T’was the night before Christmas, and all through the ER, everyone was stirring, shouting, vomiting, and hemorrhaging. Except for the mice, who very sensibly stayed away, because it was chaos.
This article explores why residents are at even higher risk of burnout and mental health deterioration than the average physician population. We then look at the evidence base for resident burnout prevention programs and consider why postgraduate education providers should seriously consider investing in these. Mindfulness and Coaching programs are examined as having the most evidence-base.
Medical residents’ mental health deteriorates during their training, but there are solutions to this resident burnout epidemic.
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?
I recently decided I was going to leave my role as an Emergency Medicine (ER) doctor in the UK National Health Service (NHS). As service after service reaches its full capacity and beyond, the people who rely on these services do not know where to go for the help they need. All of these factors led me do decide that I no longer wanted to commit my daily energies to a system that was causing me to burn out.
A Physician’s Anonymous coach shares 7 days of their physician’s burnout diary, moving from resistance to connection and finding self.
The idea of physicians boosting their own resilience seems reasonable – at least as this relates to the personal resilience required for being a doctor. Here we summarize the evidence base of interventions for physician resilience
Sick Physicians, Sick System. Here I present the second part of my story: one of physician burnout recovery – how I emerged from the wreckage and rebuilt my life.
My career and life crashed to a halt after 25 years in clinical medicine. I was at one point “suicidal with planning and intent”. Medical knowledge in the hands of a suicidal physician can be deadly. As an affluent, respected physician, confident in my position, well-liked and admired by society, yet suffering inside, why did I not seek help?
If you’ve not heard of Corrigan’s Secret Door, you’re in for a treat. Based on a legendary Irish physician, the Secret Door denotes a metaphorical escape route for busy physicians from their hectic clinics.
If there’s one good thing about a pandemic, it’s increased public awareness of their healthcare workers as human beings under stress. In this article, we have pulled together a number of resources for physician resilience developed by professional organizations for the interested physician reader and physician leader.
In this article, Part 2, I concede that there are some excellent principles differentiating ineffective from effective physician resilience programs. We hope that colleagues and medical leaders designing such programs will find the guidance useful, and further grasp the nettle of addressing the root causes of physician burnout.
Resilience programs, springing up like mushrooms, are a sticking plaster to avoid dealing with the fungating tumor underneath. We have to talk openly about the demands of modern medicine and how these are hurting the healers we need the most.
Practicing medicine is making us physicians sick. Physicians in the US have some of the highest burnout, mental illness, addiction, and suicide rates in the world. Medical student and physician burnout and suicide are a “silent epidemic”.
Physicians are sick, and it’s getting worse. Yet too few doctors seek help or reach out when we are struggling. Record numbers of us are burning out, becoming mentally ill or addicted, retiring early, and leaving medicine.
Let’s talk about physician wellbeing in the COVID era. Burnout and depression are still serious problems among physicians, especially amid COVID-19. The 2021 Medscape National Physician Burnout and Suicide Report makes for disturbing reading. More than 12,000 doctors across 29 specialties responded to the anonymous survey which ran from August to December 2020.
