{"id":115,"date":"2017-04-08T16:18:27","date_gmt":"2017-04-08T16:18:27","guid":{"rendered":"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/?p=115"},"modified":"2017-04-08T16:55:29","modified_gmt":"2017-04-08T16:55:29","slug":"burnout-in-doctors-are-you-toast","status":"publish","type":"post","link":"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/","title":{"rendered":"Burnout in Doctors &#8211; are you Toast?"},"content":{"rendered":"<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"><a href=\"https:\/\/i0.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burnttoast.jpg\"><img data-attachment-id=\"117\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/burnttoast\/\" data-orig-file=\"https:\/\/i0.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burnttoast.jpg?fit=220%2C264\" data-orig-size=\"220,264\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"burnttoast\" data-image-description=\"\" data-medium-file=\"https:\/\/i0.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burnttoast.jpg?fit=220%2C264\" data-large-file=\"https:\/\/i0.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burnttoast.jpg?fit=220%2C264\" loading=\"lazy\" class=\"size-full wp-image-117 aligncenter\" src=\"https:\/\/i0.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burnttoast.jpg?resize=220%2C264\" alt=\"\" width=\"220\" height=\"264\" data-recalc-dims=\"1\" \/><\/a><\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">There is\u00a0 increasing public perception and commentary that there are systemic failures in Doctors, and that they will or are making mistakes. Regulatory bodies, medical boards, and government try to combat this by looking at systems to identify those who may pose a risk to public safety. The markers that they use are often based around burnout &#8211; substance abuse, mental or physical health, increased medical errors, and reduced patient satisfaction. There have been a number of studies correlating the link. So far the primary focus has been to identify and target those that pose a risk. As such, programs like revalidation, mandatory reporting, and increased pathways to check or make complaints, have become the accepted norm. <\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">Recently however there is growing recognition that the above measures aren\u2019t the only or even the best way forward, that they can indeed add to the growing worldwide incidences of physician burnout. So what is the alternative? One of the new age words that has been going around for a while is \u201cWellness\u201d. This idea focuses on the concept of not just being absent of malady but reaching wellness through a balance of a number of parts of a person\u2019s life.\u00a0 Wellness itself is a great tool for professionals going through burnout but not necessarily the only way to prevent burnout. There are systemic measures that need to be put into place.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">Do you have Burnout? &#8211;<\/span><\/h3>\n<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">There are a number of ways to define burnout, but having a number of the following symptoms, suggests that if you don\u2019t have it yet &#8211; you\u2019re on your way to it:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 11pt;\">Physical \u2013 constant exhaustion leading to poor immunity and somatic complaints; no improvement after rest and<br \/>\n<a href=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg\"><img data-attachment-id=\"121\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/tired-3\/\" data-orig-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?fit=540%2C304\" data-orig-size=\"540,304\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"tired\" data-image-description=\"\" data-medium-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?fit=300%2C169\" data-large-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?fit=540%2C304\" loading=\"lazy\" class=\"size-medium wp-image-121 alignright\" src=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?resize=300%2C169\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?resize=300%2C169 300w, https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/tired-2.jpg?w=540 540w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-recalc-dims=\"1\" \/><\/a>recovery; recurring aches and pains, colds and other ills; symptoms similar to those with depression such as poor sleep quality, lethargy, and a loss or increase in appetite<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Emotional \u2013 a negative outlook; detachment; loss of empathy, especially for patients and their situations; diminished motivation; sense of being defeated, trapped or helpless; possible persecutory ideas; angry inappropriate outbursts<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Behavioural \u2013 extreme negativity, callousness and cynicism; anger and cynicism towards patients, colleagues, hospital administration and family; substance abuse, such as an increased reliance on alcohol.