Physicians On Purpose Podcast 1 - Step out of the Whirlwind

Posted by Dike Drummond MD

Here's the first episode of our new Physicians On Purpose (POP) Podcast - a Lesson on How to Escape the Whirlwind of Your Practice.

Learn about our new Podcast from the Physicians on Purpose Community and I teach the #1 method to prevent physician burnout - a reliable way to escape the whirlwind of your practice.

Choose your favorite absorption method below: 
Video
Audio (downloadable, embeddable and shareable)
And written transcript

 

 

Podcast Transcript:

Tags: stop physician burnout, physicians on purpose, podcast

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Physician Practice Satisfaction and COVID-19 - Reduce or Reveal

Posted by Dike Drummond MD

That's the thing about a Pandemic, you get to take a closer look at all aspects of your life in a new light.

The stress of this once-in-a-lifetime (we hope) virus is relentless - at work, at home, in your community and across the globe. Everything has been put under the magnifying glass -  the public health system, your political beliefs, your family relationships and most of all - your practice. 

Specifically, your Level of Satisfaction with your practice.

Until COVID-19, you may have been cruising along on autopilot in what you thought were "normal circumstances". Sure, the flow of your practice day had some hiccups, pinch points, friction ... but you were able to muscle your way through - and your take home pay was good enough.

How about now, 3 1/2 months after the coronavirus lowered the boom on the healthcare industry. How are you feeling about your practice right now?

I have three quick questions for you. 

Tags: stop physician burnout, covid19, physician practice satisfaction

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Stop Physician Burnout the Limits of Positive Psychology

Posted by Dike Drummond MD

Positive Psychology is not a Physician Wellness Strategy - it is a single useful tool, just like Lipstick on a Pig

Even if you put the most expensive lipstick on a cute little Hampshire pig, it is still a very long way to a beautiful princess.
 
There are times when positive psychology is an extremely useful, powerful and effective body of knowledge, yet focusing only on the nature of my inner dialog won't fix a system where patient and information flow are fundamentally inefficient - or perhaps even FUBAR.
 
Telling your people Positive Psychology is all you need to turn this around - is wrong, cruel and can only make things worse for everyone - leaders, clinicians, staff and patients.  
 
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Tags: stop physician burnout, positive psychology

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Stop Physician Burnout - this is not about Physician Resilience

Posted by Dike Drummond MD

We know physician burnout is not because physicians lack resilience.

You are way more resilient than the average bear. Here's how we know ...

You survived med school and residency!
You are Still Here !

I use the word "survive" in that sentence very deliberately. If you look at the experience of Medical School and Residency from a pure energy perspective - think "The Force" in the Star Wars movies - your medical education was an exercise in SURVIVAL at that level.

Sure you learned a whole new vocabulary, a problem focused diagnostic skill set and how to recognize and treat most of the diseases in your specialty ... but all of that was predicated on your survival.

Tags: stop physician burnout, physician resilience

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The Only Question about Physician Wellness You Need to Ask

Posted by Dike Drummond MD

Even in a Year Like This ... Physician Wellness Leaders are More Important than Ever ... here's why ...

We are nowhere near the end of the human suffering and massive economic impact of the pandemic of 2020.

The Old Normal is gone. It is all hands on deck - as you treat COVID-19 patients directly or are working to ramp your practice back up again. 

The New Normal has yet to emerge from the whirlwind.

Tags: physician wellness, physician wellness retreat, Physician burnout

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Practice Reset Online Workshop - Design and Build Your New Normal

Posted by Dike Drummond MD

As the layers of chaos and disruption march through this summer of 2020, you have a choice on where you focus your attention.

You could play defense -- cover your eyes, nose, ears and mouth and hang on - white knuckle your way to the light at the end of the tunnel or even pray for a rescue.

If that's what you choose, inevitably someone else will draw up your new job description in the wake of the pandemic and tell you what to do - once again. 

Tags: dike drummond md, Physician burnout, covid19, coronovirus pandemic

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Covid19 Physician Burnout & 6 Phases of Emotional Response to Disaster

Posted by Dike Drummond MD

Did you know that your emotional responses to disaster have a known structure and a logical order you will find comforting?

