Is there a simple inverse relationship between resilience and burnout? Intuitively, one would think so, but with physicians, it’s never that simple. A recent paper in JAMA Open reveals some startlng findings.
In Part 2, I present the second part of my story: one of physician burnout recovery – how I emerged from the wreckage and rebuilt my life. I sincerely hope that it provides hope for others who are struggling.
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.
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?
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.
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.
Research suggesting low rates of help-seeking behavior among physicians. Yet an encouraging recent study showed that some 70% of physicians would engage with a professional coach. We argue that this openness to coaching provides a much-needed support system and a potential solution to the current pandemic of physician burnout and suicide.
Physician self care is not selfish. It’s essential to thriving in medicine. This article will explore barriers to physician self care and help physicians develop self-care practices for their physical, emotional, spiritual and intellectual health.
When things go wrong, it is easy to focus only on the “first victim” and forget those around them affected by the error – especially the clinician who made a mistake, also known as the “second victim” in medicine.
Physicians Anonymous humbly hosts this living document of global resources for physician support.
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Cognitive distortions are exaggerated or irrational thoughts that we have. In Part 2 of this article, by learning to tackle common cognitive distortions, you will be empowered to manage your amazing mind and smooth over the bumps in the road of a career in medicine.
Extreme stress tends to bring out more of these cognitive distortions, and modern medicine is a rich source of stress for doctors and medical students. We give 6 examples of classic cognitive distortions as applied to medicine, and discover ways to challenge them with more realistic thinking.
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.
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.
If there was one thing that helped me deal with my own burnout, it was hearing another General Practitioner (GP) stand up in front of a lecture theatre of 200 people and say that they had been burned out too.
The life of a physician is one of the most stressful professions. In this article, I’ll discuss the trauma of medicine and what can be done about it.
“Welcome to the Trauma Surgery Unit” said Prof. “As it’s New Year’s Day we’re expecting a quiet one.” Prof’s sense of irony (i.e. sarcasm) was legendary. That night (first shift) a young man came in. “Stabbed chest. Resus!” came over the PA system, and everyone moved.
You should know: shame is a very, very bad master. And shame does not deserve your respect, because shame is a liar. Shame is also a huge problem in medicine.
In Part 1, we made the case that a career in modern medicine meets the diagnostic criteria for addiction. Medicine can be unhealthy, yet we carry on or feel unable to make healthy changes. In Part 2, we explore how to get sober if you’re addicted to medicine.