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">There is also often an inability or reluctance to engage with work, especially when it involves interacting with patients or colleagues.<\/span><\/p>\n<blockquote><p>\n<span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"><a href=\"https:\/\/web2.bma.org.uk\/drs4drsburn.nsf\/quest?OpenForm\"><span style=\"color: #ff0000;\"><strong><span style=\"text-decoration: underline;\"><span style=\"font-size: 14pt; font-family: Arial;\">Test yourself <\/span><\/span><span style=\"font-size: 14pt; font-family: Arial;\">-&gt;<\/span> <\/strong><\/span><\/a>The BMA has a <\/span><a href=\"https:\/\/web2.bma.org.uk\/drs4drsburn.nsf\/quest?OpenForm\"><span style=\"font-size: 11pt; font-family: Arial; color: #1155cc; text-decoration: underline;\">questionnaire<\/span><\/a><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"> you can do online for you to try yourself.\u00a0 So what are the chances you have burnout?<\/span><\/span><\/p><\/blockquote>\n<p><span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">A study<\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"> in America found that 45% of physicians in 2011 showed significant signs of burnout, by 2014 that number had increased to 54%. In Australia Beyond blue\u2019s link to beyond blue ref 2013 National Mental Health Survey of Doctors and Medical Students which surveyed 12,252 doctors and 1,811 medical students, found that those under 30 have the highest level of burnout, and young doctors have a much higher level of cynicism than students. Major stressors include lack of work\/life balance, too much to do at work, increased responsibility, fear of making mistakes and long work hours. At any given day 1 in 3 doctors are going through issues of burnout.<\/span><\/span><\/p>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">How do doctors burnout?<\/span><\/h3>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">There are a number of things that lead to burnout &#8211; there are a few reasons listed below in Table 1. I won\u2019t go into too much detail about them, as a health professional I\u2019m sure you know nearly all of these reasons very well.<\/span><br \/>\n<span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Table 1<\/span><\/p>\n<table class=\"mceItemTable\" style=\"border: none;\">\n<tbody>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Stress<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">This can come in many forms<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Fatigue<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Lack of energy, tiredness, though it is often a sign of burnout, being fatigued constantly can lead to stress and burnout, and medical errors<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Medical Errors<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">One thing all doctors worry about, and if gone through an incident can lead to significant symptoms of burnout.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Complaints<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Whether justified or not, cleared or not, the actual complaints process, from the personal doubt, emotional hurt, to the professional questioning can often lead to burnout.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Personality<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Where it\u2019s the personality type that is attracted to medicine, or medicine fosters that type. A high achieving, driven personality who doesn\u2019t deal well with failure.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Bullying<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">By supervisors, patients, colleagues, administrators &#8211; Figures suggest 21% of Australian doctors have been bullied in their workplace<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Insufficient Resources<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">The constant struggle to provide healthcare for patients that you care for with insufficient resources.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Devaluation<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">This can come from patients, administrators, politicians, regulators, colleagues in other specialities , our peers, and even ourselves.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Poor Renumeration<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Ongoing unpaid parts of our daily work &#8211; leading to feeling of devaluation, stress, financial pressures, and burnout.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Continuity of care<\/span><\/td>\n<td style=\"padding: 5pt 5pt 5pt 5pt; border: solid #000000 1pt;\"><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">The actual role of a GP,\u00a0 with continuity of care, and care for whole family and community roles and positions perpetuates that idea of a 24\/7 job\/role.