"Bill murdered the CEO?" "The coroner said it was the most brutal beating with a laptop he's ever seen." "How's Bill in prison?" "Feels better than he did at the hospital."
Wildly agree!!! All of the focus on burnout has been "how can we get you to work anyway." If they actually cared about burnout, why not address the root causes instead of opting for a bandaid?
Like toxic positivity, post traumatic growth and mindfulness, concepts and principles built by psychologists to try and promote positive systematic change is coopted by the system to...blame individuals for their perceived shortcomings..or justify abuse...because change would reduce profits and nobody can have that.
@@gurneyqueen5782 Having management able to believably convey basic human empathy instead of constantly seeming like sociopathic lizard people is presumably no more expensive than regular management.
Hey at least the "anti burnout" courses are for free and online so you can comfortably watch them from your work place during the 5 minutes breaks in between 24 hours shifts
We were encouraged to use our “golden weekends” to watch them, since then we wouldn’t be using hospital resources or time to learn how to better utilize our free time to ensure we weren’t getting burnt out… 🤦🏻♂️🤦🏻♂️🤦🏻♂️
For me the best part was the CEO proudly mouthing the lines of his treasured publicity stunt. Truly captured the level of entitlement and ignorance that has to be present for anyone to look at our system and think they still deserve million dollar bonuses...
I remember doing paediatrics years ago. I would be one of two doctors covering the entire hospital at nights and weekends. I worked 36 hours on, 12 off, for 2 months straight because we were short staffed.At the end of a 36 hour shift, I was in the emergency room, trying to write up notes, I hadn’t done any neonatal checks or discharges, and a SHO came in and looked at my face (this is unusual, people just fire questions and complaints at you, but forget you’re a person and don’t even look you in the eye), and just asked “are you ok?” I burst into tears. Proper, inconsolable ugly crying. She called our consultant, and he actually came in ON THE WEEKEND to help. Apparently they were all amazed I hadn’t broken sooner. Which begs the question, why wasn’t I offered help sooner? I quit paediatrics within a year. loved the specialty, but it was killing me.
@@LucyStokesOceansofNotions is it a message from the sky to find your comment, I love pathology, but I wanna be more clinical, I was thinking of EM/IM dual board, idk
@@jessicas.6235 thank you. I didn’t realise how miserable I was until I left. I then realised that I could have a job where I didn’t dread getting up to go to work! I’m a big nerd really, pathology suits me down to the ground.
@@LucyStokesOceansofNotions ikr, pathology is amazing, it is like the science behind everything in medicine, but I just don't know what to do with my life at this point, It was really nice to find your comment ❤❤
Our HR has a zen garden and does breathing meditation every day at 9:30. They have enough healthy lifestyles for everyone else that is actually working so I guess it will someday “trickle down”
Don't worry, we really won't call the CEO on you. We all stick together, you really just have to figure out who you can talk to. I prefer nurses. It's been a long time since I was young, but I've always found comfort in the old school senior nurses in the ED. I'm back in school headed to Palliative. We're all family. You'll see.
"you, and you alone..." is truly the nail in the coffin. Healthy Gamer has an excellent breakdown of burnout without too much of the "you're SOL" feels
When I saw the CEO sprinting with his laptop, I thought he was going to fire off a hospital-wide email on how well we have all done during these pressing times, signed by all the upper executives who no one has ever heard of.
This’s me a few months ago. Currently on sick leave from work. It took my brain 4 months just to even begin to recover. Burnout is a nightmare I wouldn’t wish on anyone. I want healthcare to do better. Also, all hospital CEOs should be forced to do every resiliency module that has ever been created while burned out so they can understand just how insulting it truly is, as a concept.
Burnout has nothing to do with depression. Burnout is your body's response to chronic very high levels of stress non stop on your job, which has a heavy toll on your brain and can even alter the activity of parts of it
Portugal, basically the whole health system is burned out (personally my weeks are 62 to 80h) and the Health Minister just said "resiliency" should be a higher priority when contracting medics, and is as or even more important than clinical knowledge. A week later she cried on television because some people (guess who) didn't appreciate those kind of comments. The sweet irony...
At one point during the first COVID wave, after I’d spent 20 minutes in the closet crying, I returned to the ward only to find my friend and colleague sitting at the computer watching cute puppy videos on UA-cam. I sat down next to him and we watched the puppers be silly and adorable for the next half hour. That was the high point of that day. Bill needs puppy videos..atleast a temporary solution for burnout 🙃
Retired anesthesiologist with multiple medical issues due to burn out. COVID isolation has been a big trigger. I have self soothed watching baby gorillas. Very soul soothing.😋😋😋😋😋😋
Puppy videos are pretty good. But I think for that level of burnout, an in person puppy cuddle pile is probably needed. Not a cure, but a good palliative measure.
A first year Internal Medicine resident here, with a big unchecked Post-rounds list sitting in 4th floor short stay unit. Never related to a video more
Months ago when our hospitals and ambulances were overloaded due to the Delta variant, doctors and paramedics and nurses were all crying out for help, something, anything... our politicians here in Australia told the public the health system was coping. I will never get over it.
Currently got ads about leaving ED for emergencies; we had those going pre pandemic so not sure why the politicians thought we'd be ok in a pandemic when we were struggling before this.
@@romulus7739 The current administration are presently handing out a couple hundred bucks to front line workers... Then they called an election. So, ya know, attempting to bribe a vote.
@@romulus7739 Frankly, if they provided food on a regular basis (even if just pizza) it would have helped a fair bit. It both shows appreciation and reduces the amount of misc stuff that the care team needs to plan for.
Literally my entire department right now.... Thank you for your work. These videos are way more therapeutic than that 10 part resiliency course I'm behind on.
I can deal with hard stuff as long as I can vent at home and admin or your boss or whatever supports you. As long as they know what you’re going through and you know you’re not crazy, people can deal. When admin’s solution to the problems are “have you tried meditating?” Or telling you that being human is unprofessional, when they’re no longer on your side, that’s when I burnout. That’s why workers across the country have taken matters into their own hands by quitting or threatening to strike. Of course, this results in new people being hired who don’t know what they’re getting into, being asked to spin plates due to short staffing, furthering stress, resulting in burnout, and rinse and repeat.
So many of my (burned out) senior partners wonder why I, as a new, fresh out of residency junior partner wasn’t picking up extra calls and weekends like so many others of my cohort since we’re all “typically young and hungry!” I finally had to tell one of them that I wanted to actually watch my kids grow up rather than work so I could pay someone else to watch them grow up… He looked at me like I was from another planet and he couldn’t fathom my motivations… So sad… I try not to say that to any of my other partners though, because when one of them overheard me saying that, he got the saddest, most introspective look on his face I’ve ever seen on an attending physician… It broke my heart!
Something similar happened to me as an ER physician, except I was being called into meetings with the department head and dressed down for not being a "team player". I was threatened with firing, poor recommendations and everything else they could think of. My crime? I didn't want to work more than 2 extra shifts a week, and refused to pick up an extra shift on Christmas day.
I'm from the Netherlands and will start residency in 2 years, the tide is VERY slowly turning here as well, please keep saying this to other colleagues and med students, so it will become the norm instead of an anomaly to actually want to be home/have a life outside of our wonderful field. Thanks for sharing :)
Not a doctor, but enjoy these videos. Our two-year-old son had a 13-hour surgery with a brilliant surgeon. We spent a lot of time in clinic with this doctor and became extremely grateful for his work. One time, I asked the surgeon what his kids were like when they were my son's age as a way to make conversation in one of the appointments. He legit answered something like, "I don't know. I was working. My wife raised them." Nothing is worth that answer.
Bill is lucky some other drs showed concern. In some hospitals you're not even allowed to look burned out and you get tagged as "difficult"if you can't smile or look happy to be working there.
@@TheRocketbabydoll you... you get breaks? I want breaks. 1 minute even. That would be nice. Man doctorin' is some crazy business. Just had a conversation with a pulmonologist about 25 years in who was damn near in tears bc she was getting dressed down for trying to spend time with patients and actually do a history and exam and a proper chart check. Wasn't fast enough. It's not us, it's the system. If expected to churn and burn, don't be surprised when we burn.
