Dealing with Physician Burnout | ASK DOCTOR JAMIE

Dealing with Physician Burnout | ASK DOCTOR JAMIE


Hello everyone! My name is Jamie and I’m a first year emergency
medicine resident. Welcome to episode 2 of “Ask Doctor Jamie!” It’s a series on my channel where I answer
a question sent in by you guys! Today’s question is from Danica. Danica asks:
Hi Jamie! “I’m sure you’ve heard that EM has one of
the highest burnout rates – how did you navigate around this idea? What is your advice for prospective EM doctors
who fear the burnout?” So let’s me address a 3 things before answering
the question. First, EM-is emergency medicine and it’s
the specialty that I’m in. It is the medical specialty concerned with
the acute-care scenarios or injuries requiring immediate medical attention. Second, what is burnout? Burnout has been defined as a long-term, unresolvable
job stress that leads to exhaustion and feeling overworked, cynical, detached from the job
and lacking a sense of personal accomplishment. While burnout is prevalent in people working
in healthcare, it can affect anyone from students, people in other professions and even YouTubers. And third thing I want to address is, Danica
is probably referring to the one of the many reports which show that EM specialty has one
of the highest burnout rates. In 2017 almost 60 percent of the emergency
medicine physicians that were surveyed reported feeling burnt out. In 2018 and 2019 that number was 48 percent! That’s basically one in two! Here’s why burning out is an issue:
Doctors who are burnt out are more likely to make medical errors. They tend to work less efficiently AND being
burnt out can lead to depression, substance abuse, and other serious consequences for
not only themselves but for the patients they care for. So I’m about halfway done with my intern
year and I’ll be completely honest and say that there are times (a lot of times) where
I do feel really burnt out. I would say the biggest cause for me is time. Everyone knows residency schedule is hard. I work 5-6 12 hour shifts per week and often
my one day off ends up being either a transition day going from nights to days or a day when
I need to get a bunch of errands done like laundry, doctor’s appointments, making food,
et cetera. Another big thing is what happens during the
actual shift. This is especially true in emergency medicine
where things are constantly happening 24/7. I remember when I shared my first month experience
in a vlog and one of the challenges I faced during work was working straight through my
12 hour shift without taking a proper lunch break or even a bathroom break. My motivation then was there are a lot of
patients that need to be seen in the emergency room and I didn’t want to keep them waiting. I felt guilty for taking a break during work. Obviously, this isn’t something I can maintain
long term. I’ve been told that the habits you build
up as an intern and later as a senior resident are the habits that you live with as an attending. For that reason, I’ve been trying really
hard to advocate for myself and go take a break even if it’s only for 15-20 minutes. Emergency rooms, especially in a busy city
like New York will never slow down. So unless there is something major going on,
I try to find a good time to rest my mind for few minutes and it really makes a big
difference. So that’s what I can do from my end. Hospitals and administration have some responsibility
as well. According to a survey by MedScape, some of
the reasons for physicians feeling burnt out include: too many bureaucratic tasks like
charting and paperwork, too many hours at work, lack of respect from coworkers and administration,
and generally feeling like a cog in a wheel. Let’s talk about the workload of a physician. According to AAMC, 25% of doctors are expected
to retire within the next 10 years while the population of people who need healthcare will
double. So that means there will be less physicians
for more patients. We can expect the workload for physicians
to continue to increase and so will the rate of burnout Despite this, up until 2010, the number of
doctors entering the workforce has stayed consistent (15,000 for MD and about 3000 for
DOs). But it’s not all bad news- there are efforts
being made to target the increasing need for healthcare providers. Recent legislations, specifically Resident
Physician Shortage Reduction Act plans to add more than 15,000 residency spots between
2019 to 2023. So with all that said, I think we can safely
say we probably won’t be seeing any major administrative changes for awhile. For the foreseeable future, workload will
still be very heavy, there will always be more patients. So how do we personally deal with feeling
burnt out? Here is my advice on dealing with burnout
hopefully even before it starts to happen. First and foremost, make sure you’re going
into the specialty that you really enjoy! This may take some soul searching and choosing
your specialty as a medical student is one of the most important decisions we all have
to make. So make sure you talk to all your residents
and attendings and think about what you like and don’t like about each of your rotations. Second, have go-to ways to decompress and
process your hard day at work. This may come in the form of journaling or
drawing, talking to your partner or friends, or getting a good workout in. I do a combination of all of the above and
I really try not to keep anything bottled in or unprocessed. Third, explicitly think about what makes your
job worth it and why you enjoy what you do. I once heard this podcast about how emergency
medicine physicians sometimes have a hard time being on the receiving end of a patient’s
gratitude. Maybe it’s because of the constant patient
flow or maybe it’s because our patients are constantly trying to either leave the
hospital or be moved to a different part of the hospital (aka not in the emergency room). But patients do appreciate the work that we
do so if they come up to you to say thank you, take a moment to receive their thanks
feel proud of the work that you’ve done for the patient. Last but not least, expect long hours but
strive for a better work-life balance. It’s almost impossible have any kind of
control over your schedule as a resident, much less as an intern. But there are ways to make your time really
count. One important thing to do is to advocate for
yourself on and off your shift. Make sure you give yourself a break to eat
and go to the bathroom. When you’re home, try to think about what
would make you feel the most rested and fulfilled– whether that’s going to the gym or just
watching tv at home or meeting up with friends for a quick dinner. With 12 hour shifts, you can probably pick
only one of these things, but make a conscious decision to pick something for yourself and
know that you have the power to make the most of your free time. So that’s all I have for today’s questions. I hope you guys found it helpful. If you want to submit your question for this
series, you can email me or DM me on instagram @thestrivetofit! Thank you guys for watching. IF you haven’t already, please subscribe
down below so you never miss a video. You can also follow me on instagram or twitter
at the strive to fit. And if you want to support the channel please
go to the strivetofit.com for some merchandise. Check out other videos by clicking over here
and I will see you guys next time! BYE