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\"><br \/>\nSpecific groups at Risk &#8211;<\/span><\/h3>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Not the complete list but below are some groups of doctors and specifically GPs that are at higher risk of burnout:<\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\">Single<\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 11pt;\">Rural GPs.<a href=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg\"><img data-attachment-id=\"123\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/drowningstethascope-2\/\" data-orig-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?fit=480%2C349\" data-orig-size=\"480,349\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"drowningstethascope\" data-image-description=\"\" data-medium-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?fit=300%2C218\" data-large-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?fit=480%2C349\" loading=\"lazy\" class=\"size-medium wp-image-123 alignright\" src=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?resize=300%2C218\" alt=\"\" width=\"300\" height=\"218\" srcset=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?resize=300%2C218 300w, https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/drowningstethascope-1.jpg?w=480 480w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-recalc-dims=\"1\" \/><\/a><\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Female GPs<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">IMGs (International Medical Graduates)<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">GPs working with certain population groups including: &#8211;<br \/>\n<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 11pt;\">Vulnerable communities or groups of patients such as<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Aboriginal and Torres Strait Islander communities<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Refugees and asylum seekers<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Palliative care patients<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Victims of family violence<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Patients with complex post-traumatic stress disorders<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Addictions or severe mental health and\/or social problems<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">What are the consequences of Burnout ?<\/span><\/h3>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">Burnout can lead to a number of significant effects on a doctors health but also significant costs to a health system, and risks to patients.<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 11pt;\">Mental Health consequences, direct and indirect (loss of working hours, costs in services needed etc..)<\/span><\/li>\n<li><span style=\"font-size: 11pt;\"><br \/>\n<a href=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg\"><img data-attachment-id=\"125\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/burning-question-2\/\" data-orig-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?fit=640%2C360\" data-orig-size=\"640,360\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"burning-question\" data-image-description=\"\" data-medium-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?fit=300%2C169\" data-large-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?fit=640%2C360\" loading=\"lazy\" class=\"size-medium wp-image-125 alignright\" src=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?resize=300%2C169\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?resize=300%2C169 300w, https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/burning-question-1.jpg?w=640 640w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-recalc-dims=\"1\" \/><\/a><\/span>High risk of malpractice\/negligence claims and adverse events<\/li>\n<li><span style=\"font-size: 11pt;\">Reduced effectiveness and efficiency in patient care<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Reduced patient satisfaction<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Reduced staff moral &#8211; the burnout sufferer but also staff around them<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Increased days off and the costs and consequences of that<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Hostile work environment, with other staff having to take up the slack, and general reduction in staff morale and cohesion.