Why Trainees Should Consider Making Waves

Daniel Paull MD explains why he believes trainees should be making waves.

“Don’t make any waves”

“Keep your head down”

“Don’t rock the boat”


These are all common phrases that are used during medical training, and are necessary for a resident to survive.

If a resident starts making waves and rocking the boat, they are usually met with very swift punishment that makes them never want to do it again. It could happen from something as simple as stating that “the way they’ve always done it” is inefficient and ineffective.

Everyone who makes it through residency has some element of not trying to cause problems, even when there are gross injustices. This makes for a good resident, according to most programs.

But what makes for a good resident, creates the grounds for a bad entrepreneur. Entrepreneurs need to be creative and take risk, two things are beaten out of us.


What makes for a good resident, creates the grounds for a bad entrepreneur. Entrepreneurs need to be creative and take risk, two things are beaten out of us. Click To Tweet


By the time a resident becomes an attending, they are so risk averse and any trace of creativity has long been buried. This is likely one of the reasons why most physicians will work in a terrible environment without much questioning, we were conditioned for it.

It is hard for a resident to un-condition themselves afterwards, but it is necessary for those who can if we ever want to have lasting changes and break free of the chains of insurance companies and large hospital systems.


Tweet this:

Earn CME credit:

This learning experience is powered by CMEfy - a platform that brings relevant CMEs to busy clinicians, at the right place and right time. Using short learning nudges, clinicians can reflect and unlock AMA PRA Category 1 Credit.

Leave a Reply

Your email address will not be published. Required fields are marked *

Subscribe To Our Newsletter

Get updates and learn from the best

“Light-bulb” Moments

Robert Saul, MD explains how epiphanies, revelations, or “light-bulb” moments, are sometimes easy to recognize but, more often than not, are only noticed after the fact.

Susan J. Baumgaertel, MD FACP

Navigating Your Health (with Dr. Susan Baumgaertel)

Dr. Baumgaertel draws upon her 30 years of experience as a physician in primary care internal medicine, and uses her personal story-telling style to communicate with you as if you are sitting right across from her. Pull up a chair and enjoy.

Doctors on Walks Getting Food

Explore casual conversation between doctors walking, & then grabbing a bite, in this light knock-off of a Jerry Seinfeld favorite!

My DPC Story

Their DPC Stories

Physicians are increasingly looking to different practice models, as burnout rates continue to climb. This series explores the DPC model.

Rebecca Andrews MS MD

Rebecca Andrews MS MD

A visionary primary care internal medicine physician focused on system redesign putting physicians and patients first

Jasmine Rivas, MD

Jasmine Rivas, MD

I offer health coaching with the goal of bringing personalized, integrative and supportive physician-lead advocacy during all of life’s stages.

Support A Platform that Celebrates Real Doctors

For just $10 a month, you can help keep this openly accessible site available to all & help us sposnor in more doctors.

I acknowledge that this site is not to be used for medical advice.

Play Video
Our Founder Answers Your BURNING Question


“Why should I become a member of SoMeDocs if I already have my own space online?”