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Vital Signs

Clinical Observation

IIn this section, we highlight the human side of clinical academic medicine, putting a few questions to a physician at DMS-DHMC.

Nancy Cochran, M.D.
Associate Professor of Medicine

Cochran, a primary-care internist and geriatrician, teaches communication skills; does clinical research on shared decision-making; and directs DMS's On Doctoring course. She has been at DMS since 1986.

What made you decide to become a physician?
My father was a neonatologist and a tremendous role model. I also had a great-aunt who was a general practitioner and a fabulous role model. It was something I really wanted to do from a young age. A lot of what interested me was the doctor-patient relationship and the power a clinician has to positively influence patients.

What do you like most about your job?
I love seeing patients, having long-term relationships with them, helping them, motivating them to tackle problem behaviors-whether it's smoking, alcohol, obesity, etc. I also love mentoring and teaching medical students-I interact a lot with first- and second-year students. I also really enjoy the decision-making clinical research that I do. Every day is different. I'm someone who gets bored easily, so I've built a lot of variety into my week.

What's your favorite nonwork activity?
I love to exercise, particularly in the wild-hike, backpack, cross-country ski, telemark ski. I play on a women's ice-hockey team. I love to ice bicycle. And I also enjoy gardening-vegetables more than anything.

What's the hardest lesson that you've ever had to learn?
One of the hardest is that obviously you can't fix other people's problems-all you can do is help people cope with them. Having the patience, perseverance, and coaching skills to do that with patients was hard to learn.

What advice would you offer someone going into your field?
I would encourage them to think long and hard about how they are going to achieve balance in their life, because that's one of the biggest struggles in medicine. They need to really examine their ability to set limits and not be totally obsessive-to take care of themselves, their family life, their personal needs. The way I achieved that was by working half-time while my kids were small. I still don't quite work full-time. I would also encourage them to think about primary care; it's a very satisfying field.

What is your most memorable accomplishment?
It's hard to point at any one thing. I just came back from teaching communication skills to the Mayo leaders who teach communication skills to their faculty. When I heard who I was going to be presenting to, I was quite nervous; I thought, "Wow, I'm not going to have anything to teach them." In fact, I had a lot to teach them. It was really exciting.

What was your first paying job?
I was a camp counselor for an integrated camp in high school, in Massachusetts. It was a tough job back then, in the '60s.

What historical event would you most like to have been present at in person?
I think the 1920 suffrage movement's success in achieving women's right to vote. It was about time-75 years of effort.

What famous person, living or dead, would you most like to spend a day with?
I'd love to hang out with Nelson Mandela. I am so impressed that he could spend 27 years in prison and emerge so well respected, still loved by the people, and able to do whatever it took to get over any bitterness-and then to go on to become the country's president and really try hard to bring the races together.

If you'd like to offer feedback about this article, we'd welcome getting your comments at DartMed@Dartmouth.edu.

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