The fact that doctors all around the world can relate to this one guy's skits just shows how universal the medical training/job/burnout experience can be
I think all corporate employees can relate to this, but most of us aren't saving lives or quality of life. Thanks to you, I remembered and scheduled my long overdue eye exam for May! Cheers and can't wait for wth Wednesday!
I known that vacant stare all too well. What he needs is a cup of coffee from the nursing coordinator, a reminder that he's doing the next teaching session on the intricacies of common bile duct injuries, and seven calls from the ER flow nurse checking whether those 7 referrals can come to the ward while their work-up is pending.
I'm so glad to see Family Medicine as a part of this! My mom was one, and they have to deal with a lot of shit. That woman knows what to do in every medical situation possible, honestly, and is used to not having fancy stuff to diagnose or solve problems. She has saved the lives of at least 3 family members (my dad, grandma and grandpa) at least once each over the years, by simply knowing how to improvise and apply her knowledge. A good clinic or family doctor is what everybody needs most of the time :)
I know this feeling all too well. It first starts rather benign, getting up from bed becomes more and more difficult, a sense of looming dread every time you walk into the hospital, feeling pure envy towards the patients that are admitted because they get to lay in bed all day, and it stays like that for a few months. Then it progresses to specific ideations, "if I crash my car into this curb right now at full speed maybe I'll get hurt enough that I don't have to go to work today" "This knife I am using to cut the tomatoes, if I just stab it into my thigh all the way to the hilt maybe I'll get a sick leave to stay home for a few days so I can sleep for a bit". Then it goes one of three ways, you either just snap out of it one day which is highly unlikely but does happen usually following an extended vacation, or you snap at one point either by making a scene or you do something so egregious you are basically just taunting being fired while laughing about it cause the absolute worse thing that can happen is that they'll kill you and death in your state of mind at that point is a better outcome than coming to work one day more, or you just quit and say "I don't think this field is for me after all and I am looking to change my speciality" which is the most political way of going about quitting g your job without harming your future career.
You misses the resenting the patient for being there because yeah, OK they're sick, but they're also work you don't have time for. Lucky people (like me) are in a position to recognise what's happening at that stage and can take a break/make a change. Unfortunately many (especially the very junior doctors) can't act at that point and things progress. I took a few months, changed how and where I work. Now I have a much better work life balance and I see patients as sick people needing help again, rather than nuisances. Burnout happens and it's awful. There is a way out, but I'm pretty sure "resilience courses" aren't it, for anyone
@@lepangolin4080 you're not being yourself when this happens, because at that point you're so overworked and depressed you can't even think straight. If you've experienced burnout but never this bad, it doesn't mean you won't in the future. We should try and change the system, without blaming people who just tried to do their best to keep up with it
@@lepangolin4080 No. I worked in the NHS, the pay wasn't great. Money wasn't the driver. The reason I could see patients as nuisances was a combination of burnout and high demand from patients about mainly non medical issues. Actually, 100% about non medical issues.
my company did literally that when I had burnout. cut my salary, cut my worktime, sent me to resiliency training in my free time - mandatory. however I am happy they did. I got more resilient in my next job and they payed the training.
This is so fucking accurate. I literally had to sit through a burnout/resiliency keynote during my nurse residency. Basically, it's your fault and your fault alone that you're burned out, and only you can fix it.
My company pushes their insurance-paid counseling....because, you see, the problem is you. What they NEED to do is fire the mentally-crippling managers.
I clean the doctor office area at my hospital. I pull the trash, clean bathrooms, and vacuum. I vacuum once a week. Not a heavy traffic area. Some if the offices I have to vacuum more then once a week. The Specials office is an example. I have to vacuum that office three to four times. There is always food on the ground.They have to eat so fast it makes a mess. My hat goes off to the burnt out doctors out there. Yall keep up the great work. Even if it makes a mess.
That was incredible! You had complex interactions between multiple characters and with multiple very accurate portrayals. Hard to believe that this was all you! Excellent scripting! Really taking things to the next level, not that it was shabby beforehand
Our region offered our clinic's docs a resiliency course (on-line, of course) - we all declined. We'd already be gone if we weren't resilient - what we really need is systemic Jonathons!!!
I'm also on unpaid medical leave due to burnout & this video makes me grateful for the time I've gotten away from work. Getting out of bed is no longer a struggle & I don't spend most of my day feeling weighted down & hopeless! Here's hoping that the Bills of the world finally get the extended time off that they need 🙏
Internal medicine resident here, entering my 3rd year...the way many of the comments here, as well as the video describe it is just right. The constant disappointment, the physical fatigue, the psychological exhaustion, the feel of "burden" that overtakes evey aspect of every day life... so sad that I, like many others, am forced to actively plan my escape from this job I really love
It's not the job. It's everything about the job that's not the job. The bullying, the constant unrostered overtime, the cancelling fo plans, the angry patient, the demanding family, the back to back to back emergencies, the overwhelming amount of discharge summaries you have to do, the calls when you are not at work
I'm surprised doctors don't have strong unions to prevent this kind of thing from happening. I work in aviation and if management tried to pull this kind of shit on us there would be hell to pay.
If there were more strikes, community health would be collapsing, which is outlawed in many countries. So we can't fight for our rights as much as we want, sadly.
This is literally why I got out of medicine and biotech! Well, after a 6-week medical leave and multiple daily panic attacks. I finally had to listen to my body. The joke about not being able to use your muscles was sadly relatable
@@larkrising25 After i went back to work from medical leave, I really was able to see then that it was the work and environment that contributed to my breakdown. So I budgeted to be able to financially take 3 months off and set a rule for myself that I would not even look at new jobs for at least 4 weeks. During that 4 week's I got clear on what my core values are and what kinds of jobs might align with that. Also spent a lot of time sleeping in, exercising, connecting with friends and loved ones, as well as doing anything that sounded fun or uplifting. By the end of that four weeks, my head was much clearer and I started looking for jobs that aligned with my values but would not waste my education, and I'm now in social work, while also volunteering with adults who have I/DD and mental health challenges. And I'm soooooooo much healthier and happier. My hair is even growing back! Lol
CEOs don't really care. They know that after a while we will develop "Battered Spouse" Syndrome and the abuse will seem normal to us. And if they get lucky we might even think that bad things happen because we are not working hard enough.
As an MLT that has seen coworkers get burned out (understaffed lab with COVID at a major hospital? CRAZY workloads) and possibly on the way to burnout myself, this is bull. We're human too. What we need is better staffing and better pay, not just some cookies in a baggie saying "job well done." That being said, those are things our direct manager can't control and I'm fortunate that our manager is big on giving us our PTO in order to PREVENT burnout... I wish more people had management like that. Eagerly awaiting May for a much needed vacation!
I LOVE this! I work at a cancer hospital, and a recent survey of employees revealed a massive burnout problem. My department had a meeting to stress that we need to maintain good work-life balance, as if it is our fault we have burnout. When I mentioned it is hard having good work-life balance when I have 12 active projects in my queue (biostatistician; work in research), she said to just tell the PIs that I will be late getting them my projects. Oh, if only life were that simple.
They said that at my company, too, that we need to learn how to balance our home and work lives. They recommend free therapy (insurance-covered). They just required an online training course called "The Positive Workplace." Everyone was livid, and it had the opposite effect.
I love that Family Med is so ridic burned out and out-of-it but can still barely look at a patient and identify what's wrong immediately. Family med doctors need way more respect than they get.
In all my years of teaching, I've never before know a teacher to quit in the middle of the year. This year, two quit in one grade alone. But we get jeans day every Friday!
i went to a charter school (2014-2018ish), that only had a couple staff, no guidance counselor, amd became a "my kid got kicked out of every other public school in the city and you guys get paid by the student" kind of place. holes in the walls from where kids put chairs through them, a kid who once threatened the entire school, staff included, the whole shebang. the academic model was constantly shifting and poorly explained to staff, i saw multiple teachers cry, and turnover was so common that we regularly didn't have teachers for a subject for the whole school for months at a time. teachers would get so burnt out that they would quit in the middle of the semester, sometimes only months after starting to teach. sometimes they were only there a few weeks. even the STUDENTS got burnt out by the sheer pressure of the hopelessness of the place. i was there almost 5 years. it was a small school, maybe 80 kids total but on a near constant rotation of one kid dropping out and being replaced by another new student... only 3 people graduated in the whole time i was there. i dropped out after realizing the stress was going to actually kill me. i can only imagine how schools are doing now. horrific. good luck and im so sorry. glad you get jeans day though im sure that helps a ton 🙃🙃🙃
I was on a safety committee. Everything that went wrong was always the staff members fault. We had one staff member get dust in her eye and they made her take an in service about not turning her face towards air condition vents. SMH 🤦♀️.
