burnout: a crisis of faith
TRANSCRIPT
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….