Thinking of changing careers?

It’s quite normal to think about changing careers. Our brains are designed to always be looking and comparing, and many of us think that grass is greener on the other side. Sometimes it is, but let’s also accept that our minds will wonder about changing. We all face career blips, and it’s natural to then evaluate what we are doing, and thinking about leaving is a part of that. We can also use that reflective time to re-evaluate how we work, and that may lead to improvements in the current career as well as new careers altogether.


A common thing that I encounter in doctors relates to how our work is organised, much more than it does to the doctoring career itself. In other words, it’s about pressures and expectations, resources, employment inflexibility, and life balance. In my view, it’s important to distinguish career changes arising due to work organisation from those arising because someone doesn’t like to be a doctor. If your issue is work organisation rather than doctoring, then options include changing specialty, changing working hours, and also developing a set of career management skills that enable you to have the career that you want (coaching can help you develop those career management skills). Thus, leaving may not be the right answer for you, and many other organisations face exactly the same challenges as the NHS.


If you are thinking about changing careers (whether this is another internal role, a different specialty, or something completely different), here is a five step process to help you.


1: What is the reason for change? Be crystal clear in your mind what is driving the change.

What exactly are the reasons for change?

What’s missing in your current job?

Is it the job or the organisation?

Is this a move away from issues or towards something better or both?

How long have you felt like this?

What is happening to your wish to change over time?

Have you faced similar situations in the past, and what did you do?

Are you serious about career change or is thinking about alternatives simply an escapism strategy?

What would you miss if you leave your current job?

Can you stay in your current role but make changes that will make it more attractive?

Can you stay in current role but identify activities outside work that will give you a meaningful life?

Can you acquire extra skills (eg resilience, assertiveness, emotional intelligence) to help you deal with challenges of current job?

How exactly will the new job be different?

What’s changed since you took your current job?

How does the existing and new job line up with your values?


2: Research your options

Have a look at choosing your future career page.

3: Talk it through

Who can help you with your decision making? Have a look at this page to see how your friends and colleagues can help you. Coaching can be useful at this stage too.


4: Decide

People often get stuck at this stage. Talking about options without committing is safe, but not moving you forwards. Often it is difficult to decide if there are too many options or you simply can’t work out what you want. This is a scary step, as it requires commitment, change, and a possible step into the unknown.


A decision may be easy and come from your heart. If not, creating a framework for decision making can be helpful. Decide what are the key attributes of your ideal job first, and make a list. Then judge your possible options against the criteria you have set, asking


“Does this option meet this criterion? No, somewhat, completely”


Here are some criteria to help you get started

-meets my values

-learning opportunities

-growth opportunities

-life balance





If you are struggling to make your decision, here are a few questions to ponder:

What is a small step you can take that will move you towards your desired career?

Are there steps that are safe, moving you towards your new career whilst firmly keeping doors open in the existing one?

What is the cost of staying put?

How committed are you to seeing it through?

Sometimes inability to decide can also be a sign that actually what you have is already your ideal career.

Setting a timetable for our decision making can also be helpful, so that you are setting a deadline and not thinking indefinitely.

5: Make the change

Set a timetable for transitioning to your new role. Embrace change. Don’t expect it to be perfect, every role has its downsides!

Remember that you are a highly trained professional with lots to give. You will be an asset in any job. When moving jobs, do it from a position of strength. It's easy to be choosy and look like a winner when you already have a job, and it's easy to entertain sideways moves when you already have income to pay your bills. Make your career change a move towards your dream future, and not just about running away from what you currently dislike. All jobs come with downsides, whatever you do; leaving may not be the only option, you may also consider learning new skills that help you deal with the challenges that inevitably turn up.

My coaching helps people succeed and thrive in medicine. I happen to believe that medicine is a very rewarding career, and yes it is also difficult and challenging. My coaching then is about helping you succeed and thrive in medicine, not leave. If you are looking for someone to help you leave medicine, there are other coaches that specialise in that. If you are looking for someone to help you have a rich and meaningful career in medicine, then I may be able to help.