burnout to deal with. Burnout is real and I feel the numbers are much much higher than we project them to be. And it's because the nature of Medicine has changed. We've become more defensive than offensive. We've become more bureaucratic and that, along with the long working hours, eventually sucks out the joy of practicing Medicine.
You're absolutely right when you said, Medicine has alot of room to grow.
I feel that it's really important for our generation of doctors to shape the way Medicine grows in the future, so that we make people feel like this is a fulfilling career again, and not one driven by insurance and prior authorizations and approvals.
I really appreciate the nuance that Kevin covered the video with, and I think that this reaction was totally worth it & provided a lot of insight that could be easily missed. I watched the original video and found it pretty compelling because Zach is a good story teller. However, I think Kevin pointing out some of the gaps in Zach’s thinking is extremely helpful and important.
That Zach has no financial burden and family/TH-cam incoming is only one of the reasons why he quit clinical medicine. The biggest reason why he quit is because he was TOTALLY burned out by his first year in his residency program. He said he saw a lot of zombies in his workplace and that he was becoming a zombie. His residency program did not help him or do enough to overcome his burnout.
Everyone should search “physician burnout”, “resident dropout”, or similar questions online to see how severe the systematic problems are in residency programs. You’d be surprised that AMA agrees with you. I’d blame more on the system.
I'm a retired MD. I went into medicine, like most naive young people, thinking of it as a calling, or at least a career. I soon learned that for the majority of doctors it ends up being just a job. If you're OK with that reality and still want to go into medicine, there are worse things that you could do with your life, but if you go into it with the attitude that this is the only thing I've ever wanted to do with my life because this is the only thing that can provide my life with fulfillment, then you're bound to be disappointed.
A job’s a job no matter the job. Even pro athletes and musicians hate 90% of the work they have to do daily. You’ll only derive a true satisfaction of life with having positive friends/family/stimulating hobbies and even faith if you believe. Nothing else can compensate for a lack of those things
Gotta say I had a very similar experience with medical school admissions. I applied on the later side and constantly had to hear friends talk about getting into their dream schools while I was just waiting on an interview. I was very fortunate to get two acceptances but both came super late in the cycle and it was not the best for my mental health. Glad I never have to do that again and I wish all the pre-meds good luck while applying 🤠
Searching for Passion and Happiness in a career is a fool's errand. A job is a job, and they all have pros and cons. Get happiness from the family you build and use the money from your job to enjoy your passions.
Basically, Zach is a softie. No wonder he crumbled
@@fredred5037 I don't think so
Great video, thanks for the feedback and added perspective.
One thing that I learned early before my dental school application was to not check Reddit and SDN. For some reason, I kept that in mind and I just waited quietly with only some minimal stress, I went straight to back to back travel after I submitted my application, and I received the interview invitation on a lovely morning in the mountains of Colorado. I don't remember who the TH-camr gave that recommendation, I appreciated it so much.
Thank you for sharing your reaction to this video. Zack’s video was the final straw in my decision to switch my undergrad and I’ve felt so much less purpose since then. I think the way you pinpoint that all of these things he went through are not uniform in medicine or even in the same specialty in medicine is great. Thank you for your wise words sir🙏🏻
Its easy to be drawn into medicine because it gives you a sense of purpose but you need a sense of purpose that's deeper than a job
100% agree on the victim mentality. Many people will ignore what doctors and science tells them, and then when they get cancer and die they say "well medicine is a sham" or "they have the cure for cancer but won't give it to us bc they want to make money" and its like no its impossible to treat a lifetime of horrible choices and your health is your responsibility. But people would rather blame medicine and downplay and vilify companies designed to help them because they are so unwilling to examine themselves
Exactly bro that thing is more true in my shitty country India , will soon come to United States 🇺🇸
Thank you so very much for this video. I watched Zach's video and it terrified me and completely took the wind out of my sails. But your logic and more neutral, honest assessment from your own experience helped calm my fears and restore my vigor for this path. I have a long way to go yet. 😊
Glad it helped!
It's always good to hear your thoughts, Kevin. I'm glad to hear your businesses are doing well- as a former customer of both, I can easily say the value proposition is 100% there. You're helping people like me make their dreams come true! ❤
I appreciate that!
Love hearing your point of view! I'm an RN and I studied for an extra year taking classes and did the state exam and when I did get in to nursing school I thought it was a miracle. I couldn't believe I had made it and since then my experience of a miracle hasn't changed. I knew how fortunate I was and I knew how privileged I was to be able to do this and even tho I have had the worst days with anxiety, stress, and hard work my sense of gratitude has never faded. I'm an RN in Sweden and now I'm studying for the N-CLEX test and when I pass the test I'll be privileged to work in America too and I promise I'll do my best every singe day still knowing how fortunate I am both in joyful times and in challenging times.
