Kindlelife

Insight, Inspiration, Motivation

Burnout: Chinese vs US Physicians


Just read yet another article on Physician Burnout (http://www.medscape.com/viewarticle/803968). This one compared burnout amongst physicians in China and the United States. In order to keep the groups comparable, only the responses of physicians less than 45 years of age were selected – there were 6000 Chinese, and 7500 US physicians. I was specifically intrigued by one of the charts presented, which is reproduced here:

Options Chinese US
It is manageable and I’m not making any changes 36% 25%
It is manageable but I need to make some changes in hours/workload/etc. 52.2% 62%
I am thinking of leaving my current position 7.3% 7%
I am thinking of leaving medicine altogether 4.5% 5%

Forty two percent of US Physicians, and 82 percent of Chinese physicians who took part in the survey reported burnout. Of these, 52% and 62% respectively said they needed to make changes in their working lives. This is very significant in that 3120 Chinese and 4650 US physicians know they should do things differently. It would be interesting to know how many of them are really doing something about it, and how many simply feel stuck, and will sooner or later end up either resentful or leaving their jobs.

What is even more disconcerting is that almost 12% of the responders in both countries were thinking of either leaving their current job, or giving up medicine altogether. This means, 720 physicians in China and 900  in the US – all under 45 years of age). If we consider the entire physician population in both countries, this number would obviously be much higher.

These physicians who report burnout must have put in a lot of time, money, and sacrifices to get to where they are. The government also would have spent a lot of resources, training them.

I wonder, what would it take for these physicians with burnout, to decide to stay? What would it take for them to re-discover their love for the profession that attracted them initially.

Please let me know your thoughts, either through comments on this page or by e-mail: kindlelife7@yahoo.ca.

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June 17, 2013 Posted by | Personal Journey, Psychology, Self Improvement | , , , , , , , , | 2 Comments

Why Physicians Burnout – and Why They Don’t Seek Help


In my last blog post, I wrote about the problem of surgeon burnout. Although the particular paper cited was about surgeons, burnout is not a problem of surgeons alone. It is common amongt all physicians, and even among medical students and residents these days. It is becoming more prevalent, as the stresses in life all around us seem to be getting worse.  I have been pondering on the reasons for this, and have come up with the following:

Physicians are High Achievers – Most of them have been high achievers from their school days, and have been consistently working hard, putting in long days and nights, through their medical school and residency, and even afterwards, in most cases.

Delayed Gratification that wasn’t! Many of them chose to “work while their companions played” (a little poetic justice used there), thinking that if they worked hard now, they could have the good life later (trust me, I know. My father promised me that if I worked really hard in the last 2 years before college, and got into med school, I would never have to work so hard again)! They often come out of their residency with huge student loans, that they find themselves working even harder to pay off. If they have a family, or other responsibilities, then it is one thing after another, and before they know it, they hit the middle ages, and feel cheated.

The Ever Changing Health Care System– It is becoming more and more difficult to practise medicine with the diminishing resources, and increasing expectations, that there is a great deal of frustration on a day-to-day basis.

High Expectations – Physicians are seen as knowledgable, and ‘life savers’ by their families and their patients, and when they do not get good results, they often find it difficult to accept. While they enjoy their successes, many take the treatment failures quite badly. They also want to be really good at what they do, and so are their own worst critics.

Sources of Strength – Physicians are the sources of strength for their patients and families, at their most vulnerable times, ie, when they are sick, or have a sick relative. Because they carry out this function really well, most of the time, they are somehow seen as strong people, and so, they try to live up to that image subconsciously, even in the face of their own stress.

Why do they not seek help?

Unfortunately, physicians are their own enemies, in that they are the last to acknowledge their own problems, and even when they do recognise it, are unwilling to seek help. This may be because of two main factors.

Fear of appearing weak – Physicians may not want to seek help because they are afraid to be seen as weak in any way, considering they are the sources of strength at home and in the community.

Lack of Support – There really isn’t much support to the physician at risk of burnout, or who is going through excessive stress. There are physician hotlines for when they have reached a pathological level that they are unable to function, and have either broken down completely, or worse, are considering suicide!

What we really need is coaching to help guide them through troubled waters, and PREVENT suicidal ideation, rather than treatment for it.

Tell me, what do you think might be some other factors in physician burn out, and what you have found helpful in your own experience, to overcome it.

March 10, 2012 Posted by | Personal Journey, Psychology, Self Improvement | , , , , , , , , , | 6 Comments

   

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