<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">High turnover of staff, and the significant costs of that<\/span><\/li>\n<\/ul>\n<p><span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">It\u2019s difficult to assess the costs of the above, but a<\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">\u00a0costs of turnover study found 3.4-5.8% of a hospital&#8217;s annual operating budget goes to turnover of staff, much more if you factor in absenteeism or presenteeism<\/span><\/span><\/p>\n<p><em><span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">Presenteeism &#8211; the lost productivity that occurs when employees come to work but, as a consequence of illness or other conditions, are not fully functioning. In comparison, absenteeism occurs when employees do not come to work.<\/span><\/span><\/em><\/p>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">I think I might be Burnt out or heading there &#8211; What should I do?<\/span><\/h3>\n<p><a href=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg\"><img data-attachment-id=\"126\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/whatshouldido\/\" data-orig-file=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?fit=1920%2C1080\" data-orig-size=\"1920,1080\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"whatshouldido\" data-image-description=\"\" data-medium-file=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?fit=300%2C169\" data-large-file=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?fit=676%2C380\" loading=\"lazy\" class=\"alignnone size-medium wp-image-126\" src=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?resize=300%2C169\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?resize=300%2C169 300w, https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?resize=768%2C432 768w, https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?resize=1024%2C576 1024w, https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?w=1920 1920w, https:\/\/i2.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/whatshouldido.jpg?w=1352 1352w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-recalc-dims=\"1\" \/><\/a><\/p>\n<p><span style=\"color: #000000; font-size: 11pt; font-family: Arial;\">If you\u2019re identifying some of the symptoms of burnout, or know someone who has them, what can you do?\u00a0 A number of strategies are available to address this, but just recognising the burnout itself may be causing some of the symptoms is a great start. <\/span><span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">The RACGP has a list of suggestions that can be found on their clinical guidelines:\u00a0 <\/span><span style=\"font-size: 11pt; font-family: Arial; color: #1155cc; text-decoration: underline;\"><a href=\"http:\/\/www.racgp.org.au\/your-practice\/guidelines\/whitebook\/chapter-14-the-doctor-and-the-importance-of-self-care\/\">\u201cThe doctor and importance of self-care\u201d<\/a>.<\/span><\/span><br \/>\n<span dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">A lot of those suggestions are common sense, but still difficult to apply to your own life. One important thing is to consider \u201cWellness\u201d. We\u2019ve done a post on Wellness that explains this a bit more, and also ways to apply Wellness to your own life. <\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"><br class=\"kix-line-break\" \/><\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">A couple of basic points:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 11pt;\">Seek help &#8211; don\u2019t self manage or especially self medicate! There are number of avenues to do this. Start with family and friends, talk to them about how you are feeling. Colleagues\/Mentors &#8211; can offer support and an objective viewpoint.<a href=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg\"><img data-attachment-id=\"128\" data-permalink=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/patient-as-doctor_gal-2\/\" data-orig-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?fit=416%2C495\" data-orig-size=\"416,495\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"patient-as-doctor_gal\" data-image-description=\"\" data-medium-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?fit=252%2C300\" data-large-file=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?fit=416%2C495\" loading=\"lazy\" class=\"size-medium wp-image-128 alignright\" src=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?resize=252%2C300\" alt=\"\" width=\"252\" height=\"300\" srcset=\"https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?resize=252%2C300 252w, https:\/\/i1.wp.com\/serenityblog.doctorjuvi.com.au\/blog\/wp-content\/uploads\/2017\/04\/patient-as-doctor_gal-1.jpg?w=416 416w\" sizes=\"(max-width: 252px) 100vw, 252px\" data-recalc-dims=\"1\" \/><\/a><\/span><\/li>\n<li><span dir=\"ltr\"><span style=\"font-size: 11pt;\">Get your own GP &#8211; this is very important, so few of us have our own GP. If you\u2019re not sure how follow this to<br \/>\nthe <\/span><a href=\"http:\/\/www.adhn.org.au\/\"><span style=\"font-size: 11pt; color: #1155cc; text-decoration: underline;\">Australian Doctors Health Network<\/span><\/a><span style=\"font-size: 11pt;\">. You can call the number there for your state, and ask for a GP in your area.