Thank you for the reminder! I’ve been taking time to recover myself and I’m terrified to go back to a system that will try its hardest to undo all the progress I’ve made…and I haven’t even finished Med school yet. Best thing we can do is show solidarity and also speak out on our experiences to destigmatize something we know so many of us face. And combat the status quo of “well, dr. X is handling it, why can’t you? We’ve always done it this way”…yeah. So that explains why patient satisfaction, etc is still so low…
I left practice in December of 2021. The burn out is starting to abate, but watching this month's series (September 2023) on healthcare in the US has demonstrated to me that it is still just below the surface. I started a MA of Applied Child and Adolescent Development in Infant and Early Childhood Mental Health (IECMH) in 2018, finally graduated in May. In many ways, I'm prouder of that MA than I am of my MD. We spend a lot of time in reflective practice and reflective consultation in IECMH. The only possible way for me to return to medical practice is to bring the reflective practice/consultation model with me and start sharing it with other physicians.
Wait. There’s a course on resiliency?! This is the cure for burnout?! Doc G., I’m an seasoned OR nurse. 15 years this years. Your content is so accurate. Especially Ortho Bro! My prayer is that we healthcare professionals take care of ourselves better and not wait for the misguided yet kind intentions of corporate healthcare. Maybe a short on a nurse and doc collab? Thank you! ❤️
100% what teachers are facing right now too! Just replace "CEO" with "Superintendent" and it's essentially the same damn story. Ortho is a PE teacher, Ophthalmology without a Scribe is either a Music/Art teacher without their tools or a Tech teacher in a power outage, and Family Medicine is that senior teacher/ curriculum coach (if anyone still has those that haven't been forced back into classroom teaching or fired) who has been through it all but is still trying to put in 110% because they love their kids so much. We have different titles, but we're facing the same problems with lack of respect and understanding of the general public, lack of living wages in the face of insane student debt, and being grossly overworked. I just got home. It's 7:25pm. And I'm a substitute teacher/ learning recovery tutor. There were at least 4 full staff teachers still at the school when I left. But we'll go in tomorrow, be greeted with hugs and happy hellos from children who may not know much kindness at home, and we'll keep showing up, finding ways to survive, because we know we may be the only people who are keeping tabs on some of our kiddos who desperately need more intervention from the barely existent CPS in our state. The general population has so little respect, appreciation, and even comprehension of what we all endure. It's a miracle our society hasn't fallen apart long before now, because these problems aren't new or pandemic creations.
I was fine, then I watched this video and had the urge to stay in bed for the rest of the year. Resilience training modules...ugh. Not a medical professional, but the thought of this saps the spirit right out of me.
Isn't it crazy when we talk about healthcare reform, we forget about the health care providers? My vascular doctor put stent my leg on a Sunday. That was my 7th day in the hospital but he would not discharge me without being cared for properly. Thank you Dr Weinberger ❤
thanks for bringing light to this situation!! I work in healthcare as well and the mention of CEO and resiliency training was HILARIOUS and spot on The true cure for Burn out is adequate vacation time upfront vs accumulated PTO per pay period, flexible schedule, more staff to assist teams with high demands Be well everyone
Your daily reminder that resiliency is not the cure for burnout, it’s your tolerance for burnout. No matter how resilient you are, you’re just resisting the effects of being miserable until they wear you down.
Hospitals know the cure for nurses feeling burn out: little caesars pizza- exactly one slice for each nurse. Make sure it's cold, only in the break room, and that there is a note on one of the boxes saying something along the lines of "thank you to our (hospital name) family for stepping up in these tough times!
When I worked as a paramedic (I’m disabled now from a work injury) our main office had a whole room filled with snack and drinks for us to take on the days when we were too busy to take lunch breaks. The problem was that the cabinets were always locked and no one ever knew where the key was. But, hey, at least we got to see the cute poster with a fire truck saying “Thank you, for saving lives!” that was taped to the door.
I feel seen. As a family doctor, now a hospitalist in my rural hospital who today managed a right heart failure patient with pulmonary hypotension intubated in our little ICU…and then got yelled at by the pulm crit tele doc on the ipad…I feel you Bill.
I used to work in a rural hospital so I understand the specialist on a phone scenario who criticises a rural dr for managing a patient even they would struggle with the patient themselves.
Family nurse practitioner here. We rolled out our new EMR last week. That was the look on my face today. I’m burned out to the max and the admin brought us back packs with granola bars for our efforts. I’m ready to give up 30 years at the beside to work at the coffee shop and dispense stimulants that don’t require a prescription. Thank you for posting this one. Laughter with a big sigh. Good medicine
I’m a second year Family medicine resident and I appreciate that the FM doc always looks discombobulated because that’s exactly how I look ever day. But I wouldn’t change my specialty for the world!
Oh god. I love this so much. But hate it equally. Lol. My personal favorite is the sleep deprivation WBT where they basically tell us to drink coffee, but don’t use other stimulants, and to call a taxi if we don’t feel safe to drive. We can make life and death medical decisions, sure, but we aren’t save to drive ourselves home. God I hate this job, lol. #TeamBill
I recall the 140 hour work weeks to get my paramedic... Two years, year and half homeless and the last bit renting a room with seven other tenants... I took a loooong break from it all.
I'm only front desk, but I work in the biggest subspec clinic in our hospital *and* the whole hospital is short receptionists. And most other staff. We're ALL burnt out in healthcare. Solidarity, and wishing my fellow HCWs plenty of coffee and at least five solid uninterrupted minutes of peace here and there.
Bills story feels like the one you relate to, cry out to ,hoping noone sees you , wishing everything turns out good at end but kinda you know the ending & you leave with that empty look in eyes.*zoom in on face* Amazing work Dr.G👍
i'm not in the medical sector, but a social worker (working in daycare with 0-3yos, with and w/o disability) and i've gone through two burnouts in the 10 years i've been at my workplace it's one of the shittiest feelings you can experience thankfully, i'm on good SSNRI meds and a lot better now my heart goes out to all of you people putting themselves into their work, especially medical/social workers
Well done! Seems to be the current strategy. The reason for this tactic is that then the managers can document that they've done something about the burnout problem as well as talk about what they've done to solve the burnout problem in various meetings. So... problem solved! Meanwhile, Bill and I are staring off into space.
A wise man named Thor from Pirate Software once said that burnout is not hating your passion, it’s that that passion , no matter how hard you work on improving or continuing it, is not rewarding you for that work. It’s In simple terms literally an abusive relationship with what you love doing.
Nurse here. During senior clinicals, my secret bathroom was also hidden, around the corner from the coffee shop. So I could order a coffee, nap on the toilet for 5-10 minutes while my coffee cools, then suck down a coffee real quick before post conference. Worked like a charm.
We have mandatory wellness /resilience sessions at my med school that are scheduled in awkward times and force students to come to campus. Even the professors leading the sessions admit that giving us time off instead would be better at improving student wellness :(
I can relate. I’ve decided to change to a less stressful position and I’m so happy. Less pay but better quality of life. A big part of burnout is people feeling like they have to stay in their jobs for the paycheck thanks to debt. I feel awful for all the docs with so much school debt. If you could get rid of that you could live differently.
This hits close to home having seen my wife go through family medicine residency during covid (it hit halfway through her intern year), in a rural area, and having a newborn. I'll always appreciate your depiction of family medicine.
The very best part of this is the CEO "cares" enough to show up, and then doesn't care at all because he doesn't even just talk to him himself, it's the video he gives him of himself. I've never seen it so accurately portrayed.
As someone who’s getting ready for Step 1 I can relate to a lot of these videos but it scares me to the harsh realities that a lot of students and Drs have to endure. It’s a shame we can’t make more impactiful change sooner even after seeing how fragile the system with Covid
It's hard to say this without sounding rude... But if you're relating to burn-out as a Med student preparing for step 1.... Well I guess the only nice thing to say would be I hope you're relating on a sarcastic level, because it's a tad bit early to be "burning out" where you are. That's like...gah I'll stop myself here. Work hard, try not to stress too much and good luck!