I was waiting his entire why I left for him to disclose his financial situation and I agree with you that it takes a lot of his video. The fact that this wasn’t even discussed makes me not take anything he said prior seriously. It is so much easier to walk away when you have no debt and strong family financial support. Didn’t even know who his dad was, but picked up on his financial situation similar to you based on his watch and his apartment in prior videos
Exactly… Kevin quit clinical medicine because 1: he has a viable business; 2: he had scholarship for his med school so he had no or less debt, and he quit in Grace and with a cause of going into business. But Zach quit clinical medicine just because he felt becoming a zombie for the first year in residency, not knowing what he is going to do next.
Just imagine some intern or resident took out $500k loan for med school, then he experienced work load and culture at residency for the first year, but has no alternative source of incoming or financial support. So even if he feels the burnout, would he be in a position to quit his residency?
@@mytube785Some might and file for bankruptcy.
@@mytube785Zach was also getting cat-called by male patients for his gynecomastia 😂
i’m going into premed with a degree in cognitive psychology. love how he breaks down emotions the guy is facing and going in deep about it. i love a good perspective
Please make a video of why you quit premed a year from now so he can react to it too 😂
Zach has empathy, enjoys working with people, and might have had an impact in psychiatry.
A keen interest in the functioning of the human body as well as competitveness and ego seem to have played a huge part in his journey into and through medicine.
At the end, his ego tamed, he chose to lead a healthier lifestyle and find meaning in other areas. Thank you for sharing his story.
You're not wrong that you 'can' enter medical school after just four years of undergrad, but it is becoming increasingly less common with the average age rising every year, especially in Canada.
What you're up against is hordes of applicants from privileged backgrounds who benefit from connections and financial support (leading to exceptional research and extracurricular opportunities) that make it impossible for many students to realistically compete with 'just' four years of straight A's in undergrad.
Sure, 4 year undergrad into med school is possible for some but for most people (if you don't have connections or some X factor) expect to need a few gap years to build a competitive app
Yeah bro I’m gonna be a fkn CRNA before i apply to med school. That’s kind of what y’all up against at this point.
given the increasingly competitive nature of med school admissions, virtually everyone will be taking a gap year soon…
I appreciate your attention to nuance. I am in my senior year applying to med school this cycle and I’m constantly surrounded by people that think in black and white. Especially in my women, sex, gender and race class lol. I try to be the moderator in a lot of discussions to bring in the side of nuance. It’s important and I love the way you approach these conversations. As someone who is excited about perusing the career despite the fear mongering constantly online I just want to thank you for defending the good that there is in medicine despite the bad.
Keep speaking to the gray my friend. That's where the truth is
I just left medical school after completing my first year and passing through all the required courses. My situation was due to the build up of financial debt and the cultural obligation to also financially support my parents. I found a golden opportunity to make money through a different career path that allows me to have full autonomy over my career and have my own business. I love science and medicine and learning in general but I was discouraged to stick with medicine for the following reasons: debt, lack of full autonomy as a practicing physician, insurance, and how medicine today feels more like money gain for the hospital admins in comparison to the patient centered care and focus on medicine itself. I wanted to be a doctor to practice outside the US but there is no financial stability in that route either. All in all, I have realized I am happy with my decision as as I have more time to focus on my health, friends and family, and start on my journey to attaining financial freedom through a more stable route with much less debt.
It sounds like you have been very resilient in the face of many challenges. Not an easy decision, I am sure, but it's always a trade-off and I think you will in the end be happy for the path you've taken. I can't help but be curious - if you are willing to share - what sort of business are you starting? I couldn't agree more with your assessment of the pursuit of med school as I made it as far as completing a post bacc pre med certificate before deciding - for similar reasons, including familial - to halt my pursuit of med school.
Very realistic and reasonable analysis , from a doctor who loves medicine and business
The whole thing about medicine vs preventive care, not solving the root of the problem, that gets twisted around to justify people getting burned out by medical career. Medicine has advanced shockingly in the past several decades. It's amazing.
I felt exactly like him, down to the anxiety. I pivoted
Medicine is great. I love working in the hospital. So grateful to have this job. Definitely too busy at times, but every job is the same in that regard. I knew I loved being in the hospital since I first volunteered in the ER as a freshman in college. I'm a psychiatrist. Not sure if I would have made it as a surgeon or something else with really tough hours.
I really wish there would be a grassroots movement from residents and fellows to force ACGMC and the healthcare industry to change the dire conditions that they impose on the residents. Currently, from AMA surveys, physician burnout is 56%. I guess residents burnout is even higher. The main factors causing such high rates of burnouts include low salary, long hours and poor working conditions(in every way). These combined lead residents to existential crises, doubting their personal and professional values. These are evident in Zach’s video about his quit.
