Why doctors (and med students) write

from Medical Humanities:

As a profession, physicians are a remarkable group of writers. What doctors lack in good penmanship is more than compensated for by their skill in penning stories and poems. Their literary accomplishments are even more impressive given a lack of formal training in the art of writing. Only a few physician-authors have MFA degrees. Most medical students do not major in English or literature while in college. Doctors become talented writers the old-fashioned way. They practice. They also teach themselves via voracious reading with attention to style and technique. They occasionally attend writing workshops.

With hectic, unpredictable, and stressful jobs, why do doctors want to write? Given the demands and responsibilities associated with a career in medicine, why do so many physicians make time to write? The short answer is that doctors write for many of the same reasons that non-physicians do: They feel compelled to write. They have something to say. They love words and language. They are excited by the process and gratified by the result. They are inspired.

Here are seven special reasons (ranked from most important to least important) why doctors write:

1. Therapy - Physician heal thyself. Nothing promotes healing like writing a poem or short story or even a single glorious sentence. Writing helps a doctor get things off their chest in a much more productive way than yelling at a nurse, ranting at a patient, or being grouchy at home. Poems and stories written as a form of therapy are easy to spot. They have a confessional quality.

2. Exploration – Doctoring is hard. Creative writing is an opportunity for physicians to make sense of what they do. Stories written for the purpose of searching sometimes have themes that focus on medical ethics and boundary issues.

3. Sharing – Doctors can pass along knowledge and experience by writing in clever and vivid ways. Humor and compassion provoke memorable moments in literature. A perfect example is The House of God by Samuel Shem.

4. Joy – Writing is fun. Okay, maybe not always – rewrites, editing, and the evil “writers’ block.” At some level (the spark that begins the project or reading the finished manuscript), there is euphoria. Would you settle for glee?

5. Honor – Writing allows physicians an opportunity to memorialize patients and colleagues. These literary works feature a fictionalized version of a character or an amalgamation of a few people. Creative writing can immortalize someone. P.S.: Doctor-narrators also reap literary longevity.

6. Atonement - Doctors make mistakes. They sometimes behave badly. They have regrets. Stories and poems can be part of their penance. Think “Brute” by Richard Selzer.

7. Notoriety – Let’s not lie to ourselves. Who among us would not want to be a rich and famous author? I don’t know any doctors who would turn down a Pulitzer Prize, National Book Award, or an appearance on The Oprah Winfrey Show. Good luck with that.

coming up tomorrow, thoughts on wrestling with how much to write and about who and when and where and why.

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3 Responses to “Why doctors (and med students) write”

  1. RAEB Says:

    8. Distraction – Sometimes life for a doctor (med student’s) life becomes so saturated with causality, law and observation of the body that it becomes necessary to devote oneself to something, anything else. Writing is as economical and involving as it gets.

  2. RAEB Says:

    Think Michael Crichton(?) (RIP, sniff!)

  3. BCWB Says:

    I like the therapy aspect. Thus far, my blog has turned into that very much so. No matter how positive one can be, this med school thing can really wear you down. I really like the fact that people can realize that sometimes it is just nice to be able to let things go through a nice blog post. Once it is out there it is pretty much gone for the most part. It is very helpful in my humble opinion.

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