@@TTTrouble I think I know what you're trying to say. Would this fit, "I really hope you know what you are getting into and you are aware of what your limits are. Just like with any career, medicine is a long arduous journey and it is in your best interest to be sure that you are ready for it, but if you are not, then it's best to sit back and reconsider and understand that there are multiple paths to a career in medicine that don't require medical school."
@@TTTrouble vro you probably have no idea what it’s like to be a med student. I’m in the same spot and EVERY SINGLE PERSON I KNOW who is MS2 at this point in time is burnt out. Imagine having a battery of exams every 2-3 weeks, 6-8 hours of lectures per day, and having to study for boards, while still having to feed yourself and sleep. If anything clinical life seems like a reprieve…
@@PhoenixRoseYT He's making a solid point though, regardless of if he is or is not. Working is lot harder than classes cause the stakes are higher, there's no study group or Chegg or office hours to get help. Especially with the pandemic, as a former pediatric doctor said in the comments, you are often working 20+ hours straight (she had 36hrs on and 12hrs off) with little break. If you are struggling this badly with classes, you might truly be eaten alive once you start working. Even then, all he suggested was to really make sure you are ready for what you're going to get yourself into cause there's a reason why so many doctors and medical staff are quitting now. They made it through medical school but working full time was too much, especially right now during the pandemic
This is too hilarious! Mid 2020 I collapsed and sat in the hall like Bill. No joke. Only difference is that I had my face in my hands. I remember it clearly. It happened the week they switched to virtual treatment without tech support… so we had to play the role of tech support AND clinician to our patients who had little to no experience with technology….. spending entire sessions (which ended up being unbillable) teaching patients how to download the app and manage troubleshooting issues pushed me over the edge… They gave us a pizza party months later.
This is me right now as a med student! I’m trying to juggle being a mother of a toddler and a baby while doing pre-clinicals, and I just wish we had 1 weekend to just take off. Good timing on this video, doc!
Because a) you're human and b) your singular purpose is to help your patients, whereas the CEO's singular purpose is to get you to both refer to and think of your patients as The Client and The Consumer.
@@Feve5 *flashbacks to when I worked in group home and they suddenly started making us call our residents Consumers* Ugh I hated that. My folks were people, not money-making machines. I refused to do it.
The key is honestly understanding and internalizing that no one cares about your mental wellness. Once people get it: They can better balance work/life and consider what decisions (i.e., negotiating contracts, picking workers hours, accepting/declining additional responsibilities, etc…) actually cost. Doctors have the habit of accepting money in exchange for what it can’t buy.
I have my university entrance exams next week, and I studied so much the past few months that at the final stage I’m burnt out. I can’t even look at my books now, and I haven’t finished studying. 😭
My mom’s facing burnout so hard rn as a night shift med surge nurse. I told her the other day that she can call me while she gets ready for work and she straight up said that she usually cries while getting ready 😭 it’s so terrible, the state of our healthcare system
I felt this one on a deep, spiritual level. Nothing like laying on the cold, comforting hospital floor 22 hours into your shift after your 5th trauma of the night.
"Bill murdered the CEO?"
"The coroner said it was the most brutal beating with a laptop he's ever seen."
"How's Bill in prison?"
"Feels better than he did at the hospital."
Or, in x-ray: “I didn’t know a laptop could fit all the way up there”
😂
DUUUUDE lol
Best comment ever
I mean... I'm not a lawyer, but if there is any justice in the world, the jury would recognise that as self-defence.
Let us all take a moment to appreciate that primary care is "easy and boring" until specialists run into an undifferentiated patient. Family Med FTW!
Fybromialic here o/ can tell
GPs are like vets, but for humans. Never know what they're gonna see.
**coughs in EM**
@@ulogy There are specialist and GP vets, just FYI.
@@keeganjones6311 If you gotta go to a specialist vet and aren't a farmer, you need to get less complicated pets.
The focus on “burnout’s” cure being “resiliency” is like saying a victim of abuse needs to get over it.
Wildly agree!!! All of the focus on burnout has been "how can we get you to work anyway." If they actually cared about burnout, why not address the root causes instead of opting for a bandaid?
@@MerrySpradling because addressing the root causes would cost them money
“Hey that guys tired”. “Oh. Okay. Well he can just run alongside my humvee while he learns about stamina on the track”.
Like toxic positivity, post traumatic growth and mindfulness, concepts and principles built by psychologists to try and promote positive systematic change is coopted by the system to...blame individuals for their perceived shortcomings..or justify abuse...because change would reduce profits and nobody can have that.
@@gurneyqueen5782 Having management able to believably convey basic human empathy instead of constantly seeming like sociopathic lizard people is presumably no more expensive than regular management.
Hey at least the "anti burnout" courses are for free and online so you can comfortably watch them from your work place during the 5 minutes breaks in between 24 hours shifts
wait. you have those?? brayeks??
@@samanthafreeman4315 Don’t listen to them. It’s disinformation.
Or....you are expected to watch it on your own free time. Cause we are short staffed and can't afford to have someone out.
Ah, let me guess - from the secret hospital bathroom. 😭
We were encouraged to use our “golden weekends” to watch them, since then we wouldn’t be using hospital resources or time to learn how to better utilize our free time to ensure we weren’t getting burnt out… 🤦🏻♂️🤦🏻♂️🤦🏻♂️
For me the best part was the CEO proudly mouthing the lines of his treasured publicity stunt. Truly captured the level of entitlement and ignorance that has to be present for anyone to look at our system and think they still deserve million dollar bonuses...
I remember doing paediatrics years ago. I would be one of two doctors covering the entire hospital at nights and weekends. I worked 36 hours on, 12 off, for 2 months straight because we were short staffed.At the end of a 36 hour shift, I was in the emergency room, trying to write up notes, I hadn’t done any neonatal checks or discharges, and a SHO came in and looked at my face (this is unusual, people just fire questions and complaints at you, but forget you’re a person and don’t even look you in the eye), and just asked “are you ok?”
I burst into tears. Proper, inconsolable ugly crying. She called our consultant, and he actually came in ON THE WEEKEND to help. Apparently they were all amazed I hadn’t broken sooner.
Which begs the question, why wasn’t I offered help sooner? I quit paediatrics within a year. loved the specialty, but it was killing me.
That’s awful they didn’t take care of you sooner… I’m glad you got out of there, your mental health is precious.
@s@n of course! I went into Pathology. Im now a consultant histopathologist.
@@LucyStokesOceansofNotions is it a message from the sky to find your comment, I love pathology, but I wanna be more clinical, I was thinking of EM/IM dual board, idk
@@jessicas.6235 thank you. I didn’t realise how miserable I was until I left. I then realised that I could have a job where I didn’t dread getting up to go to work! I’m a big nerd really, pathology suits me down to the ground.
@@LucyStokesOceansofNotions ikr, pathology is amazing, it is like the science behind everything in medicine, but I just don't know what to do with my life at this point, It was really nice to find your comment ❤❤
Like I know we should be worried about Bill, but the CEO had to take a 10 minute break from his 3 hr lunch. Admin does care! /s
😆😆😆😆
Threw his whole day off, might get home late at 3:45 pm
I think it is truly special that the CEO was there. ^^'
Our HR has a zen garden and does breathing meditation every day at 9:30. They have enough healthy lifestyles for everyone else that is actually working so I guess it will someday “trickle down”
It makes me sad that I completely understand the need for /s here
The zoom on Bill's face at the end made me both laugh out loud and then let out a small single sob at the end for my impending medical career 😭
You've got this. Docs and nurses together, strong 🦍🦍
Me, matching into family residency in 2 hours... 😂☠
@@sweetiedoll9613 you matched!!
Don't worry, we really won't call the CEO on you. We all stick together, you really just have to figure out who you can talk to. I prefer nurses. It's been a long time since I was young, but I've always found comfort in the old school senior nurses in the ED. I'm back in school headed to Palliative.
We're all family. You'll see.
@@sweetiedoll9613 Good luck! We need family medicine docs. They are awesome. Your future patients will appreciate you.
"you, and you alone..." is truly the nail in the coffin.
