
Resilience and true grit (Part 2)
Is the motive behind resilience training to retain staff so that the system can continue to stay revenue-positive, or is it an investment in the ultimate resource of medicine, the human one?

Is the motive behind resilience training to retain staff so that the system can continue to stay revenue-positive, or is it an investment in the ultimate resource of medicine, the human one?

I am just a physician who has spent 20+ years in the ER, had a few leadership roles along the way (which makes for a mildly robust LinkedIn profile), and nurtured some wisdom too. I think that is enough.

After burning out, I learned that chasing a perfect 50/50 work-life balance is unrealistic—especially in medicine. Instead, I now embrace asymmetric balance, where some days work wins, and others, life does.

Psychological safety, defined as a shared belief that the team is safe for interpersonal risk-taking, is a critical component of effective healthcare delivery. Yet, numerous reports and studies indicate that a lack of psychological safety persists in many healthcare settings, leading to adverse outcomes for both patients and providers.

The cost of physician burnout and mental illness extends beyond individual suffering; it significantly impacts healthcare organizations’ financial health. Yet investing in mental health support for physicians yields significant returns.

Despite the availability of traditional support systems like Employee Assistance Programs (EAPs) and institutional wellness initiatives, a significant number of physicians continue to grapple with burnout, depression, and other mental health challenges. This disconnect prompts a critical examination of why these support structures often fall short for those in the medical profession.

In Part 3, we explore the systemic causes leading to physician suicide. In so doing we hope to contribute to physician suicide prevention and highlight the toxic systemic issues that no amount of resilience training or individual risk factor modification can fix.

In Part 2, we explore the barriers to physicians seeking help and debunk these. In so doing we hope to contribute to physician suicide prevention, improve understanding of the-seeking contributors to the epidemic of physician suicide.

Why doctors die: Physician suicide prevention (1)

In this article we explore science-based small and inexpensive self-care for physician self-care options that may, we hope, help relieve stress and ultimately tackle physician burnout.

Physician perfectionism and burnout are inextricably linked. Perfectionism in medicine is an unhealthy delusion that fuels not just burnout but mental illness and suicide in doctors. In this article, we explore the concept, causes, and dangers of perfectionistic thinking and behavior in doctors.

We need to talk about physician suicide. Nearly 300 physicians die by suicide every year. National tragedy does not begin to describe it. The agony experienced not just by the victims but their loved ones, colleagues, and patients doesn’t bear thinking about.

Nearly 300 doctors a year die by suicide. That’s a million patients losing their doctors every year. Beyond the horrific numbers are the human stories. In this article, we reference a physician suicide register that collected details of our lost colleagues.
We remember the human beings — physicians, bright, dedicated, loved and loving, yet still human — who died by suicide.

As a psychiatrist, it took me only a few years in practice to realise that everyone needs a therapist (at least once in their lives). Doctors, nurses, and all healthcare practitioners (HCPs) are no different.

At a recent Physicians Anonymous meeting, we discussed an article on random acts of kindness. Researchers gave 84 random people in a wintry Chicago park free hot chocolates. They were then given the choice to gift it to another or keep it for themselves. Guess what happened?

Women physicians still face disproportionate challenges within their medical careers compared to men. Unsurprisingly, those women who face more work-related stressors report less satisfaction with their careers, and more burnout occurs in female doctors.

This blog explores the science of gratitude for physicians, how it may tackle burnout, and gives some suggestions for gratitude practice.

In a previous article, we explored the evidence base for gratitude. In this article, we illustrate 7 physician gratitude practices that may help on a level. We also note that no one intervention is a panacea for the core systemic issues causing the current epidemic of physician burnout and moral injury.

If there is anything positive to come from this pandemic, it is the realization of the importance of peer support. Physician peer support programs with an emphasis on preventing burnout and growing community have are being piloted and implemented in different ways and organizations around the country.

In this article, I write about 5 steps towards physician post-traumatic growth. These are simple daily practices that may help you rebuild with precious metal holding and enhancing your imperfections.

For those of us who survive the trauma of medicine, there is indeed the possibility of physicians rebuilding happier, stronger, maybe even smarter. Like a shattered vase repaired with gold running through it, post-traumatic growth for physicians is a thing.