Cultivating wellness in medical training

Cultivating wellness in medical training


Scott A. Humphreys, MD, Medical Director, Colorado Physician Health Program

I have interviewed thousands of physicians over decades; everyone was foundationally affected by how their life was shaped during medical training. It’s a period marked by immense growth, but also profound challenges. These years can set the tone for your career—not only in how you practice medicine but in how you live your life.

The habits you establish early will follow you for the rest of your professional journey. This is both an opportunity and a warning. Prioritizing your wellbeing is not just beneficial, it is essential. Your ability to care for patients effectively and safely hinges on your own mental, emotional, and physical health.

Current conditions for trainees

Medical trainees across the United States (and Colorado), are facing significant mental health challenges. Studies consistently show high rates of depression, anxiety, and burnout among medical students and residents. For example, a 2016 meta-analysis published in JAMA reported that 27 percent of medical students globally experience depression, and 11 percent experience suicidal ideation. Closer to home, surveys of Colorado residents echo these struggles.

Unfortunately, the medical culture has often perpetuated a “grin and bear it” mentality, discouraging help-seeking. Yet, there’s no heroism in suffering silently. Physician wellbeing is directly linked to patient outcomes, with studies indicating that burnout can lead to increased medical errors. Taking care of yourself is taking care of your patients.

Wisdom for the journey

Here are a few principles
I hope will guide you:

Establish sustainable habits early
Learning restorative patterns for good sleep hygiene, regular exercise, and balanced nutrition during your training years will pay dividends throughout your career. Although the number of hours demanded of you as a physician may decrease after training, there are more responsibilities that add complexity: administrative responsibilities, personal financial obligations, building our families and communities, etc. 

Prioritize connection
Medicine can be isolating, but it doesn’t have to be. Foster relationships with your peers, mentors, and loved ones. Talking openly about your challenges can help normalize your experiences and ease the burden.

Practice self-compassion
You will make mistakes — that’s inevitable. Learn from them, but don’t let them define you. Remind yourself that you are in a process of growth, and perfection is neither realistic nor expected.

Seek support early
If you’re struggling with depression, anxiety, or other concerns, reaching out for professional help is a sign of strength. The Colorado Physician Health Program (CPHP) exists to provide confidential support for physicians, physician assistants and trainees.

Looking ahead: As I look back on my career, I realize that the most rewarding moments are best appreciated during the times I have found balance—allowing myself to be fully present for both my patients and my family.

TO THOSE IN TRAINING, REMEMBER: medicine is our identity and a life-long commitment. Take care of yourself so that you can enjoy the incredible journey ahead. Your wellbeing is not a luxury; it is the foundation upon which great patient care is built. ν