Healthy Gamer has an excellent breakdown of burnout without too much of the "you're SOL" feels
is this the video you're referencing? ua-cam.com/video/jqONINYF17M/v-deo.html
@@MuradinsLootship yep that's the one
yeaa
this is the first HG reference i’ve seen outside of the HG community. I had a triple take reading the comment lol
I'm legit too burnt out to watch a one-hour video. Can I get a TLDW?
I both mourn and love the way Family Medicine says "I recognize burnout because I'm waist-deep in it myself" without saying it.
At first I thought it was neurology but then I noticed the disheveled shirt and the glasses and I was like "ahhh must be a primary care physician" 😅😅
When I saw the CEO sprinting with his laptop, I thought he was going to fire off a hospital-wide email on how well we have all done during these pressing times, signed by all the upper executives who no one has ever heard of.
they tried that first. now its insinuating that if you arent 'resilient' you may be let go since they want 'build' a team of resilient people...
I thought he was going to order a single cheese pizza for the floor and then complain how ungrateful staff are
This’s me a few months ago. Currently on sick leave from work. It took my brain 4 months just to even begin to recover. Burnout is a nightmare I wouldn’t wish on anyone. I want healthcare to do better. Also, all hospital CEOs should be forced to do every resiliency module that has ever been created while burned out so they can understand just how insulting it truly is, as a concept.
In normal human non-healthcare terms, it also goes by the name of “depression.”
@@IdkIdk-pv1mx burnout and depression are definitely not the same thing
Besides being an RN, I'm also a Pastor. I'm lifting you in prayer today. 🙏❤️ You are so right- burnout is its own phenomena.
Is burn-out an actual medical condition? Genuinely curious on how it develops, recovery, and prevention
Burnout has nothing to do with depression. Burnout is your body's response to chronic very high levels of stress non stop on your job, which has a heavy toll on your brain and can even alter the activity of parts of it
This man has done more to address burnout than the entire U.S. health system. He’s probably saved more resident lives than we can count
I don't think is is saving lives. But it's certainly raising awareness. And that's super important
@@AstarteElviraLyana Raising awareness saves lives
_the Fray's "how to save a life" plays_
Portugal, basically the whole health system is burned out (personally my weeks are 62 to 80h) and the Health Minister just said "resiliency" should be a higher priority when contracting medics, and is as or even more important than clinical knowledge.
A week later she cried on television because some people (guess who) didn't appreciate those kind of comments.
The sweet irony...
I love your comment so much. Wish I could have seen it.
I was just in a meeting that said I know you're burnt out, but do better.
Based health workers
@@samanthafreeman4315 so sorry. That's about as idiotic as shaking an empty cereal box over an empty bowl for breakfast every morning
sounds like your health minister has poor resiliency
At one point during the first COVID wave, after I’d spent 20 minutes in the closet crying, I returned to the ward only to find my friend and colleague sitting at the computer watching cute puppy videos on UA-cam. I sat down next to him and we watched the puppers be silly and adorable for the next half hour. That was the high point of that day. Bill needs puppy videos..atleast a temporary solution for burnout 🙃
I was thinking cat videos but same difference
Presumably eating slices of cold pizza supplied by Admin as their way of saying "thank you to our healthcare heroes". 🍕
You've got to be joking
Retired anesthesiologist with multiple medical issues due to burn out. COVID isolation has been a big trigger. I have self soothed watching baby gorillas. Very soul soothing.😋😋😋😋😋😋
Puppy videos are pretty good. But I think for that level of burnout, an in person puppy cuddle pile is probably needed. Not a cure, but a good palliative measure.
A first year Internal Medicine resident here, with a big unchecked Post-rounds list sitting in 4th floor short stay unit. Never related to a video more
Hang in there!
Months ago when our hospitals and ambulances were overloaded due to the Delta variant, doctors and paramedics and nurses were all crying out for help, something, anything... our politicians here in Australia told the public the health system was coping. I will never get over it.
Same.
Currently got ads about leaving ED for emergencies; we had those going pre pandemic so not sure why the politicians thought we'd be ok in a pandemic when we were struggling before this.
I bet the Aussie gov't threw one heckofa pizza party for them though
@@romulus7739 The current administration are presently handing out a couple hundred bucks to front line workers... Then they called an election. So, ya know, attempting to bribe a vote.
@@romulus7739 Frankly, if they provided food on a regular basis (even if just pizza) it would have helped a fair bit. It both shows appreciation and reduces the amount of misc stuff that the care team needs to plan for.
It's so scary how accurate this is.....not even Jonathan could save him!
Just keep swimming, just keep swimming, avoid eye contact, get to the office 🤣
No, they didn’t have a Jonathan. It was an ophthalmologist without a scribe… worse than ortho!
I mean Jonathan could probably save him- it’s just not in the budget this quarter ….
@@melaniescharrer7190 and the next two quarters they won’t be able to afford it because they’re having Patch Adams and Dr Fauci give lectures.
We need an army of Jonathans
Literally my entire department right now....
Thank you for your work. These videos are way more therapeutic than that 10 part resiliency course I'm behind on.
Haha, I laughed so hard at this comment. I can relate as someone who works in Helathcare.
I can deal with hard stuff as long as I can vent at home and admin or your boss or whatever supports you. As long as they know what you’re going through and you know you’re not crazy, people can deal. When admin’s solution to the problems are “have you tried meditating?” Or telling you that being human is unprofessional, when they’re no longer on your side, that’s when I burnout. That’s why workers across the country have taken matters into their own hands by quitting or threatening to strike. Of course, this results in new people being hired who don’t know what they’re getting into, being asked to spin plates due to short staffing, furthering stress, resulting in burnout, and rinse and repeat.
So many of my (burned out) senior partners wonder why I, as a new, fresh out of residency junior partner wasn’t picking up extra calls and weekends like so many others of my cohort since we’re all “typically young and hungry!” I finally had to tell one of them that I wanted to actually watch my kids grow up rather than work so I could pay someone else to watch them grow up… He looked at me like I was from another planet and he couldn’t fathom my motivations… So sad…
I try not to say that to any of my other partners though, because when one of them overheard me saying that, he got the saddest, most introspective look on his face I’ve ever seen on an attending physician… It broke my heart!
Those of you coming out of training now are smarter than us when it comes to this. I have been out 6yrs and now slowing down post covid.
Something similar happened to me as an ER physician, except I was being called into meetings with the department head and dressed down for not being a "team player". I was threatened with firing, poor recommendations and everything else they could think of. My crime? I didn't want to work more than 2 extra shifts a week, and refused to pick up an extra shift on Christmas day.
I'm from the Netherlands and will start residency in 2 years, the tide is VERY slowly turning here as well, please keep saying this to other colleagues and med students, so it will become the norm instead of an anomaly to actually want to be home/have a life outside of our wonderful field. Thanks for sharing :)
Not a doctor, but enjoy these videos. Our two-year-old son had a 13-hour surgery with a brilliant surgeon. We spent a lot of time in clinic with this doctor and became extremely grateful for his work. One time, I asked the surgeon what his kids were like when they were my son's age as a way to make conversation in one of the appointments. He legit answered something like, "I don't know. I was working. My wife raised them." Nothing is worth that answer.
i am in the same boat, I want to watch my kid growing up rather than paying nanny to watch him grow.
Bill is lucky some other drs showed concern. In some hospitals you're not even allowed to look burned out and you get tagged as "difficult"if you can't smile or look happy to be working there.
I took the white coats to mean these were Med students, also explains why they didn’t recognize the signs as readily. But they will
Those were med students. Patches on the white coat shoulders mean med stud.
Yup defo experienced that, can’t even be tired on shift because it’s nearing the end, caffeine ain’t working and you’ve not had a full break
@@TheRocketbabydoll you... you get breaks? I want breaks. 1 minute even. That would be nice. Man doctorin' is some crazy business. Just had a conversation with a pulmonologist about 25 years in who was damn near in tears bc she was getting dressed down for trying to spend time with patients and actually do a history and exam and a proper chart check. Wasn't fast enough. It's not us, it's the system. If expected to churn and burn, don't be surprised when we burn.
The fact that doctors all around the world can relate to this one guy's skits just shows how universal the medical training/job/burnout experience can be
I think all corporate employees can relate to this, but most of us aren't saving lives or quality of life. Thanks to you, I remembered and scheduled my long overdue eye exam for May! Cheers and can't wait for wth Wednesday!
My thoughts exactly: We're all Bill these days.
