“I got my first full-time job, but I could have sworn I was making more money in college, working for my parents as their daughter.” -A clipping out of Reader’s Digest, that my mom sent me three years ago.
March of 2015, I could see the light at the end of the tunnel: graduation. Along with that light, I realized that I would also need to start applying for jobs to begin my career. That spring, I went on several “serious” interviews and several “practice” interviews. Much to my surprise, I took a job from one of my practice interviews at Jamestown Regional Medical Center (JRMC). In May of 2015 I finally graduated, and I officially started my career as Speech Pathologist on June 15, 2015. Fast forward to August 3, 2018 and I walked out of JRMC, for the last time, as a full time employee. I wanted to reflect on what I have learned the last three years at my first job.
1. Life doesn’t come with a syllabus. I remember one class in grad school, we got to make our own mid-term. And boy did that throw a room full of type-A SLPs for a loop. Our professor told us that we could do whatever we wanted for the mid-term: write a paper, make a project, make our own test, just as long as it included certain elements. After lots of complaints from our class, our professor told us: “This is real life, your clients won’t come with a rubric, you get a name and a date of birth. If you’re lucky you will get a diagnosis.” Unbeknownst to me, this was the one thing college that REALLY prepared me. Be prepared to not know.
In order to graduate and get my state license I had to pass a national exam. Passing score is 70%. Theoretically, walking into my first job, I am able to independently handle 70% of my caseload. Even with that 70% knowledge, I was wildly unprepared. What do you do when the doctor puts in the wrong order? What do you do when you when insurance denies your claim and now your patient owes $1500? What do you do when you don’t know what a certain disease or disorder is? What do you do when you realize your patient will never “get better” and you have to be the bearer of bad news? What do you do when a co-worker doubts your abilities?
Simple: FAKE IT! Fake your confidence long enough to escape to the bathroom to cry. You have to fake it, at least at the beginning. Then eventually, the amount of bathroom crying episodes reduces from daily, to once a week, to once every two weeks, to “hey I actually kinda know what I am doing, and I’m using the bathroom for its intended purpose.” Always remember, everything is “figureoutable.” So fake confidence that you know what you are doing, then go figure it out. College was NOT about giving the answer to everything possible situation; it was about finding and using the right resources to solve the problem. There is no rubric or syllabus for life. Fake it. Cry in the bathroom. Then use your resources and solve the problem.
2. Ego is poisonous. NEWS FLASH: there is a lot of ego in the medical community. Everyone thinks that their job is more important than anyone else’s. There is a fine line between, “what I do is important” and “I’m the most important,” and that line is the individual that you are treating. Put your patients first, before your ego and pride. Sometimes the best thing for you to do is to take a step back and let someone else take over. An egotistical attitude says “I’m always right, I know everything.” A humble attitude says “I don’t know, but I will find out.” Be humble. Admit when you don’t know something, but don’t leave it at that. Go figure out the problem. Changing my attitude to a humble attitude benefited my patients. Humbling myself, admitting that I don’t know everything, and being willing to learn from others outside of the speech world, added to my knowledge base and ultimately helped my patients.
Everyone you encounter knows something that you don’t. Instead of just assuming that “I have a master’s degree and I’m smarter than you.” Humble yourself, listen and be willing to learn. Your relationships with your co workers, your boss, and your workplace will improve. There will be ego in all aspects of my life, no matter the job, the town, or the setting. But my attitude and how I react is entirely up to me.
4. Stand up for yourself. That’s it.
5. Don’t put yourself in a box. I always said “I would never work in a school. Kids are gross, I don’t want to work with kids” Well guess what, I quit my job at JRMC to work in a school. I put myself in this box of “Medical Speech-Pathologist” (Hello ego!) and closed myself off to opportunities to grow as a professional. My passion has always been for adult and geriatric care, so any kids that came in my door were looked at as “UHG!.” Instead of opening myself up to an opportunity, admitting that I don’t know something, and figuring out the problem, (Hello again ego!) I sent them on to someone else. I put myself in this box. But as I continued to go through my career, I realized, kids are just tiny adults. They have just as much right to communicate their thoughts, feelings, wants, and needs as my adult patients. I have the tools and the knowledge to do that. Ultimately communication is a human right, and children are, in fact, humans who deserve that right.
So I have a new adventure ahead of me. Working in a school system with children. I have no idea how to work in a school system. The paperwork, the caseload, the IEPs. Three years ago, I didn’t know how to work in a hospital. But I learned. and I am taking these lessons with me to my new adventure. Change your mindset, change your life.
6. The last thing I have learned throughout these last three years at my first “big kid job.” Passions change. Sometimes your passion might change within your field of study. Sometimes your passion is so far outside of your original plan, it actually sounds crazy. Don’t let your salary be a distraction from your dream. If it’s time to start over completely, do it.


