Discover and read the best of Twitter Threads about #Burnout

Most recents (15)

1/ #medtwitter if you care about #metoostem #meded #equity #burnout please follow along. Gender violence is pervasive in medical training.

bit.ly/2FBkNGG

#sciencetoo #meded #medtwitter #medtoo #timesup #beethical #heforshe #timesup
2/ “…we may hear and intimately know the experiences of gender violence, but we are unable to share. Our voices are trapped and silenced, exacerbated by the hierarchical and apprentice-based training environment.." bit.ly/2FBkNGG
3/ Over 50% of medical students experience sexual harassment from faculty and staff. The people who are entrusted to teach us how to be physicians.
Read 11 tweets
@RichDuszak 1- MT @Aiims1742 “This @katekelly article reads like a paid infomercial for EPIC (in fact, I actually looked for the “This is an advertisement” disclaimer). Would have been nice to have interviewed one or two end users of the chocolate factory product.”
nytimes.com/2018/12/20/bus…
@RichDuszak @Aiims1742 @katekelly 2- Nice digs, clever marketing spin, BUT Epic highly disliked by users. #EHR has significantly disrupted relationships w #patients, #ptexp, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @JackMurtha hcanews.com/news/ehrs-are-… @BarbaraMcAneny @meggerber
Read 22 tweets
Dear friends & colleagues- the support you have shown in a vulnerable moment has been overwhelming. I will try to highlight some of the advice and reflections I have received on #burnout that were helpful & thought provoking:
1) Celebrate your numerator. We focus to much on the denominator (those things not yet done), but the wins we have delivered get forgotten too quickly.
2) Life is a marathon run on an oval track. There are often things/issues that come around again. Don’t beat yourself up, you have not failed- this is life. Learn a bit more about yourself with each experience.
Read 11 tweets
@Aiims1742 @katekelly Nice digs, clever marketing spin, but EPIC is highly disliked by end users. #EHR has significantly disrupted relationships with #patients, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner
@Aiims1742 @katekelly @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner @GregT_156 @rgergelymd @matthewherper @charlesornstein @ddiamond @JeffYoung @sarahkliff @adamfeuerstein @dariustahir @ReasObBob @EJSMD “I began to see the insidious ways the software changed how people work together. They’d become more disconnected; less likely 2 see & help one another, & often less able to”–@Atul_Gawande newyorker.com/magazine/2018/… @GavinPrestonMD @agropper @joyclee @LaurentLantieri #EHR @BobLeeMD
Read 11 tweets
“ You are worth saving” #thread

This week’s #10ThingstoKnow on Burnout is by Simon McCormick @DrSimonMc an EM Consultant at Rotherham. Simon spends most of his time teaching as he is in his 2nd spell of ‘burnout sabbatical’ but is slowly working his way back to clinical medicine
Simon has incredible blog site, the Broken Toy (brokentoydotblog.wordpress.com) where he writes about his experience with burnout, some thoughts on wellness and what he has been up to in medical education. Here is Simon’s #10ThingstoKnow about Burnout @DrSimonMc

#burnout #thread
1. What is Burnout?

There is no specific agreed definition so this can make it difficult to diagnose. It isn’t about having the occasional bad day, or even bad week, at work but instead usually involves a sustained negative change physically, emotionally, behaviourally.
Read 13 tweets
First day back at work and I saw the "moral injury" with clear eyes statnews.com/2018/07/26/phy…
I think one of the things that people who are not poor don't understand is just how unstable and violent the bureaucracy of poverty is.
Case in point: being dropped from your health insurance without warning for obscure bureaucratic reasons. Having to navigate complex paperwork to reapply. Being denied because you make a dollar over income.
Read 7 tweets
Today, a friend asked me for practical advice for dealing with #anxiety, specifically anxiety caused by #PhD #burnout. I thought more people might also be interested.

#PhDchat #MentalHealthinAcademia

(My history of burnout if you want background: bit.ly/2xHV76y)
I'm still figuring this out myself, and there's a lot of advice about dealing with anxiety available, so I'm just going to list the things that work best for me. I'll talk about sleep, trying to clear your head, still working during the anxiety and getting help.
1st, tell someone you're struggling. I told my supervisor and I can't imagine trying to hide it from her, but I know some people aren't comfortable with that. Find a colleague you trust and tell them. (The benefit of telling your supervisor is they're responsible for helping.)
Read 26 tweets
1/ Several provocative papers were published on #burnout last week in @JAMA_current. I have some thoughts on both the papers and the field. I hope these might stimulate further informed discussion. I will take part in that to the extent time permits, but I do have a day job. 😀
2/ First up, the systematic review by @LisaRotenstein @srijan_sen_lab @DouglasMataMD and others. Hearty congratulations for such a visible publication based on an immense amount of work! #burnout @JAMA_current jamanetwork.com/journals/jama/…
3/ Key findings include: “marked variation in burnout definitions, assessment methods, and study quality” which “preclude definitive conclusions about the prevalence of burnout”.
Read 34 tweets
I have tweeted persistently for 24 hours regarding physician wellness & the concept of “resilience“ because I can no longer passively accept responsibility in any form for systemic healthcare inadequacies. Docs, keep advocating. Fix the system, fix doctors. @CMA_Docs @CMPAmembers
#burnout

