Though 17 years have passed, I never have trouble remembering exactly when my patient Irene was diagnosed with lung cancer - and that I wasn’t there for her. Admittedly, I had a pretty good excuse: I’d just had a baby. When Irene, a particular favorite of mine, a warm and intelligent woman in her 60s with an elegant British accent, underwent surgery, I was on maternity leave.
Despite the fact that one of my colleagues visited Irene in the hospital and saw that her recovery went smoothly, I felt guilty. When I returned to my practice part time, working three days a week to accommodate the needs of my growing family, that guilt compounded. An older male colleague, someone I respect greatly, once told me that the three most important qualities a primary care doctor can have are “accessibility, accessibility, and accessibility.’’ How could I call myself a primary care doctor if maternity leaves and part-time practice sometimes prevented me from being available to patients like Irene when they needed me most?

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