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Advice Columnist Says Single Parents Can’t Become Doctors

Posted by jeannesager on July 11th, 2009 at 3:31 pm

doctorparent 199x300 Advice Columnist Says Single Parents Cant Become DoctorsYour whole life may change when you become a parent, but according to an advice columnist peddling herself as “The Career Doctor” (trademarked name, apparently, but I can’t do the TM), single parents should just stop dreaming. Immediately!

Says Jacqueline Hornor Plumez, Ph.D., if you’re a single parent, don’t bother applying to medical school. You can’t hack it.

Wait, what? A psychologist with a psychotherapy and career counseling practice just told a single parent that she should just suck it up and shelve her dreams so she “can be a good parent?”

Plumez pens an advice column for the Larchmont Gazette, and it was an answer to a single mom of three that spurred her to drop what she called “the ugly truth.”

Says Plumez, “I don’t think that a single parent, father or mother with three children can be both an adequate parent and an adequate medical student.”

She goes on to explain that the grueling hours of medical school will prove too much for a single parent, and suggests she become a nurse, nurse practitioner or physician’s assistant instead because, “You will get many of the same benefits but still have the time and energy to be a good parent.”

First let me break some ugly truths to Ms. Plumez: my mother was a nurse when I was a child. It took plenty of grueling hours, trying to make shifts fit in with the ability to get a babysitter, and the paycheck at the end of the day just plain sucked. She wasn’t a single parent, but she also couldn’t make ends meet. . . and she wasn’t very satisfied with her job. It’s why she went back to school and earned her degrees and certification to become a nurse practitioner – a lengthy process in and of itself, with long hours. So your easy route, Ms. Plumez, ain’t so easy.

Moving on to the logistics: a twenty-four-year-old mother of three has a 3.5 GPA and is intent on finishing college, giving a great example to her kids and getting a job that would carry with it both stability and a sizeable paycheck. That sounds like “good parenting” to me.

I’m well aware of the dedication – especially of time – that it takes to attend medical school. But I’m also aware of the incredible balancing act that most of the single parents I know have perfected. They have time management skills that put mine to shame because of their very situation. With no fall-back person to depend on, the bulk of single parents I know are also less likely to fall into the “am I doing this right” trap every second of the day. They don’t have time to constantly take track the way so many of us in two-parent households indulge ourselves.

And that includes understanding that sometimes good parenting is about sacrifice. It’s about not doing things the way everyone else does them, because the end result will be that much greater. Is it fair to give this mom a heads-up that she needs a good support network for this path of her studies? Absolutely. Considering her experiences thus far, I doubt it is even news, but it’s not inappropriate to bring up the cold hard facts.

But stick to the facts, folks. Nowhere in the annals of history have I read where it said that a few years of pushing yourself for your kids’ sakes makes you a bad parent. Nowhere is there a law that says you can’t at least try to have your cake and eat it too. And if you’re a single parent, making things work despite the odds, you deserve a big whopping piece of black forest with a cherry on top.

Ms. Plumez, maybe you need some continuing medical education for that doctor’s title.

Image: CDC

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24 Comments

“And that includes understanding that sometimes good parenting is about sacrifice.” Yes, and sometimes it’s about self-sacrifice, i.e. good-bye M.D. The single *people* I know who are in med school have a hard time with the time committment involved — it eats their whole lives — without throwing three kids into the equation.

ChiLaura commented on Jul 11 09 at 4:05 pm

I will be starting medical school in two weeks and I have an 18 month old son. I know that I am going to have to lean very heavily on my husband for the next 4 years of medical school and then even harder in the 4 years of residency that will follow. I can’t imagine trying to do it with out him. I wish this woman all of the luck in the world, but man, that’s going to be one tough balancing act.

mamadoc commented on Jul 11 09 at 6:45 pm

My husband is an MD, and I can honestly say that between med school and then the years of internship, residency and fellowship made life difficult for just us. I can’t even imagine how we would have dealt with kids at that point. Plus, during that time you barely make any money. The way medicine is going, most of the sub-specialties that would offer a working parent a manageable, somewhat predictable schedule are paying less and less. I think it’s less a matter of good parenting and more an issue of practicality. Unless medicine is your true passion, I guess.