From Zach’s video, there isn’t any doubt that the residency program really TOTALLY burned him out. As Kevin said or implied, most residents didn’t even have an option to quit.
Shaun Andersen on his channel has advocated to change this toxic culture in residency programs, and fight for a good fight for next generation of residents. You guys have the social influence, and you guys can join force to fight for a good flight for all the 75 residents and physicians who already become so jaded, or in Zach’s parlarse, “zombies”, and fir the future medical students, who are so eagerly and diligently pursue medicine as their careers.
58:30 literally wanna see your reaction to that because i also think zach is trying to be just dr. Goobie and blaming medicine, your answer is great , Dr. Jubbal never disappoints 🗿🗿
This brother seems to have been chasing prestige and didn’t really understand the day to day of medicine. It sounded like his reasons for entering medicine leaned more towards a PhD, pharmaceutical research, or bioengineering career path. With his MD those options are still wide open and his experience may serve as a huge advantage. I wish him the best of luck in his endeavors
You should react to itslifeofmaggie she had an insane reason
Fr
omg PLEASE I hope he talks about it! I think at least for Zach's he was geinune in how he talked and really I could understand where he was coming from rather then Maggie straight up talking about money money money =_=
@@TheIzaya100 wow I saw that she posted the video but couldn't watch the whole thing yet since it's so long. That's crazy. The summary of why she's quitting is for money?
How so for money? Like doctors dont make enough?@@seapinkoyster
Well, on a positive note, she's leaving and opening a space for someone who truly wants to go to medschool for the patients and the improvement for public health. More of the money hungry docs should consider leaving cuz they're not in medicine for the right reasons. Yes, salary and ability to live with such salary is important, but if it's taking a higher priority than patient outcomes and treatment, then please leave
I understand that some people may think the response to this video is harsh, or that some people may not agree with some of the criticisms Kevin is making, however I think that this video at least highlights the importance of having that resilience and 'best of a bad situation' attitude attained through him having comparatively difficult circumstances growing up etc. in a career in medicine.
He had a very naive perspective and unrealistic expectations of what medicine is. If you’re trying to be Captain Save a Ho for the world then you could have gone into pharmaceutical research or biomedical engineering, or even health policy, if what was most important to you is trying to have a huge impact on thousands of patients
People are just now waking up and speaking up. He was not naive, there just wasn’t enough honesty out there. It’s a blessing to have so many speaking up now and exposing the reality.
I wonder if people realize that at the end of the day becoming a physician and ultimately practicing, it's still just a job. It's a really cool job, but still, just like everything else, it's going to be pretty shitty a lot of the time.
I wish Dr. Kevin Jubbal would make more videos about Canadian doctors. Most Canadian specialists are very happy and well paid. These videos make it look like lots of people are dissatisfied with a career in medicine, but this is not the case. This is not a representative sample. Several doctors are thriving.
yes many docs in US and Canada (and elsewhere) are absolutely thriving
At my school, three gap years is the average prior to matriculation, the arms race of "gap" and "research" years is ridiculous ...
Three years between med school and Residency? That would be trouble here in the USA; they fear the magic pixie dust will be gone from your wings.
man, id take 2 extra years of residency if i could just sleep more
I've had discussions about this idea. Adding one or two years to a residency but having better work hours would makes sense. I'd even argue that possibly residents would retain information better, because that's what sleep does, and a full two extra years might not even be needed, just one. Maybe one day some pioneer will make this happen.
I really like this idea 🙌🏾
PATHOLOGY
@@BrickswolPATHOLOGY
switch to DERM. or PSYCH.
I felt like this video is constructive, not that harsh
For those who do not plan to go to Med school, I felt a bit alarmed that residency, working in a hospital, is so incredibly stressful. I think some systemic change has to happen
I'm a doctor in china and i also want to quite medicine.bc i didn't get the salary i deserve d😢
我也学习过在重庆医科大学(留学生)
Keep the good work Doc, GOD bless 🙏
Your comment has been recorded and reported to the communist party of china and Xi jinping.
This year i left medical school too and i am very happy because i said enough is enough for various reasons two gap years because of failed exams and continuous failed classes so after a lot of thinking and because i knew this is not what i want and i dont like it at all i left. But i can understand that not everybody can do this.
I see no vedio without Dr. Jubbal reaction 🗿😂 this guy has a whole another positivity, he is so smart
can you please do a video on MSI on vascular surgery vs IR vs Interv Cardio? or just VSx as its not often discussed on its own? thank you sm!!
vascular surgery SYWTB dropping soon on MSI!
@@kevinjubbalmd thank you cant wait!!!
Honestly surprised he pursued residency in the first place given the platform he built.
