RadiologyBurnoutasharedresponsibility

Ruchi SinnatambyCambridge Breast Unit

Burnout

• State of mental & emotional exhaustion caused by one’s professional life

• Emotional depletion

• Reduced sense of achievement / efficacy

• Depersonalisation

demands>resourcesoverwork

sense of being unfeelingnegative

detached

....disengagement.....disillusionment

...disconnect

- Doctors attract more internet links with ‘burnout’ than any other profession ...

SymptomsofBurnout

• A negative & critical attitude; easily irritated

• Blaming others when things go wrong

• Feeling unvalued

• Emotional disengagement

• Dreading work…thinking of leaving

• Headaches, backaches, trouble sleeping…

In 2014 a Canadian study estimated that early retirement and reduced clinical hours from burnout will cost the health system $C213m(£130m; €146m; $167m) in lost future service

HEALTHCAREDIVE.COMMay 28, 2019

BMJ 2017;358:j3360

the overall evidence suggests that many doctors will experienceburnout in their careers, that burnout rates are rising and havereached an “epidemic level,” and that burnout can havedevastating consequences for affected doctors, their colleagues,their patients, and the healthcare system

Key findingsA majority of doctors (80%) in our survey were at high/very high risk of burnout with junior doctors most at risk. Burnout was driven mostly by exhaustion rather thandisengagement from one’s role as a doctor.

Strategiestopromoteresilience- dotheywork?

• Structural/ System: duty hours/ practice delivery/organisation

• Individual: mindfulness/small groups/ self care

Lancet 2016; 388: 2272–81

Cambridgeexperience

• Monthly facilitated peer debrief groups

• Promoting reflective practice

• Permitted time to offload

Maslow’s hierarchy

Debrief Groups