Amy Jo commented on Jul 11 09 at 6:53 pm

This is a tough one. While I agree with Jeanne that the columnist should not have straight out said you can’t do this, I think it is right to make the person aware of what they will be giving up. Nobody is saying that becoming a nurse is easy, but compared to medical school, which involves 4 extra years after college and then a number of year of residency/internship. After which you are saddled with outrageously large loans to pay off. If you become a general internist, your salary will be pretty small considering the loans you have. And the way medicine is today, these doctors works many, many hours a day, not only seeing patients but working on all the paperwork. If you choose a higher-paid specialty, you will have to do many additional years of internship/fellowship. At that point your his/her kids will be teenagers.

This person is obviously very smart and had very good grades, since medical school is so competitive to get into. He/she could most likely get into a good law school (or some other graduate school), and get out earlier with a much higher earning potential. (Not that this will be easy, but not quite as stressful as becoming an MD).

Although I know it sounds harsh to tell someone to give up on their dreams, when you become a parent you do have to think in a more practical way. For a single parent with 3 kids, her kids will basically be parentless for the next 8+ years.

Laure68 commented on Jul 11 09 at 7:14 pm

Also, if you read the actual column, she does say that, if this person has parents who are willing to essentially raise her kids, it might be possible. I actually think this is good advice.

This person is currently at community college and not able to take a full load of courses. I don’t think it is a stretch to say medical school will be next to impossible.

Laure68 commented on Jul 11 09 at 7:16 pm

While I do not doubt the ability of a single parent to be an adequate medical student and parent, I think the logistics of training are daunting. The first two years of medical school are relatively easy to accomodate as you go to class by day and study by night, the last two would require massive child-care support as the schedule is highly irregular and often involves being away from home for 18-36 hours at a time. Maybe if the new limited residents’ work hours trickle down, it’ll be a bit less, but still 12-24 hours. Residency hours vary markedly by specialty and program, but still will require a high-wire act just to cover the basics of childcare, much less the rest of what parenting requires. Also keep in mind that the first 4 years are unpaid (you take out huge loans to cover tuition and meager living expenses) and the last 3-8 years you only make 30-50K, which has to cover living expenses and the payments on those huge loans you just took out, not to mention 60-80 hours a week of childcare. Any single parent considering this should be supremely organized and blessed with very deep family/social supports.

physician commented on Jul 11 09 at 7:30 pm

As a clinical psychologist, I trained in a medical center with many medical students, and most of them suffered greatly just trying to survive the challenges of med school and residency as single or married childless adults! I can’t imagine anyone going through medical training as a single parent. Unless you had extended family with which you and your children could essentially live and who would be willing to provide full-time-plus childcare (36-hour shifts, remember?!), I would imagine it would be impossible. That’s just reality! For most of us, there are careers we could and could not do, given the realities of our own situations–economic, geographical, family-wise, whatever. I think it’s pretty safe to say single parenting and medical school probably don’t work together.

Shannon commented on Jul 11 09 at 7:40 pm

I know you don’t want to hear this, but the doctor is right. And it’s not med school that’s the problem – it’s the residency. That means a 100 hour workweek minimum. I won’t say it’s impossible to do both as a single parent, but I will say it’s impossible to do both well. That’s just reality. Who is going to take care of her three children 100 hours a week or more? and how will she afford it? Doctors are well compensated, but not so well she can handle $250 K in loans plus the accumulated debt of childcare for 6 (or more) years. If you’ve made choices that have resulted in you being a single mother of three at 24, then unfortunately you have made choices that preclude a career as a physician. that’s just reality.

