The EHR, “Pajama time,” and physician burnout
In this article we explore the impact of “pajama time” and physician burnout, and propose radical solutions like: stop working at home.
Dr Corrigan
2024-12-30
In this article we explore the impact of “pajama time” and physician burnout, and propose radical solutions like: stop working at home.
In the often grueling world of medicine, physicians are revered as invincible healers—pillars of strength, wisdom, and resilience. We bear the immense responsibility of safeguarding the health and lives of others. But behind the white coats and professional facades, doctors are human too, grappling with the same vulnerabilities as anyone else.
Social connection is good for us. Loss of social connection is a major causative factor in physician burnout. In this article we explore social connection for physician burnout, offering a number of suggestions to reach out and connect for your own wellbeing.
“We lost him”. The surgical resident whispered it under his breath, stepping away from the trauma bay. The blood on his gloves and scrubs, a dull reddish brown under fluorescent lights, told the story of a 12-hour shift spent fighting battles he often lost.
We all talk about the importance of letting go, but they are very few of us that can actually do it well. Perhaps being human makes it so hard.
Yet it is when we let go that things begin to move and what we’ve been hoping and wishing for comes in alignment.
One of the biggest lessons I’ve learned on my Hero’s Journey is the importance of learning to accept ourselves (our full selves).
As a trained psychiatrist, workaholic, depressive, and (formerly) excellent clinician, I’ve come to the following maxim with apologies to REM: “Everybody needs a little therapy (sometimes)”. As the year winds down and the nights draw in, we are taking time to reflect on 2023. Over the next weeks over the Holidays and after we ring in the new year, Physicians Anonymous will be publishing a series on self-examination.
We’ve achieved a TON in 2023, especially as we are self-funded and run by volunteers. So from 2024- HOW do we reach the suffering physician? How do we let our colleagues know that there is a safe place where they can be human first, healer second? Where they will not be judged, but they will be heard and loved. Where we can laugh and cry together bonded by the commonality of being wounded healers.
Unlike overt resignations, quiet quitting manifests as a subtle withdrawal, marked by disengagement and diminished job satisfaction. To effectively address this issue, it is imperative to delve into the scale of the problem, understand the causes behind this quiet exodus, and propose actionable solutions tailored to mitigate its impact.
As I sit down to reflect on my decision to quit a toxic hospital workplace, I’m overwhelmed by a mix of emotions – relief, anger, and sadness. Leaving a career I had worked so hard for, after just three years as an attending physician, was not an easy choice.
I had lots of ideas about the root causes of my burnout and how my institution could address them. Don’t tell me to take a yoga class, fix the damn EMR!
Burnout almost led me to take my own life. It destroyed my identity as a surgeon. My medical identity and my life were so enmeshed that losing medicine caused me to mourn my own death. From this low point, I have rebuilt. With lots of intensive therapy, and regular mindfulness and other wellness practices I’ve been able to rise from the depths.
The latest US Physician Burnout & Depression Report (2023) from Medscape finds that physician burnout and depression are worsening. More than half of physicians (52%) reported that they are burned out and nearly 1 in 4 reporting that they are clinically depressed.
Recognizing the critical need for support and coping mechanisms, physician-led peer debriefing has emerged as a promising approach to alleviate the stress and emotional strain physicians face daily.
Doctors, nurses, and other healthcare heroes are often seen as invincible. We’re the ones who care, but who takes care of us?
In a world that constantly demands excellence, where the pursuit of perfection is the norm, there lies a secret joy hidden in the unlikeliest of places – the realm of mediocrity in medicine.
Bullying in medicine is a pervasive issue that has far-reaching consequences for healthcare trainees and professionals and, ultimately, patient care.
How an obsession with success can lead to physician burnout; and strategies for mitigation
Why do we need laws? After all, hospitals and healthcare businesses know all about the corporate risks of overwork! We argue that without legislation to force safety, nothing will change because little, if anything, has changed to protect healthcare staff from overwork.
I have so many regrets about my medical career that I don’t even know where to begin. And I am not alone. We all make mistakes, give suboptimal service, have off days, or (most often, in my experience), nature wins. The cancer progresses. The psychosis relapses. The diabetes complicates. So am I going to wallow in them and feel sorry for myself? Or is there another way of dealing with regrets in my career as a doctor?
For so many reasons the term “disruptive doctor” is unhelpful at best, cruel and discriminatory at worst. As a label it has been used and misused. Very few physicians start out disruptive. The reality is that disruptive behavior in physicians is often a symptom of a larger systemic problem. It may be related to stress, burnout, mental health issues, addiction, and more.