Physician burnout, Einstein's lesson #2 and 30 minutes that can change your life

Posted by Dike Drummond MD

Physician burnout, Einstein's lesson #2 and 30 minutes that can  change your life

We all know Einstein's famous definition of insanity:

"Doing the same thing over and over
and expecting a different result."

The Insanity Definition is LESSON ONE in preventing physician burnout. 

Not only is that obviously crazy, it is one of the core causes of physician burnout. When the going gets tough, our workaholic programming only gives us one coping mechanism - work harder. So that's what we do until we can't keep going any longer.

Einstein's Lesson #2 is the escape hatch on the insanity trap

Here it is:

"No problem can be solved
at the same level of consciousness
that created it"

Here's how this saying applies to a practicing physician

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Tags: Physician burnout, einsteins insanity definition

Stop Physician Burnout Keys - Plate Spinning

Posted by Dike Drummond MD

Stop Physician Burnout Keys - Plate Spinning

If you are over stressed and out of balance, changing your actions is the only way to get your mojo back. Without new actions you will stay trapped in the quicksand of Einstein's Insanity Trap. 

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Tags: Physician burnout, physician burnout video, plate spinning

The Quadruple Aim Mission Statement Challenge

Posted by Dike Drummond MD

The Quadruple Aim Mission Statement Challenge

Is your organization focused on the Triple Aim or the new Quadruple Aim ... and what impact can you expect on your quality of life?

This 30 second peek at your Mission Statement will show you just how much your organization understands burnout ... and cares about you ... and what you can do about it.

Remember the old Triple Aim in Healthcare?

1) Improved population heath
2) Improved patient experience
3) Lower cost

This three pronged approach to improving healthcare delivery was first promulgated by the Institute for Healthcare Improvement (IHI) back in the 1990's.

As we look back on from our vantage point here in 2016, at the changes this initiative has brought to healthcare, there appears to be a large red flag waving frantically over the house of medicine. We know now that ... 

The Triple Aim is built of noble ideals
The Triple Aim has had ruinous unintended consequences

If all you focus on is quality, cost and patient satisfaction ... you burn out the people providing care. 

Single minded focus on the Triple Aim without acknowledging the health and well being of the physicians and staff providing care is a three lane on-ramp to the burnout highway.

We know the doctors are suffering and things are getting worse. The latest general physician burnout survey shows 54% of US doctors are experiencing at least one symptom of burnout. This is up from 45% just three years ago. There is no reason to think nurses and other staff members are any better off.

Enter Healthcare's New QUADRUPLE AIM

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Tags: Physician burnout, mission statement, quadruple aim, triple aim

The Physician's 2016 Breakthrough Process

Posted by Dike Drummond MD

In just one hour, answering these 10 questions can make 2016 your best year yet

In large part, your happiness in 2015 depends on the following thought experiment …

In large part, your happiness in 2015 depends on the following thought experiment …

Imagine it is actually 12 months from now ... it is Christmas of NEXT Year ...
as you look back on your 2016 ...
you break out in a grin of satisfaction ... 
and say to yourself ... "wow, what a year" ...

What is driving this warm, happy feeling?

  • What are the successes of 2015 (this year) you have been able to build on?
  • What have you changed / accomplished / experienced / let go of in your2016?
  • What are the old problems/challenges you have been able to solve for the first time?

What would it take to make 2016 YOUR Best Year Yet?

Take a single hour now to PUT YOU FIRST in 2016 and watch the difference it makes ...

Print out the worksheets of the Breakthrough Process to get started ... 

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Tags: dike drummond, the happy md, breakthrough process, breakthru process, strategic plan, best year yet

When healthcare quality measures fail us all

Posted by Dike Drummond MD

When healthcare quality measures fail us all 

Now that we are in the age of Pay For Performance ( P4P ) we are only beginning to learn how difficult it is to achieve the twin towers of 

  • Patient Satisfaction
  • Quality Care

Patient satisfaction is a very controversial subject - with the counterintuitive "percent of top" as our measuring stick and the universal acknowledgement that patient demands should not always be honored carte blanche. ( "I need my #90 Rx of Oxy for my fibro, Doc. The pain is awful." )

Can we at least be clear on the definition of Quality?