Jenny commented on Jul 11 09 at 8:12 pm

I have to say, I had med school roomies during graduate school, and IMHO this doctor is columnist is right barring an extremely unusual situation. My friends, who were young and single, had a lot of trouble figuring out how to squeeze in showering and laundry along with medical school; I really can’t imagine how a single mother of three could do it. Being a parent, especially a single parent, is just not compatible with some careers unless that person is lucky enough to have another adult (sibling, parent, whatever) who would be willing to not only co-parent but be the primary caretaker during the med school and residency years. I would put this right up there with ‘astronaut’ in terms of careers that aren’t possible for single parents.

diera commented on Jul 11 09 at 9:08 pm

I’ve known med students and doctors (one who got pregnant on her own while a resident, had a baby and became a single mom with very little money and with no helpful grandparents) and agree with the advice columnist that it would be a stretch to try this as a single parent of three. BUT, I think the truly obnoxious part of the column was the suggestion that nursing would be ever so much easier. What a great example of the condescending attitude of doctors toward nurses. Nursing school would be as hard for this mom as med school–and you’re right Jeanne–it hardly commands a similar salary as a doctor, and definitely not the same respect.

Shannon commented on Jul 11 09 at 9:45 pm

Shannon – while nursing is certainly a very demanding profession, the number of years of training required is still much lower than what is required for an MD. This results in a lower amount of loans to pay off, and the ability to make money much sooner. Also, there is a shortage of nurses in the US, so they can demand a much higher salary than in the past. It is true that the average person does not look up to nurses as much as doctors. (Although I used to work with hospitals, and I have immense amount of respect for nurses. Maybe that is why I did not see this suggestion as being condescending. It would allow this single parent to realize her love of medicine, while having a somewhat better chance of making ends meet.)

Laure68 commented on Jul 11 09 at 10:00 pm

In your dreams, Lady!!!
It was about five years ago, when I heard a group discussion around the community table at a local coffee shop. They were laughing about a woman who had just walked out. Something about a declared goal to loose a bunch of weight in the next year.
She was grossly obese.
“In your dreams,” one of the remaining women proclaimed to the laughter of her friends.
Sometimes that’s what it takes. A dream.
I don’t know her well, but she works out at the YMCA now, as a professional trainer, and a damn fine looking body.
Oh, yeah. She’s a single mom, with two kids.
In your dreams, Lady!!

Bluster commented on Jul 12 09 at 8:31 am

I am a MD/PhD student, and I just finished my first two years of medical school. I came out of a difficult college with a 3.7 GPA and an Honors degree in Chemistry. I am not married [have a long-term boyfriend] and I have no children, and I struggled to keep my life in balance. Although the first two years are classes, the constant studying required to simply keep your head above water would preclude me from being an even passable single parent without an extensive support system of people who were ready, as another commenter said, to essentially raise the children for me.

jb commented on Jul 12 09 at 12:26 pm

I have seen first-hand how single parenting and med school/residency do not mix. I am a home daycare provider, and ended up caring for one little boy so much during his mother’s internship and residency, I had started to feel like I had adopted him. I started out with the attitude of “good for Ms. T, she’s following her dreams and being such a good example,” especially because my dad had been in residency while I was in elementary school. When I realized that for two straight months, this little boy had been in my care more total hours (including time spent asleep) than he had been with his mother, I began to really worry. I ended up taking him shopping when he outgrew his shoes, rather than waiting for his mom to do it. When I did wait for her to take him to buy new clothes, I would hear later that she took him out at 11pm to do it, and the poor little guy (he was three and four when I had him) would be off his schedule and cranky. When I finally did stop caring for him (his father rematerialized and became a stay-at-home dad) my neighbors asked if he had “gone back to his birth family”–They assumed I was his foster parent!

And mind you, Ms. T was a very loving, capable mom–when becoming a doctor wasn’t eating up all her time.

dianna commented on Jul 12 09 at 12:46 pm

um, bluster, how is losing weight at all like becoming a doctor? Lots of people simply avoid obesity while being a single mom, and many people lose weight while being single parents? I get that it’s a dream to be followed, but how is that dream as difficult as 4-8 years of med school, additional school to pursue a specialty, on-call time and internship?

dianna commented on Jul 12 09 at 12:52 pm

Follow your dreams is my advice! I have 6 children, each by a different baby daddy. (Tho’ I am not sure who the fathers are for a couple of them.)

My dream is to work on the international space station doing scientific experiments. If they could just give me a job as an astronaut, then I could achieve my dream. Also tell me the science things I need to know as I ain’t got no degree. But if you cut out the fluff from those courses I don’t think it could be so hard.