Also, what is your face in the thumbnail 😂
It is becoming cringe, the home page is like a “why i left medicine” spam..
His dad can give him a job.
Ngl, I watched the whole video before watching this whole reaction, and I think I'm completely sure about this now,...he sounds like Tony Stark and talks sort of like him 😱 (or at least at 2x speed on YT)!
Something I’d like to add, Dr. Jubbal, is that lifestyle factors affecting an individual’s health-or the health of different communities-aren’t solely the responsibility of the individual. Politics and social infrastructures play a significant role in determining what resources and options are available.
One is far more important and relevant to such discussions than the other
How can I access the AI for interviews? Help please, he said it was free to access 😢
Interview.medschoolinsiders.com
Select medical school interview or residency interview.
Then you get two cases for free (top left of the main dashboard page)
59:21 1. Doctors dont get nutrition training in medicine. 2. Doctors are made to run in and out of rooms with their prescription pad in hand. 3. Imagine how admins and big wigs would like it if most patients never got prescribed meds but instead got nutrition and lifestyle coaching, im sure the money difference would make some of them sooo unhappy. Look at all the surgeons who are made to cut on people because teaching them to eat better and get PT are a net loss to profits for hospitals, that’s a big no no in the corporate world. The saying goes, a patient cured is a customer lost, and thats medicine nowadays.
PCPs give regular diet+exercise coaching and dietitian referrals. Tbh everyone knows what “eating healthy” means-cut out processed foods and sugars, eat plenty of protein and nonstarchy veggies. Exercise is important (strength training + walking regularly). People just don’t have the willpower to execute this.
Both of you are professional yappers 🤦🏾♂️
Were you expecting silent films on TH-cam.
Zach is a guy that needs to do some serious introspection and/or therapy. That’s the main takeaway here. Seems like an unregulated individual
8:58 “But you cannot let the expectations of others cause so much stress that you can’t think straight for a year. That’s ultimately on you” - that is so unbelievably dismissive Kevin. Someone is pouring their heart out and being vulnerable with essentially mental illness and you are blaming them for it? This entire video lacks insight, profundity and a basic understanding of having empathy towards someone else’s unique experience. Disappointing!
Yeah - when you fund your own education and end up with 300k+ loan - then come and tell me that you just quit. All of the hard work and dedication that we put in - these stories are just to negative…. Goodluck to those who are posting these online and think they are doing a service. To - me - they went in for the wrong reasons - either status or money or both - but those of us who go in for purely because of inner calling and also fund our own education - we are the ones who stay through and through cause at the end of the day - that smile on my patients face or that glim of hope or a Thank you from a schizophrenic patient who was deemed dangerous before treatment - make my day…. Sorry for the rant - however, we need to hear from physicians like me and not these people who take up residency spots and then what ever - only to post a video saying - I quit… jeeez! I guess goodluck! Lol
Mmh burn out. Take your time Zach
He gave me motivation to not quit. Like seriously? Well guess it didn’t work out but seems like as big waste of you ask me. Good luck
The whole taking a seat thing, it's so stupid. Like if you watched any videos from Kevin's channel you would literally know the guy literally dedicated his entire life to get into medical school and then his residency of choice. He didn't bribe anyone, like he can do whatever he wants with his "seat", he earned it through hardwork and dedication. Idk, some people are just toxic 😂
Many people don't have the option of not working multiple years to focus on research, volunteering, and post-baccs. He did work hard to get into medical school but he is insanely privileged.
@@compositeur8455 Actually the privileged ones are the ones who don't need to take multiple gap years. My rich classmates have their parents pay for all their living expenses while they're free to spend all day studying for the MCAT, doing homework, and volunteering. Meanwhile us regular people are expected to achieve the same grades and MCAT, get the same amount of volunteering and research hours, while also having to work enough hours at a job just to pay for living expenses
Its a very valid argument. Roughly 40,000 people apply to medical school meaning there was someone out there who worked just as hard and had the same stats but didn't get accepted because the schools chose to accept the drop out instead
@@mustang8206 that's for competent rich people
Hey: u posted that ____
One left medicine+
One is jobless as surgeon
Are they really doctors?
____
12 years is a big thing
It's not just a profession
No way to go back 🔙❌
Jesus Christ is king! 😊
He died for our sins and rose again on the third day!
Basically he is rich because of his parents and didn't have a motive to continue.
Very lazy conclusion you came up with here
@@BANYHU123 seems like you're the lazy one. Someone else that doesn't have rich parents would be less likely to quit because they can't afford to.
I paid for my education by myself and quit medicine for similar reasons :)
Wow I just searched who Ivan Gergel is🥲 the man already has whatever fancy job he wants ready for him on a silver platter. No wonder the residency was unbearable for him. Imagine being raised like a king and then entering residency and having to do actual hard work lol I don't blame him