Moral injury “You have seen things that go so against what you believe in that it breaks your mind and your spirit”

Frontline soldiers , frontline physicians

@CMA_Docs @CMPAmembers @drgigiosler @DoctorsOfBC
Talking about it is all we can do ! It’s time to accept an uncomfortable reality

Physicians

Are

Vulnerable

Physician disenfranchisement, over regulation and domination began years ago. All we can do is shout into the wind
Read 7 tweets
I'm re-reading articles about #burnout before finishing up this section of my #DevRel book and stumbled on this oldie-but-goodie from @aprilwensel:

"What burns people out is not doing hard work, but rather feeling like their work doesn’t matter."

medium.com/compassionate-…
Don't get me wrong... as long as I know my work still matters, I'm ok with doing the basic, repetitive work that I'm overqualified for but that needs to happen to keep the team going. It's a part of every job, right?
The difference is when I'm told that my time is best spent doing that drudge work rather than doing the work that I love & care deeply about. The message that sends me is that the work that I care about the most is essentially worthless & is doing nothing to further the company.
Read 6 tweets
Charts:

What are the primary revenue sources of a hospital? Wouldn’t more wRVU demand from the same doctor (in a “physician service cost deflationary environment) increase providers’ #burnout rate and/or decrease the quality of patient care?

linkedin.com/feed/update/ur…
#Corpgov
U.S. patients have lower mortality rates with foreign-trained doctors reut.rs/2k4JJc6

💲Research on Compensation Equity and Transparency in the Field of Medicine
acponline.org/system/files/d…

#inequality #doctor #news
On average, female doctors made $105K less than male doctors ... gender pay gap actually increased
governing.com/topics/mgmt/go…

💊Who’s the better doctor? Try a woman
nbcnews.com/health/health-…

🏥Patients Treated by Male vs Female Physicians
jamanetwork.com/journals/jamai…
#HappyMothersDay
Read 6 tweets
This is my commentary on #twitter #movements. Before I go I want to preface this with a statement: I love humans. We're amazing creative & powerful beings. I'm fascinated by human behaviour and the hidden motivations underlying our basic need to belong. 1/
I've observed some movements taking off on Twitter. Some for #MedEd, raising awareness, knowledge sharing, inspiration and sharing failings, wounds & triumphs. Generally they support creative expression in 280 characters. Awesome! 2/
As these movements gain momentum, more people want to join in b/c #belonging. I'm seeing a disturbing trend of sharing experiences of patients/clients to promote how deep & human they are. Some are purely intended, some not. 3/
Read 21 tweets
allez, c’est parti pour la suite du #Zuckhearing devant le congrès. pour le style, on verse toujours dans la fanfic live report différé, en français.
nouveau thread pour l’occasion, histoire que vous n’ayez pas 400 tweets à dérouler. (je pense notamment à ceux qui ont des apps de merde android.) vous pouvez retrouver la première partie de l’histoire, devant le sénat, ici :
j’ai 4.1k mots et 24.5k signes à publier : comptez donc une grosse centaine de tweets (ça paraît beaucoup, mais en vrai c’est un peu moins que ce que poste @Pipomantis en une journée ー je dis pas ça à l’arrache je l’avais mesuré avec l’api twitter back in 2013.)
Read 127 tweets
Over the past 2 days, hundreds of doctors have shared heartbreaking accounts of how #gunviolence is a #publichealth issue. These are the stories of #docs4gunsense ... May their words make a difference.

@choo_ek @physicianwomen @darakass @gitapensa
The result of a bullet ricocheting inside the skull and destroying the brain on CT scan. The worst trauma I have seen. GUNS ARE A PUBLIC HEALTH ISSUE – Gen Geller MD, NY #docs4gunsense @drgenngeller
The damage a bullet does to a 1 year old brain as it ricochets back and for. The guilt the family feels. The sadness we all feel.
Melissa Miller MD, Missouri
Peds EM #docs4gunsense
Read 121 tweets

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