Skip to main content

Job Burnout Strangling Workers - Is There a Way Out?

There is an epidemic of burnout in this country.  Many professions are targeted.  Ask a teacher, a police officer, a politician or even your mailman about the increasing burdens that have been foisted upon them, and be prepared to hear frustrating and demoralizing responses.  The burnout malady has hit the medical profession hard and is reaching down the age ladder toward younger medical professionals.

While my generation didn’t create burnout by intention, it does seem that we have permitted and even facilitated its proliferation.  Why have we done this?  What are the consequences?  How can we push back?

Using a medical analogy, it’s often much easier to diagnosis an affliction than it is to treat it.  For instance, physicians routinely and reliably diagnose degenerative arthritis, but we can’t cure it and often our treatments are inadequate.  So, it is with burnout, particularly once it has become firmly established in our occupational landscape.

The better strategy, of course, would have been to prevent its development.  We missed that chance.  The next opportunity would have been to snuff it out when burnout first crept onto the scene.  Strike 2.  Now we face a formidable adversary with winding and toxic tentacles reaching far and wide.  And just like in a real octopus, if a tentacle is severed, a new one will take its place.  While it’s no longer seems to be a fair fight, the battle must be joined.

The burnout beast is strangling us all.

Burnout is the end result of inexorable mission creep where additional burdens and requirements are incrementally dumped onto workers and professionals.  The new tasks are typically time consuming, tedious and are not consonant with the job’s actual purpose.  It burns up time and morale. Burnout can also result from simply demanding greater job performance usually without providing additional compensation. 

Can you say overwhelmed?  Burnout exacts physical and psychological costs which do not magically disappear at the close of the work day.   It follows folks everywhere.  Do you think it might affect relationships at home and elsewhere? 

The consequences of these phenomena are self-evident.  Burned out folks clearly won’t perform optimally.  Many will retire early if they can.  There is also a contagion effect when a few simmering workers can taint the overall work culture.  And it gets harder to draw others into a profession whose workers feel overworked and underappreciated.   As an example, although law enforcement is a noble calling, many young people are choosing other occupational opportunities because the field has become so challenging.  Who wins here? 

In the coming weeks I will highlight the effects of burnout on the medical profession.  As always, I  welcome readers' comments.

This blog now has over 800 posts - no blog burnout here!

 

Comments

Popular posts from this blog

Why Most Doctors Choose Employment

Increasingly, physicians today are employed and most of them willingly so.  The advantages of this employment model, which I will highlight below, appeal to the current and emerging generations of physicians and medical professionals.  In addition, the alternatives to direct employment are scarce, although they do exist.  Private practice gastroenterology practices in Cleveland, for example, are increasingly rare sightings.  Another practice model is gaining ground rapidly on the medical landscape.   Private equity (PE) firms have   been purchasing medical practices who are in need of capital and management oversight.   PE can provide services efficiently as they may be serving multiple practices and have economies of scale.   While these physicians technically have authority over all medical decisions, the PE partners can exert behavioral influences on physicians which can be ethically problematic. For example, if the PE folks reduce non-medical overhead, this may very directly affe

Should Doctors Wear White Coats?

Many professions can be easily identified by their uniforms or state of dress. Consider how easy it is for us to identify a policeman, a judge, a baseball player, a housekeeper, a chef, or a soldier.  There must be a reason why so many professions require a uniform.  Presumably, it is to create team spirit among colleagues and to communicate a message to the clientele.  It certainly doesn’t enhance professional performance.  For instance, do we think if a judge ditches the robe and is wearing jeans and a T-shirt, that he or she cannot issue sage rulings?  If members of a baseball team showed up dressed in comfortable street clothes, would they commit more errors or achieve fewer hits?  The medical profession for most of its existence has had its own uniform.   Male doctors donned a shirt and tie and all doctors wore the iconic white coat.   The stated reason was that this created an aura of professionalism that inspired confidence in patients and their families.   Indeed, even today

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) During college, I worked as a secretary