I knew about the symptoms of physician burnout, Kubler-Ross and her stages, even stages of quitting smoking, but until today I had never been introduced to Zunin and Myers and the 6 Stages of Normal Human Emotional Response to Disaster.

This is a fascinating progression and strikes true for my experience of 2020 so far. These stages are intertwined with physician burnout, PTSD and so many other normal and abnormal psychological responses to difficulty and struggle.

If you are also new to this work, I encourage you to invest a few minutes here to learn more. I have asked several dozen doctors if they have heard of this work before. None have said yes.

If you are like me, you will recognize these stages in your own life and have a framework for understanding the emotional echos of disaster in yourself, your colleagues and patients going forward.

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Let's look at the graph first and then run through the phases one-by-one.

Tags: Physician burnout, covid19

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Physician Burnout and COVID-19 - Let the Hamster Wheel Olympics Begin

Posted by Dike Drummond MD

And get ready to run like never before 

If you haven't heard yet, your organization just had its worst three months in history -- yet another COVID-19 driven contribution to physician burnout.

i) If you are a practice owner, this reality has been keeping you up at night for weeks.

ii) If you are an employee physician and you don't already know about the smoking crater that is your organization's financial statement, your leaders are hiding the financials from you in a fine example of #badleadership.

iii) And if your organization somehow managed to avoid a massive loss in the last 90 days - either you are a full risk/capitated provider (Kaiser Permanente) or you got very, very lucky.


For healthcare delivery organizations relying on fee-for-service payment contracts, things have never been this bad.

Their profit margin just went from single digit positive to a giant sucking sound. Even the Mayo Clinic is projecting a 3 BILLION dollar loss in 2020.

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Now we have some potential GOOD NEWS !

Now we are seeing a little flicker of light at the end of the COVID-19 tunnel. 

Tags: Physician burnout, physician leadership

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The Outpatient Visit Volume Rebound Begins ... Will it be Enough to Save Small Private Practices?

Posted by Dike Drummond MD

As we begin to reopen society, data released this week shows physician visit volumes have rebounded slightly from the bottom out in the month of April.

The burning question is will the recovery happen quickly enough to avoid an extinction event in smaller private practices?

Fee for service private practice has been hammered by declines of visit volumes of 50 - 70%. No business can withstand an assault on its top line income of this magnitude for any significant period of time.

New research shows outpatient visits appear to have bottomed out in early April and are on the rebound. The curve is upward with volumes still 30-40% below baseline volumes from January and February of this year.

Given the US healthcare system's addiction to fee for service payments, the recovery in visit volumes and income must come quickly.

If the curve does not quickly assume a V or U shape, smaller physician owned groups who cannot survived a prolonged income drop will go out of business en masse before the end of the year. Unfortunately that does not look like a U or V to me. 

Here is the latest data on US Visit volumes from a unique source that tells the whole story.

Tags: covid19, 2020 pandemic

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RESILIENCE Won't Save you now - you need a New You for the New Normal on the far side of this COVID19 Pandemic

Posted by Dike Drummond MD

I have talked to hundreds of physicians in the last six weeks and two things are consistent.

1) Everyone knows the Old Normal is gone. There is no going back.

Once we get through the infectious disease crisis, round two of COVID-19 is the economic impact on your organization. Can you be certain at all what your practice will look like this time next year?

2) AND YET ... Most doctors don't want the Old Normal back again in the first place. 

No one is longing for a return of the good old days of EMR overwhelm, the fee-for-service hamster wheel, Pajama Time documentation at home and burnout rates of 50% and more. Who wants that back again? Isn't there a better way?

Isn't there a way to practice your craft as a helper, healer, caregiver and Lightworker without so much waste and brain damage??

The answer is YES - we know it to be true. And yet, the New Normal is completely unclear at this time. There is a chasm to cross.

Tags: physician coaching, physician resilience, covid19, coronavirus, 2020 pandemic

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