Discover and read the best of Twitter Threads about #Burnout

Most recents (24)

Jason definitely struck a nerve for many of the #PharmEd & #TwitteRx folks. This is something we’ve discussed quite a bit in Maryland, but it sounds like a larger @ASHPOfficial / @ACCP task force is needed. A few thoughts… (🧵1/10)
1st: I am very proud to be a #pharmacist & love mentoring pharmacy students & residents on research projects every year…but…the large majority of PharmD grads *do not* have the knowledge/skills to *lead* a research project. We have to acknowledge that. (2/10)
2nd: (Trigger Warning ⚠️) A decent number of faculty members & clinicians are not strong research mentors. Even a faculty member with a PhD can struggle mentoring residents, because mentoring is a skill that needs development - but we just expect it as a given. (3/10)
Read 10 tweets
1/🧵 I DARE YOU 👍

When we’re busy, relationships become I-It & should be “I-Thou”

How can we fix it?

I asked him 4 Questions:

What’s your favorite song, hobby, food, pet’s name?

Do this for 1 WEEK. How does it change the way you SEE & CARE for others?

Read on…(pic w perm)
2/ Hecame to our ICU service over night after his spinal fusion.

He would only be w us a short time & would then be gone. So why dive deeply into his history??

Because he’s an ENTIRE PERSON.

So every minute with him is a gift. What did I learn?
3/ His favorite 🎶 is anything by the Eagles. Hobby is cars. Food is Thai. Pet is a “white golden” named Hondo!
Read 11 tweets
Bonjour!

Après avoir un peu récupéré de l'intense session d'approbation du résumé pour décideurs du rapport du groupe III du #GIEC, je voudrais partager quelques réflexions.

D'abord, sur le contexte de ce rapport.
🧵⬇️ Image
C'est un rapport préparé depuis 3 ans par 278 scientifiques de 65 pays différents.
Voici la liste des auteurs du rapport, avec une diversité d'affiliations (la plupart du secteur académique, quelques uns d'entreprises privées et d'ONG) : archive.ipcc.ch/report/authors…
Pour chaque scientifique, vous pouvez d'ailleurs accéder facilement à leur liste de publications dans les journaux scientifiques, par exemple via scholar.google.fr
Cela permet de différencier une personnalité qui exprime une opinion d'un travail scientifique (peer-review)
Read 42 tweets
Important & sobering read by Jennifer Abbasi, featuring @patientrev Fellow, Dr. Mark Linzer, on
#burnout, #mentalhealth & #primarycare.
Summary 🧵 1/5
ja.ma/377QsPM via @JAMA_current part of @JAMANetwork
The #healthcare workforce is feeling hopeless. This is incredibly worrisome.
Scary stats:
20% of MDs want to leave practice
60% are burnout
20% know a colleague that has considered/attempted/completed suicide.
We are NOT OKAY. 2/5
@JillianHortonMD @AlikaMD @KatharineSmart
What makes us feel burnout & hopeless: Not being valued or supported.
More than words are needed.
Organizations need to think seriously about how to relieve exhausted staff & give space and time to heal.
Think structures & systems, not just workshops & modules.
3/5
Read 5 tweets
This is a short story about academic burnout, compassion, and when your brain insists that your limb is gravely injured when, in fact, it is not. THREAD 1/17 #AcademicTwitter #burnout
I’ve had to say no to a lot of things recently. Not because I’m not generous (I am), or because I’m making a stand against overwork (I should), but because, I’ve found myself in a situation where burnout has fairly dramatic physical consequences 2/17
See, I recently had the fun* experience of a relatively minor injury developing into something more sinister (*not actually fun). Pain, swelling, inflammation - these are signals that your body is injured and needs to heal. Except sometimes, they’re not. 3/17
Read 17 tweets
🧵VERY IMPORTANT NEW STUDY pub in @bmj_latest focused on 140 US med schools & 30K med students looking at #burnout in people with intersectional identities.👩🏿‍⚕️🧑🏾‍⚕️🏳️‍🌈 Bottom line: We are likely underestimating harm.

#MedTwitter #MedEd #WomenInMedicine #LGBTQ
bit.ly/3LkKtFV Image
"Study’s major finding is that a higher proportion of students with multiple marginalized identities report mistreatment and discrimination. Students with all three marginalized identities (female, non-white, LGB) had the largest proportion."
#MedTwitter
bit.ly/3LkKtFV Image
"Additional pressure marginalized groups face to represent their communities or contribute to diversity efforts at their institutions and experiences of bias and discrimination likely contributes to the effect observed with this dimension of burnout."👩🏿‍⚕️🏳️‍🌈
bit.ly/3LkKtFV Image
Read 11 tweets
Burnout is an epidemic.

