7 Things to Know Before Becoming an Attending

Transitioning from residency to your first attending job comes with a steep learning curve. These valuable insights from experienced physicians will help you navigate this phase with confidence and ease.

Published July 30, 2024

1. Embrace the Learning Curve

It's normal to feel out of place and uncomfortable in your first job. Recognize that your training has prepared you well, and with time, you will build the confidence needed to thrive. Many have successfully walked this path before you, and you will too.

“My first job out of residency was a busy, single coverage emergency department, it was terrifying."
– Alicia Gonzalez, Medical Director

2. It’s Okay Not to Know Everything

You don’t have to know everything right away. It's okay to look things upand ask your colleagues questions or for advice about a case. Medicine is an ever-evolving field, and no one expects you to have all the answers immediately. Seeking guidance and using available resources are crucial aspects of professional growth.

3. Focus on Patient Care

There can be a a lot of administrative tasks, including practice insurance and billing. Find a partnership with a top-notch practice management group for support. They will handle the administrative burdens, so you can focus on what truly matters – delivering high quality patient care.

“My practice management group helps me take care of the admin work. It let’s me focus on why I became an attending, patient care.”– Maaroof Islam, MD

4. First Impressions Matter

The first impressions that you make are lasting. So be extra diligent in your first few weeks and months with every interaction. In the early stages of your career, every interaction is an opportunity to establish your reputation. Being meticulous and professional in your conduct will leave a positive and lasting impression on your colleagues and patients.

5. Don’t Be Afraid to Ask Questions

Initially you may worry that you will be critiqued and criticized for every decision you make as a new attending. Trust that your colleagues are very supportive, and no one's looking over your shoulder or criticizing your every move. Building a network of supportive colleagues can make the transition smoother. Don’t hesitate to rely on their support and learn from their experiences.

“Initially, I wish I knew how supportive my colleagues would be of me.”
– Anish Patel, MD

6. Be Patient

At first, you are going to be so slow compared to everybody else. And it may be uncomfortable because you're the least experienced in your new system. Adjusting to new systems and workflows takes time. Be patient with yourself as you adapt and remember that speed will come with familiarity and practice.

7. Work-Life Balance

As an attending, you can have a life and spend time with family and friends. Striking a balance between professional and personal life is essential for long-term well-being. Prioritize time with loved ones and activities outside of work to maintain a healthy work-life balance.

Becoming an attending physician is a significant milestone that comes with its own set of challenges and rewards. Embracing the learning curve, seeking support from colleagues, focusing on patient care, making strong first impressions, and maintaining a work-life balance are key strategies for success. By keeping these insights in mind, new attendings can navigate their early career with confidence and establish a solid foundation for future growth.

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