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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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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Invest in Physician Wellbeing for a Triple Competitive Advantage

Posted by Dike Drummond MD

The Business Case for Investing in Physician Wellbeing - a Triple Competitive Advantage for Early Adopters

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This is Blog Post #279

Complete Blog Library is Here
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In 2017 an article in JAMA Internal Medicine by Shanafelt, Goh and Sinsky (JAMA Intern Med. 2017;177(12):1826-1832) made a comprehensive business case for investing in physician well-being. I highly recommend the article. The UCSD HEAR Program has mounted the full PDF document at this link. I recommend you read and absorb every word - and notice your frustration when there are no action steps.

In this blog post let me show you a different way of looking at the benefits to the organization when you take better care of your physicians and staff. 

An effective burnout prevention / physician wellbeing program will provide a rapid, direct and measurable - Triple Competitive Advantage - to Your Organization. 

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Key Resource: 
Physician Wellness Champion  School
The Quadruple Aim Physician Leadership Retreat
Get Full Details
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The Current State of Affairs

For the individual physician burnout can cause emotional and physical exhaustion, compassion fatigue, cynicism, loss of a sense of purpose in their practice, depression, alcohol and drug use, divorce, shortening of their career and even doubles all physician's risk of dying of suicide - regardless of their gender.

Organizational symptoms of burnout include decreased quality of care and patient satisfaction, higher medical error rates, higher rates of malpractice suits, physician disengagement, dissatisfaction and disruptive behavior and higher turnover for both physicians and staff.

Remember too that burnout prevalence in US physicians in the last 4 years or so has hovered at 50% or more regardless of what group of physicians have been surveyed. Now notice something else ... 

How is it you can read those paragraphs and NOT BE PULLING YOUR HAIR OUT and telling your friends and family -->

"Do Not go to your doctor or hospital until we FIGURE THIS OUT"

Tags: Physician burnout, physician leadership, physician resilience, physician wellbeing

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Stop Physician Burnout - is Physician Resilience Training a "Con"

Posted by Dike Drummond MD

Stop Physician Burnout - is Physician Resilience Training a "Con Job?"

An article on physician suicide in junior Australian doctors this week contained the following bold statement:

'She was eaten alive'

The "con" of building physician resilience has left junior doctors vulnerable to mental illness and suicide by ignoring the systemic failures of the medical professionSpeaking at a session on mental health and wellbeing in Sydney alongside Health Minister Brad Hazzard, Ms Micaela Abbott said her sister was "eaten alive" by the medical profession. 

Dr. Chloe Abbott was 29 and a fourth-year doctor-in-training when she died in January, one of several recent suicides by doctors that prompted the Health Minister and the medical profession to act. 

"My family had really detested the term 'resilience'," Ms Abbott said, recounting her sister's fortitude as a champion swimmer who represented Australia in international competition. 

"That's not something you can do without resilience," she told the crowd of students about to join the profession that Dr Abbott's family and colleagues believed contributed to her death. "

Here is the full article:

It, of course, begs the question -- is the concept of Physician Resilience a con job to defend a hostile work environment?

The answer is Yes and No.

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Resilience is necessary but insufficient to prevent physician burnout and hard wire the Quadruple Aim into the workplace.

Tags: Physician burnout, physician resilience

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Physician Resilience – a Stronger Canary is Never Enough

Posted by Dike Drummond MD

Physician Resilience – a stronger canary is never enough

 In my work with thousands of over-stressed physicians and over 140 healthcare organizations, I have learned one lesson over and over -

Resilience training alone is not sufficient to rein in the epidemic of physician burnout.

If you believe like I do that physicians are the canary in the coal mine of medicine.

Then it is clear the epidemic of physician burnout is an indictment of the conditions of the mine, not the resilience of the canary.

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Click Here for The Quadruple Aim Blueprint
Organization-Wide Burnout Prevention Strategy
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If you focus on physician resilience training and don’t de-stress the workplace at the same time, you are missing half the leverage points to prevent physician burnout. You are focused only on building a stronger canary and sending the message that it is every provider is on their own – no one has their back – on this job site.

I define resilience training as the acquisition of any burnout prevention tool the physician puts to their own individual use. The tool increases the physician’s resilience in the face of the stresses of their practice and workplace systems.

Training to promote physician resilience has value, however that value is limited by the following three factors:

Tags: Physician burnout, physician resilience

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