It ruins careers, relationships & mental health.

A study by Deloitte reported a staggering 77% of workers have experienced it at their current job.

But it doesn't have to be this way, says @NathalieRach.

Her Top 4 strategies for avoiding #burnout.
👇
1/ Seek inspiration

Quite literally everything is more difficult if we don't believe in WHY we are doing it.

From careers & fitness, to academic pursuits, spending the time upfront to identify our purpose & motivation can provide us the tailwind we need when things get tough.
2/ Invest in connections

Research shows that deep, personal relationships can impact our physical & mental well-being as much as fitness, sleep or nutrition.

We should treat them this way. Be honest, be vulnerable & seek a few deep, quality connections over many shallow ones.
Read 8 tweets
J'ai le plaisir de vous annoncer la sortie le Jeudi 7 avril prochain de mon livre "Dans l'enfer de l'hôpital" chez @robert_laffont

#Objectifs:
1/6_ Témoigner de l'engagement sans faille des internes et interpeller sur la situat° de l'hôpital que le #COVID19 n'a fait qu'aggraver Dans l'enfer de l'hôpital, ...
2/6 Témoigner pour montrer ce qu'il se passait vraiment derrière les chiffres des hospitalisations en #réanimation ou de décès qui ont rythmé nos vies pendant deux ans.
3/6 Témoigner sur nos conditions de travail quand on disait qu'on manquait de tout : de #masques, de #tests, de #lits, de personnel.
Read 8 tweets
#macron,
un jour #optimistic,
un jour #pessimestic,
toujours #lipstick

"It’s not Maybelline, but maybe Emmanuel #Macron isn’t born with it"
"Look how much the boy king’s subjects are spending on his pretty face while the working man suffers."
@EricMorillot une itw de la maquilleuse de #macron ? 🤪
#lipstick
#prettyboy
washingtonpost.com/blogs/post-par…
i miss #lipstick
Read 4 tweets
Amidst increasing attention to the #mentalhealth of health workers, we explored how #stigma is understood/enacted in #MedEd. We learned that things are a lot more complicated than we thought. 🧵

@jelenapole @juveriazaheer @rachaelpack89 @MedEd_Journal

onlinelibrary.wiley.com/doi/abs/10.111…
We know #stigma can prevent help-seeking due to the risk/repercussions of disclosure. This topic has been well researched. See the article below and work of @drjessigold @KGoldMD for more details /1

healio.com/news/primary-c…
Yet, the pandemic has brought the hero narrative to the fore, a sentiment meant to praise workers, yet may stifle conversations about distress, burnout, and help-seeking. See the important work of @drbreenheroes for more on this and Dr. Breen's story/legacy. /2
Read 14 tweets
Burnout en UTI
Al final de la 2 ola de #Covid con @LeoTumi @PabloCanavessi vimos que el personal de UTI se encontraba con 97% de #Burnout
🤯Miedo a la muerte
🤯Guardias eternas
🤯Pluriempleo
🤯Bajos salarios
Cuales son los síntomas?Hijo dedicado a los colegas de @SATIarg
Cansancio emocional: no teníamos ganas de levantarse del sillón por estar exhaustos de tanto trabajar. El #covid aumentó nuestra carga de trabajo y además por el escaso número de especialistas de UTI tuvimos que trabajar más horas y más guardias
Insomnio: nos costaba dormirnos o nos despertábamos antes
Llegábamos a la guardia como si no hubiéramos dormido nada. Al principio era intermitente, luego pasaba siempre. Algunos tomaban pastillas para dormir 😴
Preocupación por los pacientes, la familia, contagiarnos, morir
Read 16 tweets
1/🧵 Seeing Differently in #COVID ICU Care 👁

The world tells me “stuff” & “freedom ” bring happiness, yet neither suffice or satisfy.

If I reject chances to serve my suffering patients, I am left bereft.

Merciful care brings healing & provides joy all around.

What is #Mercy?
2/ My working definition of mercy is my willingness to dive into the chaos of another person’s life & provide lifting & healing.

Often as an ICU physician I do the former but not the latter.

That is, I dive into their #chaos without admitting I don’t know what’s right for them.
3/…but without performing actions that lead to lifting and healing of my patient’s spirit & mind, what I’m doing is dispensing false mercy.

eg, If in #COVID, I make the lungs 🫁 my whole goal, sedate & depersonalize someone for too long, I beget new diseases.

