Beyond Blue

The Falling Down Professions

Wednesday January 16, 2008

Categories: Mental Health

Thanks to Beliefnet's Lilit Marcus for forwarding to me a New York Times article about how more first year doctors and lawyers are suffering from depression, and what companies are doing to improve their retention rates. To get to the article, click here. Following is an excerpt:

YOU can’t say law firms aren’t trying. At the Chicago office of Perkins Coie, partners recently unveiled a “happiness committee,” offering candy apples and milkshakes to brighten the long and wearying days of its lawyers. Perhaps this will serve as an example to other firms, which studies show lose, on average, nearly a fifth of their associates in any given year, in an industry in which about 20 percent of lawyers over all will suffer depression at some point in their careers.

Last year, Cravath, Swaine & Moore tried a more direct approach, offering associates an added bonus of as much as $50,000, on top of regular annual bonuses that range from $35,000 to $60,000.

At the august Sullivan & Cromwell, partners in 2006 began a program, groundbreaking in white-shoe firms, encouraging the uttering of “thank you” and “good work” to harried underlings, as reported in The Wall Street Journal.

Probably not a bad move at a firm that had been hemorrhaging associates at a rate of about 30 percent a year. (The rate dipped below 25 percent in the year after the program was started, although Fred Rich, a partner, said better etiquette was simply an element in a “very broad agenda” focused on more open communication.)

So now who’s going to cheer up the doctors?

As of 2006, nearly 60 percent of doctors polled by the American College of Physician Executives said they had considered getting out of medicine because of low morale, and nearly 70 percent knew someone who already had.

In a typical complaint, Dr. Yul Ejnes, 47, a general internist in Cranston, R.I., said he was recently forced by Medicare to fill out requisition forms for a wheelchair-bound patient who needed to replace balding tires. “I’m a doctor,” he said, “not Mr. Goodwrench.”

Make no mistake, law and medicine — the most elite of the traditional professions — have always been demanding. But they were also unquestionably prestigious. Sure, bankers made big money and professors held impressive degrees.

But in the days when a successful career was built on a number of tacitly recognized pillars — outsize pay, long-term security, impressive schooling and authority over grave matters — doctors and lawyers were perched atop them all.

Now, those pillars have started to wobble.

Lilit also produces and writes part of the blog/website called "Save the Assistants." Hear what they had to say about this issue by clicking here.

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Comments
Larry Parker
January 16, 2008 10:57 AM

Never mind "happiness committees" on the positive side for lawyers and the disaster that our health care system is on the negative side for doctors.

Just given the insane hours first-year lawyers and medical students/interns/residents suffer, if you have an underlying genetic tendency to depression or bipolar disorder, THE LACK OF SLEEP ALONE WILL BRING IT OUT.

Medically, IMHO, I don't see how it couldn't :-(

Larry Parker
January 16, 2008 10:59 AM

PS -- On the other hand, Dr. Broffman from the article, who complains about patients complaining that their medication doesn't work, needs to get a life ...

Margaret Balyeat
January 17, 2008 4:20 AM

Interesting that "Happiness committees turned to food to offer comfort, especially keeping in mind that eating disorders frequently accompany(or are a manifesrarion of) depression
Found your comment on SaAD and the English climate to be astute as well, Larry.

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