burnout: a crisis of faith

Burnout

“In a culture where work is the new religion, burnout is its

crisis of faith” Jennifer Senior; New Yorker Magazine

Burnout: everybody pays!

Montgomery. J Health Organizat’n and Managem’t 2011;

Cost

Why we need to discuss it?

“Self love..not so vile as self neglect” Henry IV

My mate

What Burnout is?• Fatigue

– “always tired”

• Loss of ideals– “what’s the point”

• Purpose-lessness– “why bother”

• Dehumanized; robotic– “presenti-ism”

• Sense you are under-appreciated

What Burnout isn’t

PTSD

MLcrisis

Boredom

Perfect’ism

Exhaust’n

Tired-

ness

Narci-

sism

D’pres’n

Four C bombs • Cut corners

• Cynicism

• Callousness

• Contempt

Even simpler

Expectations

Reality

adbusters

“Not what I signed up for”

• Asymmetrical Rewards– “To err is human”

• Loss of autonomy– Paperwork; bureaucracy

• Cognitive Scarcity– “Move the meat”

Arch Intern Med 2001; 135; 2

When ? “I can’t make things better”

Why?1 Prove yourself 2 Work harder 3 Neglect needs 4 Avoid issues

5 Lose friends/hobbies 6 Denial 7 Withdrawal 8 Behavioural changes 9 Depersonalization 10 Inner emptiness 11 Depression? 12…………….BURNOUT

Freudenberger and Richelson

Who(m)?

Maslow’s hierachy of needs

“Most men lead lives of quiet desperation and go to the grave with the song still in them.”

Henry David Thoreau

How common?• 40% all workers• 50% physicians • 30% surgeons• Yup, trainees too…• Yup, housewives too…

With thanks, M Jacka

Why isn’t it taken seriously…

RICH

HEALTHY

PAMPERED

adbusters

…Or “Weltschmerz”

Why me?

“If you think you can do a thing or think you can't do a thing…you're right.”

Henry Ford

http://www.brainyquote.com/

“The fault is not in our stars, but ourselves” Julius Caesar

“being a doctor…one of the few acceptable

reasons for abandoning a family”

Dr Linda Clever, President of Renew

Botrytis

So, am I burnt-out?

http://www.mindtools.com/stress/Brn/BurnoutSelfTest.htm#Table

Burnout: what to

do…

Chance. Psychol Theory Res Pract 1978

F**K

I’M

GREAT

JUST

ASK

ME

Avoid fetishes!

fetish: desire/dislike with excessive gratification/revulsion.

What THEY can do1) Stress

management/counseling/mindfulness2) MANDATORY sabbaticals3) “PROFESSIONALISM”4) REAL Socializing

“We overestimate what we can do in a year,

& underestimate what we can do in a decade”

Bill Gates

What can YOU do?

1) “Great: the enemy of good”2) Balance OR…..“purposeful imbalance”3) Divide career into thirds:

• Learning, Earning, Returning

Life on the wire: Todd Duncan

Despair.com

“Heavy hangs the head that wears the crown” Henry IV

Educ

Res’chAdmin

Charity

“Keep it above the line”

http://www.ozprinciple.com/self/steps-to-accountability/

“Blame-storming” “Get angry”

Be professional

Stay calm Own solution

“Not my problem”

Relationships

Spirituality

Self-care

Approach to lifeWork

Renew-o-meter: http://renewnow.org/renew-o-meter/

Resilience

“Curing vs managing”

Emotional Psychiatric Physical Family/Social Financial Legal Work

10 yrs

Discovery

In closing…Be there for others…

• Booze and drugs

And look after yourself

“To do well, you must be well”

Anonymous…but darn smart

MANY MANY THANKS….