Burnout: The Elephant in the Room

Burnout: The Elephant in the Room

November 1, 2019

In this episode, Doctors Agboola, Chung, Kurtz, and Doty discuss the topic of “The Elephant in the Room: ‘Burnout’”. They spend time discussing: Defining the term of burnout, How to recognize symptoms of burnout in others, Getting past the platitudes of “yoga & exercise”, Moral injury, The Unspoken Curriculum, and Models of Wellness.

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Host

Isaac Agboola, MD, MS

Yale New Haven Medical Center
PGY3
EMRA*Cast Episodes

Guests

Arlene S. Chung, MD, MACM, FACEP

Program Director, Maimonides Medical Center
Residency: Warren Alpert Medical School of Brown University
Medical school: New York University School of Medicine
EMRA Articles

Twitter: @ArleneSujin

Christopher Doty, MD, FACEP, FAAEM

Former Program Director and Vice Chair for Education and Associate Professor of Emergency Medicine and University of Kentucky-Chandler Medical Center

Residency: SUNY Downstate and Kings County Hospital
Medical school: Thomas Jefferson University

Twitter: @PoppasPearls

Alicia Kurtz, MD

Emergency Physician and Assistant Medical Director at Mercy San Juan Medical Center

Fellowship:  Management and Administrative Fellowship, Vituity 
Residency: 
UCSF - Fresno
Medical School:  
Loyola University Chicago

EMResident Articles

Twitter: @aliciakurtz_md

Overview

In this episode, Doctors Agboola, Chung, Kurtz, and Doty discuss the topic of “The Elephant in the Room: ‘Burnout’”. They spend time discussing: Defining the term of burnout, How to recognize symptoms of burnout in others, Getting past the platitudes of “yoga & exercise”, Moral injury, The Unspoken Curriculum, and Models of Wellness.

Key Resources

EMRA Wellness Committee
EMRA Wellness Handbook
Airway Stories
Real Talk

Key Points:

  • “Adversity is coming for all of us”
  • We operate in a specialty that lends itself to “burnout”
  • Moral Injury is better terminology to use than burnout because “burnout” puts the impetus on the individual rather than on the system that causes it
  • It’s critical to find an outlet, whether that be in the curriculum of your program or elsewhere through modalities online.
  • Online modalities such as these include Airway Stories and Real Talk
  • “Burnout” ≄ Depression
  • Recognizing burnout is often difficult because each person manifests it in different ways. Look for acute changes in a person’s behavior or mood.
  • “Burnout” is a moving target, there are a variety of different ways to approach it

References:

Stanford Model of Wellness
National Academy of Medicine Action Collaborative on Clinician Well-Being and Resilience
Medscape National Physician Burnout Depression and Suicide Report 2019