73 thoughts on “Dealing with Physician Burnout | ASK DOCTOR JAMIE

  1. This IS WONDERFUL ADVICE!! ❤️ As a medical student beginning board studying I so aware of burnout. I try my best to be very aware of this and these tips are great! TIME is never on my side & having BALANCE is difficult for sure. Then I desire to go into a primary care field and this is definitely a slight fear of mine.
    I appreciate your channel and I'd love for support on my channel through my journey as well! 🤗

  2. Hi Jamie!!! Your organization skills are goalls! I've been following your channel since I was in high school and you've inspired me so much!❤️❤️ I'm a first year medical student in the UK and I'm working on time management/study-life balance rn 😅 and also starting a YouTube channel to document my journey😍 (If anyone has time please check it out, i’d be so grateful for your support ❤️) Thanks for your advice jamie! You're amazinggg 🤩

  3. Love your vlogs. Miss you so much, I just love hearing your voice because it soothing. Your vlogs are amazing and I just love them

  4. Speaking of appreciation for the work you do, I would just like to take a moment to say thank you so much for your content and the effort that you put into keeping us motivated, informed and entertained. It is evident that you put so much thought and time into this (and other videos) and with your schedule, it shouldn't be easy. I hope that you doing this is another way for you to avoid burnout and that it never feels like another job because you do it well.
    Lastly, I am so glad to see you looking genuinely happy again since the passing of Candy.
    I hope that your days are continually filled with love and light!

  5. I pray for you to be okay ! You’re a great person, I know it’s hard but I know you know too well everything eventually pass ! ❤️❤️❤️

  6. When I talk about being a prospective EM physician, everyone’s responses are you’re never going to have time to do anything fun and it doesn’t pay off in the long run, or you’re going to experience serious burnout. I wish more people would be more positive about this vocation and highlight the positive aspect as much as they highlight the negative. Thanks for the video!