#PICS #LongCovid
Read 5 tweets
Angesichts nicht nur der aktuellen Wortmeldungen verschiedenfarbiger Politiker (z.B. orf.at/stories/324684…) gebe ich jetzt mal das Orakel und sage Euch die Zukunft voraus.
#Covid19at #Impfplicht #SeidsEsAlleDeppatKruzifixNoAmoi
In den nächsten Tagen und Wochen wird sich jede*r, der eine OTS verfassen kann, eine Journalist*in kennt oder einen Social Media Account hat zu Wort melden und wenigstens eine "Evaluierung" fordern - #Omicron ist nur ein Schnupfen etc.
Ganz besonders aktiv werden unsere eigentlichen Regenten, die Landeshauptleute werden, eventuell fordert auch Dosko den Rücktritt von PRW, weil sie die Impfpflicht nicht verhindert hat.
Read 13 tweets
1/🧵ICU Burn-Out Prevention in #COVID: a few thoughts
 
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
 
#burnout #nurse Image
2/ Which is to say, I was only “good” doctor on paper. NOT in real life.

I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.

Now I know that was not enough, not by a LONG SHOT.
3/ 📚 I wrote: “That shot of adrenaline from saving a life dissipated once the ventilator was in place…as if we handed over care of our patients to machines while we went off & intubated, sedated & paralyzed the next person...

P.58 #EveryDeepDrawnBreath Image
Read 5 tweets
THREAD du lundi 💙🫂💙 : #Soignants, #Secouristes, Forces de l'ordre, #Aidants et #Traumatisme Secondaire ou #Vicariant. Je vous propose d'explorer de façon non exhaustive quelque chose qui nous concerne tous, et dont on ne fait pas à mon sens assez de #prevention. 1/18
Le Psychotraumatisme Vicariant (PtV)
Vicariant: qui se substitue à. On appellera le PtV cet impact psychotraumatique du vécu d'autrui, de nos patients, et la "contamination" traumatique de ceux qui les prennent en charge, suite à l'exposition aux récits et images impactantes.2/18
De façon répétée. Tauma par procuration, donc. A différencier du #Burnout et de #épuisementprofessionnel. Le PtV n'étant pas une surcharge de travail (quantitative) mais l'impact psychotraumatique spécifique de ce travail (phénoméno). Bien que l'épuisement pro soit un FDR. 3/18
Read 19 tweets
THREAD : Du vécu des #soignants durant la crise sanitaire : aspects émotionnels et #biaiscognitifs face au #covid. Reflexions issues de mon experience de terrain, n'a pas la prétention d'être une enquête qualitative. Echo au post de @linternedegarde et aux derniers Spaces. 1/20
Le système n'était deja pas frais. Manifs, manque de moyen. Au début de la crise et à chaque 1ere vague (puisquelles sont arrivée en décalé ds les Dom-Tom):Le déni initial a rapidement laissé place au choc de la confrontation au réel du covid. La roulette russe.L'incertitude 2/20
Toutes les régions ont connu la saturation de leurs moyens au fur et à mesure des vagues successives, et avec elle la disparition progressive des manifestations de soutien, renforcement narcissisant, bien que pas tjr bien reçu, face a l'épreuve de l'inconnu. 3/20
Read 23 tweets
I’m a #triplevaxxed surgeon, now sick & isolating with #COVID19. I’m married to a #triplevaxxed rheumatologist MD & mom to 2 kids in Moderna 💉trial, all negative but #quarantining since 3 y/o is blinded to vax status. Wanna know how Hubby’s work is treating him? (A 🧵)

1/?
He works for a large private health company, so Families First Coronavirus Response Act /FFCRA doesn’t apply. He is staying home with the exposed kids (kid 2 is 3 yo & still blinded in the trial). His options?
1️⃣Use vacation time
2️⃣Take unpaid leave
dol.gov/agencies/whd/p…
2/?
He will likely test + in the next few days given the household transmission of #Omicron, and then will STILL either take unpaid leave or use our much-needed vacation time. medrxiv.org/content/10.110…

