What Causes Doctor Burn-out?
Majid Ali, M.D.
The main reason doctors get burned out fast is they know they are not being true to their calling. They know people sickened by chemicals cannot heal with more chemicals. They know they have to rigidly follow prescribed standards of care and independent thinking is dangerous for their licenses and living.
The American Medical Association does not recognize this. Still they have some good points in its article on the subject reproduced below.
How to beat burnout: 7 signs physicians should know
3/4/2015, 2:36 PM
If constant stress has you feeling exhausted, detached from patients, or cynical, take notice. You may be in danger of burnout, which studies show is more prevalent among physicians than other professionals. But how can you avoid it? Learn the signs of physician burnout and what you can do to stay motivated on the job.
Mark Linzer, MD, Director of the Division of General Internal Medicine at Hennepin County Medical Center in Minneapolis, has studied physician burnout since 1996. He said he understands why many physicians eventually feel exhausted practicing medicine, but this problem is avoidable.
“Burnout doesn’t have to be highly expensive to fix,” Dr. Linzer said. “The problem is that no one is listening. People always want to say that physician wellness and performance measures will cost a lot of money, but preventing burnout can actually save money in the long run on recruiting and training new practice staff.”
If physicians want to keep burnout at bay, Dr. Linzer said there are some serious signs they should never ignore. Here are seven ways to know if your practice is getting the best of you—and when to finally do something about it:
- You have a high tolerance to stress. Stress consistently ranks as the number one predictor for burnout among physicians, Dr. Linzer said. “Please don’t ignore the stress, even if you can take it,” he said. Physicians who consistently operate under high stress are at least 15 times more likely to burn out, according to his research.
- Your practice is exceptionally chaotic. A quick glance around your practice will let you know if you or your colleagues may cave to stress. “People tend to think it’s the patients that always stress doctors out, but actually, it’s the opposite,” Dr. Linzer said. “Caring for patients keeps doctors motivated. What burns them out is caring for patients in a high-stress environment. Change the environment and you’ll change the overall quality of care.”
- You don’t agree with your boss’ values or leadership. This one is particularly tricky to identify but “necessary to prevent burnout,” Dr. Linzer said. Whether at a large hospital or private practice, physicians need to feel as if the people leading them also share their values for medicine and patient care. Otherwise, their motivation can slowly wane.
- You’re the emotional buffer. Working with patients requires more than medical expertise. “Often, the doctor acts as an emotional buffer,” Dr. Linzer said. “We will buffer the patient from our own stressful environment until we can’t take it anymore.”
- Your job constantly interferes with family events. Spending quality time with loved ones helps physicians perform better. “When they can’t do those things, it’s all they think about during the day and the patient suffers,” Dr. Linzer said, citing work-life interference as one of the most common predictors for burnout among physicians in his studies.
- You lack control over your work schedule and free time. When work demands increase, but control over your schedule doesn’t, stress can kick in and spark burnout. That’s why Dr. Linzer often tells practices, “If you standardize, customize”— a medical mantra to suggest that if physicians must work a long standardized set of hours each week, practices should at least customize their schedules to flexibly fit changes or needs in their daily lives.
- You don’t take care of yourself. When was the last time you enjoyed a nice bubble bath or morning run? If you continually neglect yourself, you may neglect your patients, too. “As physicians, we want to be altruistic but one of the keys to altruism is self-care,” Dr. Linzer said.
Did you fit most of these signs? If you think you or your fellow physicians are suffering from excessive stress, check out these tips from residents who have conquered burnout. Find more on maintaining a happy medical family in Physician Family, the AMA Alliance’s magazine.
Also download a copy of Dr. Linzer’s clinical study on burnout for tips and recommendations that may fit your practice.
Preventing physician burnout is a priority for the AMA’s Professional Satisfaction and Practice Sustainability initiative, which partners with physicians, leaders, and policymakers to reduce the complexity and costs of practicing medicine so physicians can continue to put patients first.
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1:34 PM on 3/9/2015
Interesting. More interesting is why we hand out advice like this when we know from decades of research it’s wrong. Imagine burnout=PTSD. If we told our PTSD patients to put on the stiff upper lip, chill, etc., we’d be reported to the state medical board. So let’s call burnout what it is, a failure of leadership at the highest level. The environment of practice is very controllable. Drop SGR and spend the dues money using AMA podium to say no to issues that don’t improve environment of practice.
11:46 AM on 3/11/2015
you need to be morally self sustaining and preserved so that a practitioner can be proud of its own and be a successful one .
10:32 AM on 4/15/2015
Interesting that # 1 sign is ” high tolerance to stress” It is difficult to know the alternatives to having a high tolerance. Perhaps , instead of tolerating stress a physician with low risk for burn out will seek solutions to problems that contribute to a stressful environment. What do other members think about constructive ways to optimize tolerance to stress as a factor for avoiding burn out?
6:02 AM on 4/18/2015
Burns and injuries are very dangerous for human health. when anybody can burn and got hospital for treatment this will very difficult to doctors how to treat them.. Hexder.com