In this article, we examine the evidence base for physician coaching and wellbeing, how to find a good coach, and how to tell if they’re right for you. We also note a caveat around the need for systemic change – a white coat revolution if you will – to address the underlying toxicity of modern medicine causing so much physician distress, burnout, and moral injury.
There is clearly no quick fix to the underlying causes of moral injury in healthcare. This is not a war where a ceasefire can be declared.
So, how do we try to move from the collective moral injury experience of physicians to a systematic change in the structure of medical practice?
“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?
The Japanese concept of Wabi Sabi beautifully captures the essence of life: appreciating the imperfect, the impermanent, and the incomplete. It reminds us to cherish the journey, with all its ups and downs – especially in medicine – instead of obsessing over destinations or goals.
Physician burnout is not a result of individual physician characteristics, but is significantly influenced by systemic factors within the healthcare system. In this blog, we will delve into the concept that physician burnout is more accurately described as an administrative or systemic disorder rather than an individual problem disorder, emphasizing the organizational, cultural, and economic factors that contribute to burnout in doctors.
In Part 2 of this series, we will look at further at the etiology of physician burnout, specifically the roles of medical training and leadership.
The epidemic of burnout among physicians and other healthcare professionals is here and it ain’t going away (yet). This article explores the key underlying causes of physician burnout and moral injury.
Physician Poetry: How To Be a Good Doctor On a Very Bad Day. The writer beautifully articulates the quiet suffering so many of us endure—the shame, the imposter syndrome of self-doubt, and the silent suffering and unnecessary isolation that comes with the weight of our responsibilities and our toxic medical system.
This poem, The Human Conundrum, explores the emptiness of consumerism and the need for deeper fulfillment through creativity, community, and connection with nature. It highlights the damage inflicted on the planet due to overconsumption while offering hope through imagination, unity, and action.
This article explores the thorny issue of physician burnout vs depression, attempting to tease out the similarities and differences.
By the time we are finished our medical training, it’s too late. We have already absorbed or been infused with years of culture, tradition, attitude, and approaches to mental health. These attitudes are towards ourselves, our colleagues, and our patients. If we are to change the culture around physician mental health, we need to start with the doctors of tomorrow. Medical schools have a key role in tackling medical student mental health. And they should start yesterday.
This article defines workplace psychological safety, the toxic triangle of unsafe workplaces, and presents 4 principles for leaders to promote psychologically safe work environments.