<\/span><\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Self care &#8211; look after your physical health, take breaks, exercise, eat healthy, avoid alcohol\/drugs, generally put your own health as a priority in your life.<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Wellness &#8211; look at wellness and a balance in your life, what aspects of your life have led to this burnout. Identify the issues, try to alter that, look at other aspects that can provide buffers and protection from the negativity of the causes.<\/span><\/li>\n<li><span style=\"font-size: 11pt;\">Make changes &#8211; don\u2019t just say I should make changes. Sit down, work out what things you can change, and put some strategies in place and activate those steps.<\/span><\/li>\n<\/ul>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">Where to from here?-<\/span><\/h3>\n<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">If you\u2019re active on social media on forums like GPDU (GP down under) or other medical forums or blogs, you would have noticed the increased discussion on burnout, self-care and mental health issues in medicine. Less positively you may have come across news of some doctors who have died tragically of suicide recently. This has increased awareness of the issue of burnout, and mental health in doctors. APHRA, RACGP\/ACRRM and other colleges have already started taking steps to invest in self-care models for doctors, but there is a lot more that we can do systemically and at a personal level.<\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"><br class=\"kix-line-break\" \/><\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\">In the next series of posts I\u2019ll talk about \u201cWellness\u201d and how we can apply it to ourselves, in ways to help prevent burnout.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"margin-top: 16pt; margin-bottom: 4pt;\"><span style=\"font-size: 14pt; font-family: Arial; color: #434343; font-weight: 400;\">References and useful links:<\/span><\/h3>\n<p dir=\"ltr\"><span style=\"font-size: 10pt; font-family: Arial; color: #000000;\">&#8220;Changes in Burnout and Satisfaction With Work-Life Balance in &#8230;.&#8221; Accessed March 31, 2017. <\/span><a href=\"http:\/\/www.mayoclinicproceedings.org\/article\/S0025-6196(15)00716-8\/abstract\"><span style=\"font-size: 10pt; font-family: Arial; color: #1155cc; text-decoration: underline;\">http:\/\/www.mayoclinicproceedings.org\/article\/S0025-6196(15)00716-8\/abstract<\/span><\/a><span style=\"font-size: 10pt; font-family: Arial; color: #000000;\">.<\/span><\/p>\n<p dir=\"ltr\"><span style=\"color: #000000; font-size: 10pt; font-family: arial, helvetica, sans-serif;\"><span style=\"font-family: Arial; color: #000000;\">&#8220;Report &#8211; National Mental Health Survey of Doctors &#8211; Beyondblue.&#8221; Accessed March 31, 2017. <\/span><a href=\"https:\/\/www.beyondblue.org.au\/docs\/default-source\/research-project-files\/bl1132-report---nmhdmss-full-report_web\"><span style=\"font-family: Arial; color: #1155cc; text-decoration: underline;\">https:\/\/www.beyondblue.org.au\/docs\/default-source\/research-project-files\/bl1132-report&#8212;nmhdmss-full-report_web<\/span><\/a><span style=\"font-family: Arial; color: #000000;\">.<\/span><\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-size: 10pt; font-family: arial, helvetica, sans-serif;\"><span style=\"color: #000000;\">\u201c<\/span><span style=\"color: #303030;\">Physician Burnout and Occupational Stress: An\u00a0<\/span><\/span><span style=\"color: #303030; font-size: 10pt; font-family: arial, helvetica, sans-serif;\"><span style=\"color: #303030;\">inconvenient truth with unintended consequences\u201d<\/span>.\u00a0<\/span><span style=\"font-size: 11pt; font-family: Arial; color: #000000;\"><span style=\"font-size: 10pt; font-family: arial, helvetica, sans-serif;\">Michael R. Privitera, Alan H. Rosenstein, Franziska Plessow, Tara M<\/span>. <span style=\"font-size: 10pt;\">LoCastro<\/span>. <a style=\"text-decoration: underline;\" title=\"http:\/\/www.physiciandisruptivebehavior.com\/admin\/articles\/38.pdf\" href=\"http:\/\/www.physiciandisruptivebehavior.com\/admin\/articles\/38.pdf\">http:\/\/www.physiciandisruptivebehavior.com\/admin\/articles\/38.pdf<\/a><\/span><\/p>\n<p dir=\"ltr\"><span style=\"font-family: arial, helvetica, sans-serif; color: #3d3d3d;\">The inevitability of physician burnout: Implications for interventions.