  7. I bet one of the biggest reasons for burnout is ED turns into convenient care. Some many ppl think ED is how it is portrayed on TV, not until you work in healthcare.

  8. VCH- wonder if that's Vanderbilt Children's Hospital? If it is it's one of the top children's hospitals in the world…they treat some of the rarest and serious diseases. Families bring their children there from all around the country to be treated. You're going to see all kinds of stuff if you work there- I can imagine there will be few days when you won't encounter something new! And they do some absolutely incredible research there too, including emergency medicine. I definitely wouldn't be worried about burnout rates just yet! It would be a really extraordinary place to work!

  9. Hi Jamie, I finally finished uni and am starting looking for a nursing job now, you've inspired me every time and hopefully, I can become a nice health practitioner like you!

  10. Great video I am a 2nd year medical student in Australia and it is still quite comparable so it was really nice to hear your perspective on this

  11. Hi Jamie! Thanks for making these videos! I'm an MS4, and I just wanted to highlight this article from last fall, which mentioned that 99% of people who applied for Public Service Loan Forgiveness were denied. I think it's really important information for those who are thinking about pursuing medicine, not as a deterrent, but just to keep in mind that this path for paying off loans is relatively new and unproven thus far. This would be a great topic for you to discuss on one of your future Q/A's. Thanks again!

    https://www.npr.org/2018/10/17/653853227/the-student-loan-whistleblower

  12. So basically, its impossible, and only truly selfless, altruistic, and self-sacrificing souls should be doctors. Got it.

  13. Too bad for me, my specialty (internal medicine) is always in top 5. Been planning to get into ID (infectious disease) this year as well…which is also in top 5. 😑😑😑

  14. Hi Jamie! I’m a MS1 and I was wondering if you could bring a female mother on your channel who is in her residency? I really want to have kids during residency, but don’t know how much of a realistic expectation that is with the insane hours or residency.

  15. Wow, thank you for doing this Jamie! You have a busy schedule and still consistently posting new videos! You are awesome! <3

  16. I hope you adopt another shelter cat!!!!! (I miss candy!!!!!) There’re many more that need HELP THAN ALL THE EMERGENCY ROOM PEOPLE YOU RUN AROUND FOR.

  17. I like how you get to the point in this video and educate us. Other vloggers ramble on and on with no substance. They only love hearing themselves talk.

  18. Hi Jaimie- can I just say you are my BFF in my head lol! Your organizational skills are GOALS and I am so happy I found your channel a few months ago. I love doing StriveStudy vlogs because it motivates me to some day be as organized and hopefully be in the medical field. Im trying to go for Physician Assistant but the study load and exams and high GPA's scare me to be honest! Can you give advice on how you study Anatomy and Physiology- i am struggling ALOT with these classes. thanks!

  19. I have follow you since your videos on school, and I see a difference on your face. I started questioning if you were okay or something health wise happened when you were on school. I feel like your cheeks look like if you had fillers or botox. I might be wrong maybe is a health condition I have hypothyroidism and sometimes I wake up with my face swollen I am just curious.

  20. ♨️Great advice, very clear and so helpful thanks for shedding light on this .. passion really helps the burnout in every field.. as Pre Med your videos are so worthwhile 🖤

  21. I really like how you changed your vlogging style! It's short and to the point, and entertaining with visuals and cut scenes. Great change in keep it up!

  22. After a decade of torture you can choose to work when you want to. I have 2 pairs of doctor friends. Both pairs are husband and wife.

    One pair are into dialysis. Work 6 months and take 6 off traveling and enjoying life. The other pair work on and off around the country taking temp assignments.

    They work when they want to. It gets real easy after residency if you got people skills. That's what they taught me.

  23. The work hours and job conditions are all well documented and available. New grad MD's really have no excuse in disliking the job conditions. The taxpayers have paid thousands of $ into your training so you have an obligation to provide the service. If you can't do it, why did you get the training ?

  24. Why don't they change the schedules to at least 2-3 consecutive full days off? I know manpower is an issue but it would make sense that they'll try to help relieve the stress or burnout rate by giving you more time to decompress.

