Stop Physician Burnout - Resident Education and the Teachable Moment

Posted by Dike Drummond MD

A recent burnout prevention training for residents revealed the importance of the teachable moment for their future employers.

Here's how I learned this important lesson:

There are some things doctors can't really learn until the time is right -- and residency may not be that right time -- no matter how much we wish it was.

I just delivered a half day retreat for a group of residents a large east coast independent academic medical center. In planning the event, I sifted through my experience coaching hundreds of doctors who burned out after residency ... when they were in practice. I was looking for a short list of skills to answer this question:

"Given what burns out practicing physicians, what can I teach these residents now that could prevent their burnout in the future?"

Back to the future

Basically I envisioned myself as a representative of these residents future selves, coming back to teach them the tools they need to avoid physician burnout when they are out in practice.

  • So I put together a three training, four hour event
  • Delivered the trainings
  • And watched carefully to see how they landed with the residents
  • What were they able to pick up and use right away?
  • What concepts/tools went over their head?
  • What appeared to useful and what appeared to be useless at this point in their careers?

My experience gives us all some information to answer the Teachable Moment Question:

Is residency the best place to teach the tools to prevent burnout from happening when these doctors are out in practice?

Or is there a better teachable moment?

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Tags: stop physician burnout, medical resident burnout, teachable moment

Does National Academy Consensus Statement set stage for a Physician Wellness Turning Point?

Posted by Dike Drummond MD

Will recent recommendations of the National Academy of Medicine cause meaningful action to address the burnout epidemic?

What do you think?
 
What are the odds this six pound consensus statement will change your daily experience of seeing patients and dealing with the digital Whirlwind of your work day any time soon?
  • Will we look back 10 years from now and say 2020 is when everything changed?
  • Do calls for a "positive work environment" mean anything when there are no recommendations on HOW to accomplish that feat? 
  • What happens in the C-suite when this call to address physician burnout clashes with the organization's drive to maximize profit and shareholder value? (even non-profits must have a margin!)
Those questions will only be answered in hindsight, years from now.
 
And we believe it is important you see and understand the recommendations being made on your behalf by this impressive gathering of "experts".
 
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Get Your Corporate Physician Wellness Strategy
WellMDWorks 3-Step Process is at This Link
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In this blog post let's do two things:

1) Look at a sampling of specific recommendations and what they could mean to you. I promise to focus only on those few sentences in the 300 pages most likely to effect you directly.

2) Give you a copy of the full recommendations so you can do two things:

    1. Print off two copies and carry them with you at all times.
    2. So when the opportunity arises, you can drop them on your CEO/CMO/CFO's desk and ask that they be adopted in your organization. If your boss can be influenced by consensus statements like this, you want to be ready for their teachable moment
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Tags: physician wellness, stop physician burnout, physician wellbeing, clinician wellbeing

Use the Physician Breakthrough Process to make 2020 Your Best Year Yet

Posted by Dike Drummond MD

Toss the New Year's Resolutions ... these ten questions can make 2020 ... your Best Year Yet.

Wrap a bow around all your accomplishments and milestones for 2019.
Give yourself a solid pat on the back.
Then, set your intentions for 2020.

Our 10-question breakthrough process takes only about an hour to complete and can make a huge difference for you and your family in the year ahead.

Use This Link to get your copy of the Physician's 2020 Breakthrough Worksheet (2579 downloads to date!)

No rush. Grab the worksheet download with the link below and print it out.
You will have plenty of time to work the questions at your leisure in the week
and weekend ahead.

This is our fifth year sharing the Physician Breakthrough Process

READ MORE NOW

Tags: stop physician burnout, physician breakthrough process

ZDogg on being a Physician, Money and Escaping the Healthcare Grind

Posted by Dike Drummond MD

Here is Dr. Zubin Damania's take on the intersection of happiness and the experience of being a hospitalist

Please Leave a Comment 

How does his message and his story resonate with you?

 

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Tags: stop physician burnout, Zubin Damania, Z Dogg

First Call for Legal Action to address the Physician Burnout Epidemic

Posted by Dike Drummond MD

Will the government step in and legislate proactive efforts to stop physician burnout?

As we predicted several weeks ago, it is only a matter of time before the cry for legislative action would go out. And rightfully so:

  • Physician burnout has been characterized as a public health crisis for years
  • Given the negative effects of burnout on safety, quality, medical errors and physician's mental health ... it is clear that unrecognized burnout kills patients and doctors
  • The prevalence of burnout is staggering here in the age of EMR - over 50% in many studies
  • And the majority of healthcare organizations who employ doctors make no meaningful investment in physician wellbeing. Lip service is rampant, but significant FTE and dollars for burnout prevention are exceedingly rare.

Sooner or later, someone was bound to shout, "there should be a law about this." That non-specific call for action happened here back in July.

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Learn an Effective Corporate Physician Wellness Strategy
WellMDWorks 3-Step Process is at This Link
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Let's take it up a notch

Now we have specific calls for specific carrots and sticks from a bona fide legal scholar.

Sharona Hoffman, , JD, LLM, SJD; Professor of Law and Bioethics at Case Western Reserve University, has written an editorial in the latest Hastings Center Report

READ MORE NOW

Tags: stop physician burnout, laws against burnout

EMR FAILS and a Dose Response Curve for Physician Burnout Revealed

Posted by Dike Drummond MD

The adoption of the Electronic Medical Record is a clear and obvious cause of physician burnout.