I really want this, so don’t tell me it’s not possible, it is my dream!

Laverne Williams commented on Jul 13 09 at 12:16 am

It might not be impossible, but it’s about as close to it as you can skate. As other pointed out, it’s NOT just the classes and the initial degree — it’s the internships, residency and fellowships. A friend’s husband had just started his residency when she had her first baby, and he wasn’t around until the kid started preschool… and by that, I mean he wasn’t around AT ALL. He was gone before she woke up and returned home (when he returned at all) long after she was in bed. By the time he finished he had a pre-schooler who didn’t know him. Now, imagine doing that without a life partner and with two more kids? Honestly, without parents willing to basically take over entirely, I’d call it impossible too.
Chi-Laura is right — sometimes, like it or not, being a good parent is about self-sacrifice.

Knitty commented on Jul 13 09 at 9:06 am

I have a friend who is a nurse and a single parent. She makes at least $90 K per year…..Maybe not what a doctor makes, but a nice salary. My Aunt was also able to raise two kids well on her nurse’s salary in the 70′s. How rich do people have to be???
I agree with Knitty and Chi-Laura.

Sheri commented on Jul 13 09 at 9:47 pm

I think she can do it, if she is smarter than the average bear (or in this case other medical students and residents). Will she be the best parent? Maybe not. But I am not the best parent, and I have a husband and great support system. Oh well. But I don’t think she will be a horrible parent (just like me). And she may not be the best doctor. Oh well, chilaura isn’t the best doctor and she doesn’t have kids yet. But she is still a doctor. Determination, smarts and capability to overcome and adapt is all that is required to achieve goals. Just because you don’t have the gumption, talent, or desire doesn’t mean others don’t.

Maybe you are not smart enough... commented on Aug 14 09 at 1:29 pm

My father is a single parent. When we moved to Australia, the year I turned 7, he had to re-train to get his medical credentials here, too. During that entire time, I was lucky to see my father more than once a week.

Mind, my mother is also a doctor, and she and her husband (not my father) apparently did well together while also trying to raise my half-sister. I think it’s entirely up to the individual, and to make a blanket statement that someone can’t hack medical school and parenting at the same time is ridiculous.

blufindr commented on Aug 29 09 at 8:36 am

I am a single mother and I was able to finish graduate school with a 12 month old. Plus I intend on going to law school. I think it’s a matter of sacrifice and what type of supports you have around you. When any man tells me that a single woman can’t be a doctor I will simply ignore because it’s such a general statement. And every single mother has a different situation. If she/he has the right supports they can do anything.

Hyerin commented on Sep 12 09 at 9:37 am

I am curious if jeannesager is either a Doctor or a mother of 3. If not she really has no business commenting because she can’t relate. I completed a Master’s Degree with 3 kids. It almost killed me and I had the support of a good husband. To think that she can be a good mother to 3 children and complete med. school on her own is crazy and pretty selfish. Why not follow what the author said about becoming a nurse. There are a ton of nursing jobs paying well that would allow her to work around her kid’s schedules. When the kids are more independent she can always go back to school to become an MD.

momof3 commented on Sep 18 09 at 8:17 pm

Comments
In your opinion, what are the implications to bringing my eleven year old daughter to live with me? For the past 10 months, I have lived with no furniture. I applied for furniture at the local Department of Human Services whom pays rent for where I live. I have been denied for furniture because I was given furniture in the past from the Department of Human Services. I am currently enrolled in school. I know that many people know I don’t have furniture including my parents. My ultimate goal is to raise my daughter who lives with my senior citizen parents because of an unfournate incident. I care about my daughter’s emotional well-being. What are the chances that I could ruin both our futures together because I have slept on the floor for the past ten months with no one else to turn to.

Bellise commented on Jun 02 10 at 8:21 pm

Hyerin: Master’s programs, law schools, and graduate programs are most definitely a ton of work but do not even compare to the demands of medical school. If I would have had children when I was working on my residency, they would have needed to be raised by someone else. I was barely able to care for myself properly. I really don’t think it is a female/male thing either. A single father of three should be given the same advice to find another career.

Victoria commented on Feb 11 11 at 3:16 pm

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