burnout: a crisis of faith
TRANSCRIPT
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Burnout
“In a culture where work is the new religion, burnout is its
crisis of faith” Jennifer Senior; New Yorker Magazine
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Burnout: everybody pays!
Montgomery. J Health Organizat’n and Managem’t 2011;
Cost
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Why we need to discuss it?
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“Self love..not so vile as self neglect” Henry IV
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My mate
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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
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What Burnout isn’t
PTSD
MLcrisis
Boredom
Perfect’ism
Exhaust’n
Tired-
ness
Narci-
sism
D’pres’n
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Four C bombs • Cut corners
• Cynicism
• Callousness
• Contempt
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Even simpler
Expectations
Reality
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adbusters
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“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
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When ? “I can’t make things better”
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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
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Who(m)?
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Maslow’s hierachy of needs
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“Most men lead lives of quiet desperation and go to the grave with the song still in them.”
Henry David Thoreau
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How common?• 40% all workers• 50% physicians • 30% surgeons• Yup, trainees too…• Yup, housewives too…
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With thanks, M Jacka
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Why isn’t it taken seriously…
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RICH
HEALTHY
PAMPERED
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adbusters
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…Or “Weltschmerz”
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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/
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“The fault is not in our stars, but ourselves” Julius Caesar
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“being a doctor…one of the few acceptable
reasons for abandoning a family”
Dr Linda Clever, President of Renew
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Botrytis
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So, am I burnt-out?
http://www.mindtools.com/stress/Brn/BurnoutSelfTest.htm#Table
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Burnout: what to
do…
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Chance. Psychol Theory Res Pract 1978
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F**K
I’M
GREAT
JUST
ASK
ME
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Avoid fetishes!
fetish: desire/dislike with excessive gratification/revulsion.
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What THEY can do1) Stress
management/counseling/mindfulness2) MANDATORY sabbaticals3) “PROFESSIONALISM”4) REAL Socializing
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“We overestimate what we can do in a year,
& underestimate what we can do in a decade”
Bill Gates
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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
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Despair.com
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“Heavy hangs the head that wears the crown” Henry IV
Educ
Res’chAdmin
Charity
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“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”
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Relationships
Spirituality
Self-care
Approach to lifeWork
Renew-o-meter: http://renewnow.org/renew-o-meter/
Resilience
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“Curing vs managing”
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Emotional Psychiatric Physical Family/Social Financial Legal Work
10 yrs
Discovery
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In closing…Be there for others…
• Booze and drugs
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And look after yourself
“To do well, you must be well”
Anonymous…but darn smart
MANY MANY THANKS….