This new study provides three new data points for both providers and healthcare leaders:

  • Evidence of a dose response curve between EMR exposure and physician burnout
  • Objective measurements of EMR usability compared to other unpopular software programs.
  • And an actual letter grade from physicians for EMRs as a group.
    (No surprise here - EMR gets a big fat "F"

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This is all an avoidable tragedy
EMR should have never been a major burnout cause 
It should have been a simple staffing issue
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We consider this paper a MUST READ for all C-Suite Healthcare leaders, Chief Wellness Officers and Wellness Champions

We read the study so you don't have to!
Highlights and commentary below --

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This is Blog Post #313
Complete Blog Library  is Here
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Study Highlights

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Tags: electronic medical records, stop physician burnout, EMR usability

Physician Burnout and EMR: if you judge a fish by its ability to climb a tree ...

Posted by Dike Drummond MD

"Everybody is a Genius.
But If You Judge a Fish by Its Ability to Climb a Tree, It Will Live Its Whole Life Believing that It is Stupid"

~ Albert Einstein (?)

The first time I saw this quote two things became clear to me in a flash.

  • The logic behind the quote is undeniable
  • AND the author is obviously talking about physicians and the Electronic Medical Record

Every week I talk with CMO's and other senior physician leaders who simply cannot understand why some of their doctors "struggle to get out of the room,  stay on time,  see a minimum number of patients per day, over-charting" and more. 

And every week we meet hard working doctors who are haunted by the simple doubts, "what is wrong with me that I can't get my charts done?" and with the next breath, "I'm not sure how much longer I can keep going like this."

This stand off is smack in the middle of a gaping blind spot we see in nearly every healthcare organization. 

stop-physician-burnout-quadruple-aim-retreat


Practicing Medicine
and Data Entry into an Electronic Medical Record
are two separate skill sets
(And one of them is WAAAY more important than the other)

QUESTION:
Is it actually some sort of inscrutable riddle, a conundrum, a freaking MYSTERY why doctors struggle with the Electronic Medical Record and other digital forms of overload??

The answer is simple:

Many leaders are judging a fish by its ability to climb a tree

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Tags: emr, electronic medical records, albert einstein, stop physician burnout

Stop Physician Burnout - Beat back the Whirlwind Today in just twenty minutes

Posted by Dike Drummond MD

Physician Burnout - Defeat the Whirlwind Today

The universal experience of working with patients is one of OVERWHELM. No matter where you are on the care team; physician, APP, MA, Nurse, Reception - you are attacked from all sides the minute you walk into your practice in a literal tornado of stuff coming your way.

Some of it makes sense, much of it does not and all of it saps your energy and dominates your life ... if you let it.

The WhirlWind will WIN this battle if you don't take some time to build your life balance/burnout prevention strategy. Once you recognize the hypnotic power of the whirlwind and understand you can win this battle ... the next steps are not complicated.

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This is Blog Post #308
Complete Blog Library  is Here
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It can be as simple as this ...

Sit down with your family and decide just one thing you want to change or one target you want to hit in the next 4 months.

What is one thing you want to ... 
- Stop Doing
- OR Start Doing
- OR one thing you want to plan/experience/check off your list
In the next 120 days????

THEN TYPE IT IN HERE and let us (and fist bump baby) Help You Make it Happen.

The fun part here is: your one thing doesn't even have to be about work.

What's your One Thing?

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Tags: stop physician burnout

Stop Physician Burnout - Government Regulation and Unions are Just What We Need .... Right?

Posted by Dike Drummond MD

Get the Tools & Support to Help Lead the Physician Wellness Movement
Quadruple Aim Physician Leadership Retreat
Full Details at This Link
============

Feels like we have reached a tipping point in the debate about addressing our modern physician burnout epidemic.

People are running out of patience with the healthcare industry ... and appropriately so.

For the last five years physician burnout rates have hovered around 50% and the industry has responded in its usual academic fashion. Task Forces and Action Collaboratives have been organized, position papers and intellectual models published and a flurry of research into one prevention tool at a time is in the pipeline. They are struggling to "solve" what they think is a "problem" and missing the true nature of burnout in the process. The deck chairs have simply been rearranged.

... All while the whirlwind of your practice day slowly intensifies beyond your capacity to cope. 

But something has changed very recently. Here's what I have noticed just in the last month or so on the internet ...

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This is Blog Post #307
Complete Blog Library  is Here
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For the first time I am seeing mainstream articles calling for two new approaches to the burnout swamping our people in the front lines.

It is as if a certain slice of the general public and the physicians of America have given up on our healthcare industry taking care of its own issues any time soon. 

I have a quick question for you ...

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Tags: stop physician burnout, physician trade union, healthcare government regulations

The ClusterF*ck of the Modern Physician Burnout Epidemic

Posted by Dike Drummond MD

What would you say about an industry that reliably burns out half of their most valuable workers ...

  • Workers that take over a decade to train
  • Are the point of origin for 100% of gross revenue
  • And for which there is already a massive shortage that will get much worse in the near future

This same industry clearly understands that physician burnout harms and kills patients and doctors and has a massive negative effect on the organization's bottom line.

What words are most appropriate to describe such insane behavior? [even Lemmings would appear to be more interested in their own survival]

When you realize the job demands on the average doctor are a clear and present danger to the doctors, the staff and their patients, it is not uncommon for the term ClusterF*ck to come to mind. Sometimes you will even let it slip with your outside voice ... right?

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BTW, if you are a healthcare leader,
upset or moved to action by the gist of this blog post
Let's Connect
We promise fresh ideas and powerful collaboration
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Hang on a second, is that term even accurate?

Follow along with me as we explore the semantics and I give you 5 simple ways to begin clawing your organization out of this morass ... no matter what you personally call it.

READ MORE NOW

Tags: physician leadership, stop physician burnout, healthcare leadership


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