Lol I never got burnt out
@@masternobody1896 good for you
I was a children’s social worker. I burned out so bad I left the profession entirely.
Hell, retail employees relate to this too.
I known that vacant stare all too well. What he needs is a cup of coffee from the nursing coordinator, a reminder that he's doing the next teaching session on the intricacies of common bile duct injuries, and seven calls from the ER flow nurse checking whether those 7 referrals can come to the ward while their work-up is pending.
😂😂😂
Yes but only if it’s an 8 oz cup of coffee
And jellybeans. You forgot the jellybeans
I'm so glad to see Family Medicine as a part of this! My mom was one, and they have to deal with a lot of shit. That woman knows what to do in every medical situation possible, honestly, and is used to not having fancy stuff to diagnose or solve problems. She has saved the lives of at least 3 family members (my dad, grandma and grandpa) at least once each over the years, by simply knowing how to improvise and apply her knowledge. A good clinic or family doctor is what everybody needs most of the time :)
She sounds awesome.
Mine is the center of my care. She advocates amazingly. Be sure I tell her often of her great value. Thank your Mom plz 2
"and you alone-" is a genius line to end the video on.
I know this feeling all too well. It first starts rather benign, getting up from bed becomes more and more difficult, a sense of looming dread every time you walk into the hospital, feeling pure envy towards the patients that are admitted because they get to lay in bed all day, and it stays like that for a few months.
Then it progresses to specific ideations, "if I crash my car into this curb right now at full speed maybe I'll get hurt enough that I don't have to go to work today" "This knife I am using to cut the tomatoes, if I just stab it into my thigh all the way to the hilt maybe I'll get a sick leave to stay home for a few days so I can sleep for a bit".
Then it goes one of three ways, you either just snap out of it one day which is highly unlikely but does happen usually following an extended vacation, or you snap at one point either by making a scene or you do something so egregious you are basically just taunting being fired while laughing about it cause the absolute worse thing that can happen is that they'll kill you and death in your state of mind at that point is a better outcome than coming to work one day more, or you just quit and say "I don't think this field is for me after all and I am looking to change my speciality" which is the most political way of going about quitting g your job without harming your future career.
You misses the resenting the patient for being there because yeah, OK they're sick, but they're also work you don't have time for. Lucky people (like me) are in a position to recognise what's happening at that stage and can take a break/make a change. Unfortunately many (especially the very junior doctors) can't act at that point and things progress.
I took a few months, changed how and where I work. Now I have a much better work life balance and I see patients as sick people needing help again, rather than nuisances. Burnout happens and it's awful. There is a way out, but I'm pretty sure "resilience courses" aren't it, for anyone
@@mjudec How tf could you see patient as "nuisances"? Oo
Even when burned out.
I mean....You choose medecin for money or what?
@@lepangolin4080 you're not being yourself when this happens, because at that point you're so overworked and depressed you can't even think straight. If you've experienced burnout but never this bad, it doesn't mean you won't in the future. We should try and change the system, without blaming people who just tried to do their best to keep up with it
@@lepangolin4080 No. I worked in the NHS, the pay wasn't great. Money wasn't the driver. The reason I could see patients as nuisances was a combination of burnout and high demand from patients about mainly non medical issues. Actually, 100% about non medical issues.
Kk
Clicked on this video faster than Jonathan can nod in modest confirmation.
Impossible
oddly enough, one of the things on his to-do list was "respond to emails about how your resiliency survey is overdue"
my company did literally that when I had burnout. cut my salary, cut my worktime, sent me to resiliency training in my free time - mandatory. however I am happy they did. I got more resilient in my next job and they payed the training.
Family medicine knows the burnout look because he sees it in the mirror every day
hahah the secret hospital bathroom is real. Always get annoyed when mine gets used
omg you reacted to my comment . life acheivement unlocked . I know what ill be bragging about at ward rounds tomorrow
This is so fucking accurate. I literally had to sit through a burnout/resiliency keynote during my nurse residency. Basically, it's your fault and your fault alone that you're burned out, and only you can fix it.
My company pushes their insurance-paid counseling....because, you see, the problem is you. What they NEED to do is fire the mentally-crippling managers.
The CEOs are usually psychopaths, they don’t care, they only get anxious if money is affected. The problem is you and they truely believe that.
I clean the doctor office area at my hospital. I pull the trash, clean bathrooms, and vacuum. I vacuum once a week. Not a heavy traffic area. Some if the offices I have to vacuum more then once a week. The Specials office is an example. I have to vacuum that office three to four times. There is always food on the ground.They have to eat so fast it makes a mess. My hat goes off to the burnt out doctors out there. Yall keep up the great work. Even if it makes a mess.
That was incredible! You had complex interactions between multiple characters and with multiple very accurate portrayals. Hard to believe that this was all you! Excellent scripting! Really taking things to the next level, not that it was shabby beforehand
the part where you stop moving to conserve energy for breathing, it's not an exaggeration folks
Our region offered our clinic's docs a resiliency course (on-line, of course) - we all declined. We'd already be gone if we weren't resilient - what we really need is systemic Jonathons!!!
I'm also on unpaid medical leave due to burnout & this video makes me grateful for the time I've gotten away from work. Getting out of bed is no longer a struggle & I don't spend most of my day feeling weighted down & hopeless!
Here's hoping that the Bills of the world finally get the extended time off that they need 🙏
Internal medicine resident here, entering my 3rd year...the way many of the comments here, as well as the video describe it is just right. The constant disappointment, the physical fatigue, the psychological exhaustion, the feel of "burden" that overtakes evey aspect of every day life... so sad that I, like many others, am forced to actively plan my escape from this job I really love
You love the work. You hate the job.
Wow, you’ve summed up my daily life perfectly.
It's not the job. It's everything about the job that's not the job.
The bullying, the constant unrostered overtime, the cancelling fo plans, the angry patient, the demanding family, the back to back to back emergencies, the overwhelming amount of discharge summaries you have to do, the calls when you are not at work
I'm surprised doctors don't have strong unions to prevent this kind of thing from happening. I work in aviation and if management tried to pull this kind of shit on us there would be hell to pay.
If there were more strikes, community health would be collapsing, which is outlawed in many countries. So we can't fight for our rights as much as we want, sadly.
There should be hell to pay for pulling this kind of shit. Hopefully soon. I want my doctors well-rested.
This is literally why I got out of medicine and biotech! Well, after a 6-week medical leave and multiple daily panic attacks. I finally had to listen to my body. The joke about not being able to use your muscles was sadly relatable
@@larkrising25 After i went back to work from medical leave, I really was able to see then that it was the work and environment that contributed to my breakdown. So I budgeted to be able to financially take 3 months off and set a rule for myself that I would not even look at new jobs for at least 4 weeks. During that 4 week's I got clear on what my core values are and what kinds of jobs might align with that. Also spent a lot of time sleeping in, exercising, connecting with friends and loved ones, as well as doing anything that sounded fun or uplifting. By the end of that four weeks, my head was much clearer and I started looking for jobs that aligned with my values but would not waste my education, and I'm now in social work, while also volunteering with adults who have I/DD and mental health challenges. And I'm soooooooo much healthier and happier. My hair is even growing back! Lol
Could you speak more about your journey? Trying to figure out what to do next myself
CEOs don't really care. They know that after a while we will develop "Battered Spouse" Syndrome and the abuse will seem normal to us. And if they get lucky we might even think that bad things happen because we are not working hard enough.
They are usually psychopaths and are wired for callousness
As an MLT that has seen coworkers get burned out (understaffed lab with COVID at a major hospital? CRAZY workloads) and possibly on the way to burnout myself, this is bull. We're human too. What we need is better staffing and better pay, not just some cookies in a baggie saying "job well done."
That being said, those are things our direct manager can't control and I'm fortunate that our manager is big on giving us our PTO in order to PREVENT burnout... I wish more people had management like that. Eagerly awaiting May for a much needed vacation!
PS. Why is nobody talking about the fact the only concern the CEO has is that Bill doesn't quit ... Nice touch Dr G
Oh noooo I fixed my autocorrect mistake and lost my dr G like 😭😭😭 damn u autocorrect
I LOVE this! I work at a cancer hospital, and a recent survey of employees revealed a massive burnout problem. My department had a meeting to stress that we need to maintain good work-life balance, as if it is our fault we have burnout. When I mentioned it is hard having good work-life balance when I have 12 active projects in my queue (biostatistician; work in research), she said to just tell the PIs that I will be late getting them my projects. Oh, if only life were that simple.