\u00a0<\/span><span style=\"font-size: 11pt; font-family: arial, helvetica, sans-serif; color: #000000;\">By Anthony Montgomery [<a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S2213058614000084?np=y&amp;npKey=624a3364a832a67a26ff1ac4d421508bb155acd01d5bc9b2abcc683659ac973d\">Link<\/a>]\u200b<\/span><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-official sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li class=\"share-facebook\"><div class=\"fb-share-button\" data-href=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-layout=\"button_count\"><\/div><\/li><li class=\"share-twitter\"><a href=\"https:\/\/twitter.com\/share\" class=\"twitter-share-button\" data-url=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-text=\"Burnout in Doctors - are you Toast?\" data-via=\"serenityblog_au\" >Tweet<\/a><\/li><li class=\"share-linkedin\"><div class=\"linkedin_button\"><script type=\"in\/share\" data-url=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-counter=\"right\"><\/script><\/div><\/li><li class=\"share-print\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-print sd-button\" href=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" target=\"_blank\" title=\"Click to print\"><span>Print<\/span><\/a><\/li><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>More<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-reddit\"><div class=\"reddit_button\"><iframe src=\"http:\/\/www.reddit.com\/static\/button\/button1.html?newwindow=true&width=120&amp;url=http%3A%2F%2Fserenityblog.doctorjuvi.com.au%2Fblog%2Fburnout-in-doctors-are-you-toast%2F&amp;title=Burnout%20in%20Doctors%20-%20are%20you%20Toast%3F\" height=\"22\" width=\"120\" scrolling=\"no\" frameborder=\"0\"><\/iframe><\/div><\/li><li class=\"share-tumblr\"><a class=\"tumblr-share-button\" target=\"_blank\" href=\"https:\/\/www.tumblr.com\/share\" data-title=\"Burnout in Doctors - are you Toast?\" data-content=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" title=\"Share on Tumblr\"data-posttype=\"link\">Share on Tumblr<\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-pocket\"><div class=\"pocket_button\"><a href=\"https:\/\/getpocket.com\/save\" class=\"pocket-btn\" data-lang=\"en\" data-save-url=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-pocket-count=\"horizontal\" >Pocket<\/a><\/div><\/li><li class=\"share-pinterest\"><div class=\"pinterest_button\"><a href=\"https:\/\/www.pinterest.com\/pin\/create\/button\/?url=http%3A%2F%2Fserenityblog.doctorjuvi.com.au%2Fblog%2Fburnout-in-doctors-are-you-toast%2F&#038;media=https%3A%2F%2Fi0.wp.com%2Fserenityblog.doctorjuvi.com.au%2Fblog%2Fwp-content%2Fuploads%2F2017%2F04%2Fburnttoast.jpg%3Ffit%3D220%252C264&#038;description=Burnout%20in%20Doctors%20-%20are%20you%20Toast%3F\" data-pin-do=\"buttonPin\" data-pin-config=\"beside\"><img src=\"https:\/\/i0.wp.com\/assets.pinterest.com\/images\/pidgets\/pinit_fg_en_rect_gray_20.png?w=676\" data-recalc-dims=\"1\" \/><\/a><\/div><\/li><li class=\"share-end\"><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>There is\u00a0 increasing public perception and commentary that there are systemic failures in Doctors, and that they will or are making mistakes. Regulatory bodies, medical boards, and government try to combat this by looking at systems to identify those who may pose a risk to public safety. The markers that they use are often based around burnout &#8211; substance abuse, mental or physical health, increased medical errors, and reduced patient [&hellip;]<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-official sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li class=\"share-facebook\"><div class=\"fb-share-button\" data-href=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-layout=\"button_count\"><\/div><\/li><li class=\"share-twitter\"><a href=\"https:\/\/twitter.com\/share\" class=\"twitter-share-button\" data-url=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-text=\"Burnout in Doctors - are you Toast?\" data-via=\"serenityblog_au\" >Tweet<\/a><\/li><li class=\"share-linkedin\"><div class=\"linkedin_button\"><script type=\"in\/share\" data-url=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" data-counter=\"right\"><\/script><\/div><\/li><li class=\"share-print\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-print sd-button\" href=\"http:\/\/serenityblog.doctorjuvi.com.au\/blog\/burnout-in-doctors-are-you-toast\/\" target=\"_blank\" title=\"Click to print\"><span>Print<\/span><\/a><\/li><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>More<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-reddit\"><div class=\"reddit_button\"><iframe src=\"http:\/\/www.reddit.com\/static\/button\/button1.html?newwindow=true&width=120&amp;url=http%3A%2F%2Fserenityblog.doctorjuvi.com.au%2Fblog%2Fburnout-in-doctors-are-you-toast%2F&amp;title=Burnout%20in%20Doctors%20-%20are%20you%20Toast%3F\" height=\"22\" width=\"120\" scrolling=\"no\" frameborder=\"0\"><\/iframe><\/div><\/li><li class=\"share-tumblr\"><a class=\"tumblr-share-button\" target=\"_blank\" href=\"https:\/\/www.tumblr.com\/share\" data-title=\"Burnout in Doctors - 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