You would think we could find more solid ground with respect to how to measure quality. But NO! Here comes a study showing just how hard it is to define and incentivize quality care.

I can assure you that situations where you follow a care protocol to the letter, the patient has a bad outcome and you are penalized despite deploying the "best practice" only add to the stress that drives the epidemic of physician burnout.

Full details below ... on a best practice protocol and quality incentive that failed everyone involved
... especially the patient


The evolution of DVT as an
"every once in a while is OK" event

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Tags: Physician burnout, pay for performance in healthcare, healthcare quality, healthcare quality measures, care protocol, never event

Physician Burnout Rates Top 50% in US

Posted by Dike Drummond MD

Physician Burnout Rates Top 50% in latest Mayo Study - and that is not the worst of it

For a while now I have been suspicious that physician burnout rates are increasing here in the USA, especially in the last five years or so. I have been waiting for the research to catch up with my suspicions for a while now. Here is the smoking gun.

Mayo Clinic Proceedings this month published results of round two of their survey of burnout in physicians compared to burnout in the "normal population". The last round in 2011 was major news across the country and the first study that compared physician burnout rates to those of non-physician workers.

The burnout rates are what I expected. The shocker is the number of physicians screening positive for depression and suicidal ideation that no one is reporting on.

The headline trends are these

  • From 2011 to 2014 physician burnout rates increased
  • AND the gap between physician burnout rates and burnout rates in the normal population widened

The headline stats are these 

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Tags: Physician burnout, prevent physician burnout, physician burnout rate

Stop Physician Burnout - Date Night Secrets

Posted by Dike Drummond MD

Date night secrets for the busy physician

Let me ask you a quick question. When was your last quality Date Night? If it was more than two months ago, this post is specifically for you.

One of the key factors in preventing physician burnout is a strong primary relationship with your loved ones. None is as important as your relationship with your spouse/significant other. 

Unfortunately a Date Night is often something that gets left out of our busy weeks. When I train groups of doctors is is not uncommon for half the hands to go up when I ask the question, "How many of you have not had a date night in the last two months." 

Date Nights are a key tool to prevent physician burnout

Here are five Date Night Secrets we teach all of our private coaching clients

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Tags: physician burnout video, stop physician burnout, physician burnout video training

ZDoggMD's Take on EHR

Posted by Dike Drummond MD

ZdoggMD's Take on the EHR

Sometimes all you can do is sing. Classic and worth the watch.

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Tags: Physician burnout, emr, ehr

Physician Burnout - EMR Shaming has to STOP

Posted by Dike Drummond MD

Physician Burnout - EMR Shaming Has to STOP

Every time I survey a group of physicians asking, "What are the top three stressors in your practice day?" ... EMR and other documentation issues ALWAYS make the list. This is true regardless of specialty without exception. 

EMR is a slave to Big Data, designed by people who have never seen a patient and it is a huge cause of physician burnout in a significant number of doctors.

AND we can do a MUCH better job of helping our physicians clear the EMR hurdle in their day if we STOP SHAMING the people who struggle the most.

Here is a common practice scenario for a burned out physician who comes to us for coaching.

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Tags: Physician burnout, emr, electronic medical records

No more time-wasting meetings - the Guerrilla Facilitator's Manual

Posted by Dike Drummond MD

Remember the last really lousy meeting you had to sit through?

You have a whole pile of work back in your office, but you are stuck here in yet another soul sucking meeting that is going absolutely nowhere.

Poorly run meetings are incredibly common in healthcare and a MAJOR cause of burnout in physician leaders - especially if you are a "straddle leader" with both clinical and leadership roles. 

Wouldn't it be great if you could stop the downward spiral and get the meeting back on track - even if you aren't the person running it??

Let us show you how to save any meeting from the back of the room with the "Guerrilla Facilitator's Manual".

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Tags: guerilla facilitators manual, meeting facilitation