Imagine telling someone to change a PI's mind about their priorities
They said that at my company, too, that we need to learn how to balance our home and work lives. They recommend free therapy (insurance-covered). They just required an online training course called "The Positive Workplace." Everyone was livid, and it had the opposite effect.
Sheesh. And will they back you up on that ( telling the PIs you'll be late)????
Did you get it in writing?
I finished medical school this week so this takes me on a journey onto the future. Thanks doc! 💀
Congrats Despina
congratulations!! and good luck 😂
Congratulations! Get a Jonathan asap!
Damm , in what field/specialty/ward are you going to work ?
Into the future?
I'm in med school and this is how I feel. 5 years of medical school is too much. 4 would have been fine🤧
I love that Family Med is so ridic burned out and out-of-it but can still barely look at a patient and identify what's wrong immediately.
Family med doctors need way more respect than they get.
In all my years of teaching, I've never before know a teacher to quit in the middle of the year. This year, two quit in one grade alone. But we get jeans day every Friday!
i went to a charter school (2014-2018ish), that only had a couple staff, no guidance counselor, amd became a "my kid got kicked out of every other public school in the city and you guys get paid by the student" kind of place.
holes in the walls from where kids put chairs through them, a kid who once threatened the entire school, staff included, the whole shebang.
the academic model was constantly shifting and poorly explained to staff, i saw multiple teachers cry, and turnover was so common that we regularly didn't have teachers for a subject for the whole school for months at a time.
teachers would get so burnt out that they would quit in the middle of the semester, sometimes only months after starting to teach. sometimes they were only there a few weeks.
even the STUDENTS got burnt out by the sheer pressure of the hopelessness of the place. i was there almost 5 years. it was a small school, maybe 80 kids total but on a near constant rotation of one kid dropping out and being replaced by another new student... only 3 people graduated in the whole time i was there. i dropped out after realizing the stress was going to actually kill me.
i can only imagine how schools are doing now. horrific. good luck and im so sorry.
glad you get jeans day though im sure that helps a ton 🙃🙃🙃
We have Freaky Friday scrubs day. But of course we have to pay for the freaky scrubs ourselves
The fact that Family Medicine knew what that Code Burnout button was going to do makes him the most evil person in the hospital.
I was on a safety committee. Everything that went wrong was always the staff members fault. We had one staff member get dust in her eye and they made her take an in service about not turning her face towards air condition vents. SMH 🤦♀️.
This is the best and worst thing I have read today
I was crying tears relating to everyone's burnout stories and then this made me laugh hysterically through the tears. Thank you.
Thank you for the reminder! I’ve been taking time to recover myself and I’m terrified to go back to a system that will try its hardest to undo all the progress I’ve made…and I haven’t even finished Med school yet. Best thing we can do is show solidarity and also speak out on our experiences to destigmatize something we know so many of us face. And combat the status quo of “well, dr. X is handling it, why can’t you? We’ve always done it this way”…yeah. So that explains why patient satisfaction, etc is still so low…
I left practice in December of 2021. The burn out is starting to abate, but watching this month's series (September 2023) on healthcare in the US has demonstrated to me that it is still just below the surface.
I started a MA of Applied Child and Adolescent Development in Infant and Early Childhood Mental Health (IECMH) in 2018, finally graduated in May. In many ways, I'm prouder of that MA than I am of my MD. We spend a lot of time in reflective practice and reflective consultation in IECMH. The only possible way for me to return to medical practice is to bring the reflective practice/consultation model with me and start sharing it with other physicians.
Wait. There’s a course on resiliency?! This is the cure for burnout?!
Doc G., I’m an seasoned OR nurse. 15 years this years. Your content is so accurate. Especially Ortho Bro! My prayer is that we healthcare professionals take care of ourselves better and not wait for the misguided yet kind intentions of corporate healthcare.
Maybe a short on a nurse and doc collab? Thank you! ❤️
100% what teachers are facing right now too! Just replace "CEO" with "Superintendent" and it's essentially the same damn story.
Ortho is a PE teacher, Ophthalmology without a Scribe is either a Music/Art teacher without their tools or a Tech teacher in a power outage, and Family Medicine is that senior teacher/ curriculum coach (if anyone still has those that haven't been forced back into classroom teaching or fired) who has been through it all but is still trying to put in 110% because they love their kids so much. We have different titles, but we're facing the same problems with lack of respect and understanding of the general public, lack of living wages in the face of insane student debt, and being grossly overworked.
I just got home. It's 7:25pm. And I'm a substitute teacher/ learning recovery tutor. There were at least 4 full staff teachers still at the school when I left. But we'll go in tomorrow, be greeted with hugs and happy hellos from children who may not know much kindness at home, and we'll keep showing up, finding ways to survive, because we know we may be the only people who are keeping tabs on some of our kiddos who desperately need more intervention from the barely existent CPS in our state. The general population has so little respect, appreciation, and even comprehension of what we all endure. It's a miracle our society hasn't fallen apart long before now, because these problems aren't new or pandemic creations.
Thank you seems so inadequate. But I'm sincere in saying that. My sister is a special needs teacher. I've heard stories that would break a Navy Seal.
Well said! Someone should be making such videos on teachers.
@@yomamatoo6743 True that!
Sending strength and love to everyone who is going through or has gone through burnout.
I was fine, then I watched this video and had the urge to stay in bed for the rest of the year.
Resilience training modules...ugh. Not a medical professional, but the thought of this saps the spirit right out of me.
Isn't it crazy when we talk about healthcare reform, we forget about the health care providers? My vascular doctor put stent my leg on a Sunday. That was my 7th day in the hospital but he would not discharge me without being cared for properly. Thank you Dr Weinberger ❤
thanks for bringing light to this situation!!
I work in healthcare as well and the mention of CEO and resiliency training was HILARIOUS and spot on
The true cure for Burn out is adequate vacation time upfront vs accumulated PTO per pay period, flexible schedule, more staff to assist teams with high demands
Be well everyone
Wouldn’t it make more sense to use the money that pays for those seminars to invest in more staff?
The CEO that paid himself to do those seminars not doing those seminars and lose out on the pay? ARE YOU OUT OF YOUR MIND?!
@@PinHeadSupliciumwtf Quite possibly. That’d be pretty challenging to self-diagnose.
Yes, but that would make sense. I'm not sure you have realistic expectations of the healthcare system
They use some of it for Pizza parties.
Atlas, the savior! Not the one we needed, or deserved, but still, a savior.
I think "savior" is a bit strong.
@@fearreavers They're saving the shareholders money -- the only thing that matters. /s
or wanted, or liked...
Secret bathrooms improve moral. Change my mind
Your daily reminder that resiliency is not the cure for burnout, it’s your tolerance for burnout. No matter how resilient you are, you’re just resisting the effects of being miserable until they wear you down.
Hospitals know the cure for nurses feeling burn out: little caesars pizza- exactly one slice for each nurse. Make sure it's cold, only in the break room, and that there is a note on one of the boxes saying something along the lines of "thank you to our (hospital name) family for stepping up in these tough times!
When I worked as a paramedic (I’m disabled now from a work injury) our main office had a whole room filled with snack and drinks for us to take on the days when we were too busy to take lunch breaks. The problem was that the cabinets were always locked and no one ever knew where the key was. But, hey, at least we got to see the cute poster with a fire truck saying “Thank you, for saving lives!” that was taped to the door.
🤣🤣🤣🤣
Where's the lie!!!
The only time we ever get free food is when the doctors bring up leftovers from grand rounds/rep meetings. Peace offerings
" you guys rock!!"
I feel seen. As a family doctor, now a hospitalist in my rural hospital who today managed a right heart failure patient with pulmonary hypotension intubated in our little ICU…and then got yelled at by the pulm crit tele doc on the ipad…I feel you Bill.
Screw them, and good work by you. :)
I used to work in a rural hospital so I understand the specialist on a phone scenario who criticises a rural dr for managing a patient even they would struggle with the patient themselves.
