Somebody did a study, or maybe did a meta-analysis of multiple studies, on how physicians view their work. We get enthused about 25% of the time, despise 25% and the broad middle takes up the rest. What goes at each end varies a lot. I did not like returning phone calls or reporting lab results over the phone. I basically dreaded the phone. I did find the residents energizing, even when exasperating. On occasion one doing an elective with me would request a letter of recommendation for fellowship. I never turned anyone down. Most but not all were for Endocrinology fellowships, but if somebody was knowledgeable and diligent, the specialty did not matter if they were pursuing their 25%.
From the first in 1993 all the people I sponsored matched to a fellowship, often their top choice. Only one ever called me a few years later to let me know of successful specialty board results, but I have seen a few at the Philadelphia Endocrine Society meetings, some as invited presenters of their fellowship research, to know that the good things I predicted for them were true.
My last letter, however, was left in limbo. A fine second-year resident spent a few weeks sharing the office and hospital. At the end she requested a letter which went off with the assistance of the residency office that had to guide me through the current electronic submission system. I retired, heard nothing, and really did not think about it until last week. Did my letters still score 100%? I sent a note off to our program director who got back to me with the good news. A match at one of the universities in Philadelphia. Not endocrinology but something else of interest to her, a specialty not represented at my hospital. Bodes well for the future.
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