  25. Hey I would like to ask an unrelated question. I’m a med student in Europe but I want to take the step exams. I know you did a video on that but I got a few questions. What did you use for Biochemistry? Was FA enough or did you use other resources too? Same question for immuno. Love your videos I hope you can help ❤️

  26. Hi Jamie! Thank you for addressing this! 😭😭🙏
    I work as Emergency Medical Officer in one of Indonesia Main Hospital..I haven’t take the EM residency yet, as the program has not fully established in our country..I had a burnout last December and still can’t go back to work due to a high workload during end of the year.. I love EM eventhough lots of people still questioning about my decision as this area of medicine is relatively new.. I am thinking about working in different area of EM such as alarm centre doctor (like answering emergency call and giving advice) and emergency transport for a while as working in ER still scary for me for now..I had some panic attack due to my anxiety and it leads to make both anxiety and my depression relapse.. thanks for your advice, it really like giving me strenght to go on this path 🙏👍

  27. Dang girl! You come complete with so many interesting facts and insights! I most appreciated your point about advocating for yourself when it comes to self-care – absolutely essential for the long game.

  28. I didn't eat during the beginning of my ED rotation too! Haha I felt bad but the attendings started forcing me to take breaks.

  29. 제이미 !!! ( Even though this comment is not relevant to this video lol )
    I just saw your interview from 'INSIDER' , the title is 'Why People Watch YouTubers Study For Hours
    '
    I was so happy to see you from somewhere else
    Actually this is the first time to write a comment here but I have been following your channel since I first went abroad to study medicine 2 years ago , by searching 'Study with me' video.

    Unfortunately, I had to give up for various reasons and come back to Korea but I'm still ( and again ! ) preparing for entrance exam to go to med school in Korea .
    Although You don't know me haha I have been always inspired and motivated by your videos and what you have shown to us.
    And Now you are doing 'residency' !!! It's so great to see you get closer to a 'real doctor' step by step and It really gives me inspiration.

    I'm not sure you gonna check this comment but I just wanted to tell you that It was so great to see your interview from another Youtube channel and I'm always thankful to your videos and You have been achieving the steps that I really want to accomplish in the end.

    As I'm writing this, I'm also nervous because I only learned English by myself and 'the first studying abroad was studying medicine in English' When I turned to 30 .
    English is still ..my barrier and obstacles that I have to break
    So I'm worried what if I make mistakes in this English but anyway lol whatever !! 🙂

    I really want that I will be able to leave another comment after I get admitted to med school in Korea in the end !!!
    Wish me luck!! and I'm also sending you tons of supporting energy to become a 'good doctor' .

    Thanks !!!

  30. I know I'm super late to the game, but a few weeks ago I discover your TheStrive Studies, and I've been using them to study and manage my time better. I'm a sophomore in high school, and I find your videos in this channel inspiring. Watching you study for med school to now being a doctor is just amazing. I'm not at that level yet, but next year I'm taking a class that looks to be too hard for me, but watching your videos makes that class seem less daunting. Thank you for making your videos and just being… inspiring!

  31. For clinical experience, should I be a CNA or a phlebotomist? Can you do a video on how you got experience as a pre-med?

  32. can you help me .I was super obsessed with my speciality and day by day I lost the interest ,I reached the point that I don't wand to hear or read anything related to it ;(

  33. How to deal with physician burnout according to this video
    1. Make sure you go into a specialty you enjoy! (4:29 in video)
    2. Make sure you have ways to decompress after work (4:46 in video )
    3. Explicitly think about what makes your job worth it! (5:04 in video)
    4. Expect long hours, but strive for a better work-life balance. (5:35 in video)

  34. Hello Jamie. This is Caleb Gordon. For every video that you made or make, can you write the main points in your video in the description below, so that I don't have to watch the whole thing , if I'm running low on time?

Leave a Reply

Your email address will not be published. Required fields are marked *