3/?
Read 5 tweets
Observations on academia as we move into another term impacted by the pandemic
- everyone is exhausted, lots are fearful about the coming months
- unis are still not attending to student/staff need
- wellbeing isn't understood in terms of work/teaching practices
#AcademicTwitter
- accommodations students and staff are entitled to have still not been met
- the impact of Long Covid is barely recognised
- staff and student concerns about Covid-19 safety are being ignored
- many conflicting messages re: health and safety
#AcademicTwitter #AcademicChatter
- because of the legacy of bad academic practices prior to the pandemic and poor management from unis since, trust is very low
- therefore where support is offered students/staff are wary
- where excellent support is available people are too tired to take it
#AcademicTwitter
Read 32 tweets
Truthfully, I’m feeling more bitter than sweet entering this new year, especially when I compare it to how much hope I had entering 2021. I rounded out my last two weeks of the year on the general medicine wards, taking care of both COVID and non-COVID patients. My experiences:
-Escalating care for COVID patients but ALSO:
-Taking care of an unstable post arrest patient for 1.5 hours on the floor because there were no immediate ICU beds
-Self doing Q1H checks on patients not stable enough for the floor because there were no immediate ICU/SDU beds
-Unable to discharge patients swiftly with anything beyond a “home with no services” dispo because everything from STR to psych to delivery of equipment is back logged (seeing a theme here?)
-Extreme medication shortages, including blood. Only getting a HALF unit at a time…
Read 9 tweets
#patriachat, #WorkLifeBalance, #burnout
1/6 Alte Männer in hierarchischen Unternehmen sind der Arbeiter:in ihr Tod.
Ein Thread:
Zwei Jahre hab ich gekämpft, meinen Job als Oberarzt der Unfallchirurgie auf 60% Teilzeit zu reduzieren
2/6 um mich um Kinder, Haushalt und Soziales kümmern zu können. Arbeitgeber wollte nicht. Hab geklagt, Arbeitsgericht und Landesarbeitsgericht gaben mir Recht. Ich habe ein Konzept ausgearbeitet wie in der Unfallchirurgie Teilzeit gearbeitet werden kann.
3/6 Die Hälfte unserer Abteilung arbeitet 80%, nachdem ich damit vor 5 Jahren der Erste war. Es klappt super. Dadurch haben wir drei neue Stellen generiert. Weniger Wochenendarbeit für alle. Mein Chef, alter weißer Man, hasst mich dafür.
Read 6 tweets
There is someone in my life who is a pilot who disagrees with me on Covid approach. This person is now working during the current airline crisis. I wrote to them on using the airline crisis as an opportunity to understand the healthcare crisis. Thought I'd share here:

(1/12)🧵
What is happening in the airline industry is happening in healthcare, too, only, unfortunately (for reasons that go back hundreds of years and are complex), physicians don't have unions.

Imagine if you, as a pilot, were told you had to fly a plane in unsafe conditions.

2/12
You'd refuse and go to your union, if needed.

Well, what if, (go with the metaphor here), if you didn't fly that plane, all the passengers would die?

(Imagine they have to get somewhere for lifesaving treatment, for example)

3/12
Read 15 tweets
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills

Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system

Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:

https://t.co/VZ26WWNxRP
Read 45 tweets
Bon...
On va pas se mentir.
C'est pas hyper encourageant.
#MG
#burnout

pubmed.ncbi.nlm.nih.gov/34831796/
Petit résumé sur cette étude tout juste parue.
Qui ?
Les auteurs sont de Clermont-Ferrand, pas mal de l'équipe du CNRS et de médecins du travail.
#MG #burnout
Quelle est la question ?

Évaluer la prévalence du burn out chez les médecins généralistes en cabinet médical, et faire ressortir des facteurs de risque et des facteurs protecteurs.
#burnout #MG
Read 12 tweets
Open kaart

#longread (15)

Ik vertel niet vaak hoe het écht met me gaat en wanneer ik dat doe is her vaak 's nachts en verwijder ik m'n tweets snel.
Vandaag deelde ik overdag en haalde ik niks weg.

Ik vind het lastig; de nare dingen delen. Enerzijds snak ik dan even naar >>
een beetje aandacht. Anderzijds wordt de aandacht me al snel teveel en voel ik me bezwaard. Van nature ben ik niet iemand die 'zomaar' moeilijke dingen deelt of heel open is over wat me écht dwarszit.
Ik ben heel goed in praten zonder echt iets te zeggen.
Ik ben open over >>
dingen die ik heb verwerkt of onder 'controle' heb. Maar veel blijft bij mij en een kleine groep mensen die ik bewust kies op gevoel of omdat ze er al jaren zijn.
Ik vind ook niet dat ik alles hoef te delen hier. Sommige zaken zijn gewoon echt privé. Sommige wonden liggen >>
Read 15 tweets

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