Family nurse practitioner here. We rolled out our new EMR last week. That was the look on my face today. I’m burned out to the max and the admin brought us back packs with granola bars for our efforts. I’m ready to give up 30 years at the beside to work at the coffee shop and dispense stimulants that don’t require a prescription. Thank you for posting this one. Laughter with a big sigh. Good medicine
The emr is the problem
I’m a second year Family medicine resident and I appreciate that the FM doc always looks discombobulated because that’s exactly how I look ever day. But I wouldn’t change my specialty for the world!
Oh god. I love this so much. But hate it equally. Lol.
My personal favorite is the sleep deprivation WBT where they basically tell us to drink coffee, but don’t use other stimulants, and to call a taxi if we don’t feel safe to drive. We can make life and death medical decisions, sure, but we aren’t save to drive ourselves home. God I hate this job, lol. #TeamBill
I recall the 140 hour work weeks to get my paramedic... Two years, year and half homeless and the last bit renting a room with seven other tenants... I took a loooong break from it all.
As a veterinarian currently struggling, this hits close to home.
Thanks for the first real laugh after a couple of hard days.
I'm only front desk, but I work in the biggest subspec clinic in our hospital *and* the whole hospital is short receptionists. And most other staff. We're ALL burnt out in healthcare. Solidarity, and wishing my fellow HCWs plenty of coffee and at least five solid uninterrupted minutes of peace here and there.
Bills story feels like the one you relate to, cry out to ,hoping noone sees you , wishing everything turns out good at end but kinda you know the ending & you leave with that empty look in eyes.*zoom in on face*
Amazing work Dr.G👍
i'm not in the medical sector, but a social worker (working in daycare with 0-3yos, with and w/o disability) and i've gone through two burnouts in the 10 years i've been at my workplace
it's one of the shittiest feelings you can experience
thankfully, i'm on good SSNRI meds and a lot better now
my heart goes out to all of you people putting themselves into their work, especially medical/social workers
Well done! Seems to be the current strategy. The reason for this tactic is that then the managers can document that they've done something about the burnout problem as well as talk about what they've done to solve the burnout problem in various meetings. So... problem solved! Meanwhile, Bill and I are staring off into space.
These videos keep getting darker but just as true 😭 Poor Bill.
This video brought back some repressed trauma from my time working in a VA hospital. Thank you for that.
A wise man named Thor from Pirate Software once said that burnout is not hating your passion, it’s that that passion , no matter how hard you work on improving or continuing it, is not rewarding you for that work. It’s In simple terms literally an abusive relationship with what you love doing.
"...how you, AND YOU ALONE..."
Tears. TEARS!
Nurse here. During senior clinicals, my secret bathroom was also hidden, around the corner from the coffee shop. So I could order a coffee, nap on the toilet for 5-10 minutes while my coffee cools, then suck down a coffee real quick before post conference. Worked like a charm.
We have mandatory wellness /resilience sessions at my med school that are scheduled in awkward times and force students to come to campus. Even the professors leading the sessions admit that giving us time off instead would be better at improving student wellness :(
I can relate. I’ve decided to change to a less stressful position and I’m so happy. Less pay but better quality of life. A big part of burnout is people feeling like they have to stay in their jobs for the paycheck thanks to debt. I feel awful for all the docs with so much school debt. If you could get rid of that you could live differently.
This is freakin dark man. You don’t even need to be a doctor to relate. Only 17 hours til I can clock out and crawl into bed.
This hits close to home having seen my wife go through family medicine residency during covid (it hit halfway through her intern year), in a rural area, and having a newborn. I'll always appreciate your depiction of family medicine.
*CEO runs in*
Me: "What the hell is he gonna do?"
...
Me: "Oh of course... nothing."
Not me expecting the code burnout button to summon a psychologist 😭 this is too accurate it hurts
The very best part of this is the CEO "cares" enough to show up, and then doesn't care at all because he doesn't even just talk to him himself, it's the video he gives him of himself. I've never seen it so accurately portrayed.
As someone who’s getting ready for Step 1 I can relate to a lot of these videos but it scares me to the harsh realities that a lot of students and Drs have to endure. It’s a shame we can’t make more impactiful change sooner even after seeing how fragile the system with Covid
Same.
It's hard to say this without sounding rude...
But if you're relating to burn-out as a Med student preparing for step 1....
Well I guess the only nice thing to say would be I hope you're relating on a sarcastic level, because it's a tad bit early to be "burning out" where you are.
That's like...gah I'll stop myself here.
Work hard, try not to stress too much and good luck!
@@TTTrouble I think I know what you're trying to say. Would this fit, "I really hope you know what you are getting into and you are aware of what your limits are. Just like with any career, medicine is a long arduous journey and it is in your best interest to be sure that you are ready for it, but if you are not, then it's best to sit back and reconsider and understand that there are multiple paths to a career in medicine that don't require medical school."
@@TTTrouble vro you probably have no idea what it’s like to be a med student. I’m in the same spot and EVERY SINGLE PERSON I KNOW who is MS2 at this point in time is burnt out. Imagine having a battery of exams every 2-3 weeks, 6-8 hours of lectures per day, and having to study for boards, while still having to feed yourself and sleep.
If anything clinical life seems like a reprieve…
@@PhoenixRoseYT He's making a solid point though, regardless of if he is or is not. Working is lot harder than classes cause the stakes are higher, there's no study group or Chegg or office hours to get help. Especially with the pandemic, as a former pediatric doctor said in the comments, you are often working 20+ hours straight (she had 36hrs on and 12hrs off) with little break. If you are struggling this badly with classes, you might truly be eaten alive once you start working. Even then, all he suggested was to really make sure you are ready for what you're going to get yourself into cause there's a reason why so many doctors and medical staff are quitting now. They made it through medical school but working full time was too much, especially right now during the pandemic
When they hit the burnout button I taught that Jonathan would come in and everybody would be like "Jonathan!"😍😍😍😍😍
This is too hilarious!
Mid 2020 I collapsed and sat in the hall like Bill. No joke.
Only difference is that I had my face in my hands.
I remember it clearly. It happened the week they switched to virtual treatment without tech support… so we had to play the role of tech support AND clinician to our patients who had little to no experience with technology….. spending entire sessions (which ended up being unbillable) teaching patients how to download the app and manage troubleshooting issues pushed me over the edge…
They gave us a pizza party months later.
This is me right now as a med student! I’m trying to juggle being a mother of a toddler and a baby while doing pre-clinicals, and I just wish we had 1 weekend to just take off. Good timing on this video, doc!
I had two kids by the time I was an intern. Very long story short, I’ve ended up in anatomical pathology. Consider it.
@0:22 That noise sums up this decade.
Why do I suddenly feel the urge to hurt the CEO
Because a) you're human and b) your singular purpose is to help your patients, whereas the CEO's singular purpose is to get you to both refer to and think of your patients as The Client and The Consumer.
@@Feve5 *flashbacks to when I worked in group home and they suddenly started making us call our residents Consumers* Ugh I hated that. My folks were people, not money-making machines. I refused to do it.
I literally just sat down in the ER break room, made the same noises as bill, opened UA-cam and watched this video
This is the cure to burnout
I love it. Although as CEO was climbing the stairs, I thought he was holding a pizza box! Also applicable.
Yeah, I thought he was going to hand Bill a piece of pizza and give him a big "thank you for your hard work" then run off lol
@@ItsAsparageese Maybe they save that just for nurses!
The key is honestly understanding and internalizing that no one cares about your mental wellness. Once people get it: They can better balance work/life and consider what decisions (i.e., negotiating contracts, picking workers hours, accepting/declining additional responsibilities, etc…) actually cost.
Doctors have the habit of accepting money in exchange for what it can’t buy.
I love how he mouthed the words along to the video. So proud. So inspiring.
"I was just reading this book on success" you're a genius!!!
I have my university entrance exams next week, and I studied so much the past few months that at the final stage I’m burnt out. I can’t even look at my books now, and I haven’t finished studying. 😭
I hope you did well
My mom’s facing burnout so hard rn as a night shift med surge nurse. I told her the other day that she can call me while she gets ready for work and she straight up said that she usually cries while getting ready 😭 it’s so terrible, the state of our healthcare system
I was hoping it was the janitor, running trying to cheer up Bill with Memes or cat-videos or something
I felt this one on a deep, spiritual level. Nothing like laying on the cold, comforting hospital floor 22 hours into your shift after your 5th trauma of the night.