
When is enough…. enough in your career?
In a career when we always strive for more, when is enough enough? Dr Jillian Reigert DMD MD one of our Physicians Anonymous Approved Coaches guest blogs on “enoughness”.

In a career when we always strive for more, when is enough enough? Dr Jillian Reigert DMD MD one of our Physicians Anonymous Approved Coaches guest blogs on “enoughness”.

Doctors and those in training are taught to put the needs of others ahead of their own – often to the detriment of their own well-being. Self-compassion can play a vital role in supporting physician wellness and overall work satisfaction.

A Physician’s Anonymous coach shares 7 days of their physician’s burnout diary, moving from resistance to connection and finding self.

“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.

Reach out to your loved ones, and be honest. Trust me, they will help you. You are loved in more ways than you can imagine, because you are one unique lovable bright spot in this world. So stay with us and shine on us. This a Physicians Anonymous co-founder’s story of how she lost a spouse to suicide.

What exactly is physician burnout? In this article, we explore the construct of the burnout syndrome definition as it relates to doctors: a physician burnout definition.

We are not superheroes. We need to navigate the Fine Line Between Appreciation and Realism.

“Front-line”, “battle”, “the trenches”. These terms are all too familiar when talking about modern medicine. Why are we referencing war when we should be talking about healing?

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?

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”.

Modern medicine is no stranger to the toxic trio of burnout, stress, and dissatisfaction, and perfectionism plays the role of the puppet master. It’s time to swap the scalpel for a mirror and reflect. Bowlby’s framework challenges physicians to redefine excellence, shifting from unattainable perfection to a sustainable “good enough” approach.

My biggest fear in medicine is messing up. Inevitably, it happens. And while we rightly are trained to reflect, detect and learn from errors, improve practice, and ultimately save lives, the flip side – the cost of excessive perfectionism – can be very high, especially on physician well-being.

Behind the crisp white coats and stethoscopes, there lies a silent majority—physicians who are silently suffering from the immense pressures of their profession — and barriers to help.

In Part 2, guest writer Dr Bryce Bowers has to move from losing a young patient under tragic circumstances onto another young patient without a moment to breathe.