TOP Physician Links: Doctor Abuse, Administrators at Fault, the ZEN-tensivist Manifesto

Posted by Dike Drummond MD

Stop #PhysicianBurnout Links of the Week

Escape the Whirlwind of Your Practice Week with these Quality Articles and Studies.

This week's highlights:

1) Physicians, discrimination/abuse and burnout - much more common than you might think

2) The ZEN-tensivist Manifesto - bringing humanity back into Intensive Care

3) Healthcare Leaders administrative actions causing excess COVID-19 deaths.

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1) For physicians, what is the link between suffering discrimination and abuse and the development of burnout? And how common is the abuse of and discrimination toward doctors in the course of their career? 

Physician Mistreatment Emerges as Crisis that Can Ripple Through U.S. Health Care

A new study by Lotte Dyrbye MD et al shows the link between burnout and physicians suffering abuse and discrimination ... and just how common discrimination is in the US Healthcare System.

"Close to 20% of responding physicians had experiences in which patients or their family members or visitors refused to allow the physician to care for them because of the physician’s racial or ethnic attributes or gender.

“Mistreatment is more common for women, and more common for racially and ethnically diverse physicians relative to white physicians, but the frequency of these experiences is what really stood out.”

For example, 40% of Black male physicians and 40% of Indigenous female physicians reported having such experiences. And almost 25% of respondents reported experiencing unwanted sexual advances from patients or patients’ family members or visitors."

Here is the link to the Research Paper 


2) What if you combined the tech-first approach of modern intensive care practice with the ZEN Philosophy of presence, compassion and less is more?

You end up with the ZEN-tensivist Manifesto 

The hashtag “#zentensivist” was created and grew organically with an international, multi-professional group of clinicians discussing how to apply medical physiology and clinical research in a competent, compassionate, and minimally burdensome manner (Figure 1).

The term “zentensivist” intentionally combines concepts seemingly at odds—Zen philosophy and intensive care—to describe a holistic approach to the art of caring for the critically ill. In this review, we outline some of the principles developed during these discussions on Twitter and use this framework to describe the key aspects of applying critical care expertise according to patient needs, values, and preferences.

Here is a chart of just how radically different this approach is.


3) Just what responsibility do some healthcare leaders have for unnecessary deaths from COVID-19 because of their administrative decisions?

Here is a great article on LinkedIn from Louis M. Profeta MD

Some Hospital Administrator Decisions Contributed to Patient Deaths During the Covid-19 Pandemic…You Should Know That

"You need to know the role some of your local hospital system leaders played in causing nursing shortages, a collapse of morale, burnout, and a massive exodus of experience and intellectual capital which will never be recovered.

 If they are found wanting, then it’s time for you to quit their boards, drop off their foundations, end this charade of offering them legitimacy. There are better places for you to spend your money than by giving it to major medical centers with a billion dollars in their coffers. Ask us, those in the trenches, we’ll tell you where to send it. But in the meantime, be aware.

 Some of the worst hospital administrators may be living in your city and pulling the strings of healthcare delivery to your community. "





What is your key takeaway from these three web resources?
What strikes you as the most important observation for your practice?
What will you do differently with this insight?




Tags: stop physician burnout