Discover and read the best of Twitter Threads about #burnout

Most recents (24)

This

@bruce_y_lee succinctly says what I lay out in multi-tweet threads

This is it in a nutshell

Divide and conquer is as old as time. Ask anyone whose history includes being colonized

#Healthcare is 1/5th of the U.S. economy. You bet non-clinicians want a piece of that
If you are someone who touches patients, has ever touched patients, provides direct care, has any clinical background, I'll be totally frank, I respect your role. If your salary adds to the 30% administrative overhead of #healthare in America, then I have questions about #value.
This is a framework my coauthors and I offered on how to assess value and cut waste. Let's start with administrative burden. What exactly do you get paid to do in #healthcare? (we should be asking) What does your job do to deliver on the quadruple aim?

journals.sagepub.com/doi/abs/10.117…
Read 18 tweets
Anlässlich der von @destatis veröffentlichen Zahlen zum #BAföG 2019 kramen wir mal ein bisschen im Archiv:

#barelybafoeg #bafoegrauf #studihilfejetzt
- 2007 -
5 Jahre Verzögerung und keine Anpassung an veränderte Lebenskosten und -Realitäten.

Unsere Forderung bis heute: #Dynamisierung.

gew.de/index.php?eID=…
- 2011 -
Elternunabhängigkeit? Notwendig, aber nicht gewollt.

Happy Birthday - 40 Jahre #BAföG! #saddestpartyever
bdwi.de/show/5124687.h…

gew.de/index.php?eID=…
Read 23 tweets
Daily Bookmarks to GAVNet 7/19/2020-2

greeneracresvaluenetwork.wordpress.com/2020/07/19/dai…

Why We’re Losing the Battle With Covid-19 - The New York Times

nytimes.com/2020/07/14/mag…

#PublicPolicy #PublicHealth
Opinion | A Shutdown May Be Needed to Stop the Coronavirus - The New York Times

nytimes.com/2020/07/14/opi…

#PublicHealth #PublicPolicy #coronavirus
The racist double standards of international development | Workers' Rights | Al Jazeera

aljazeera.com/indepth/opinio…

#rights #workers #development
Read 7 tweets
The #LEADatStanfordMed is hosting our graduation event tonight! Our scholars from diverse backgrounds and specialties have spent 10 months with us focusing on leadership capacity building and developing educational materials to advance #diversityandinclusion.
We've even adapted to #COVID19, and showed activism on campus in solidarity against #RacismInAmerica

#BlackLivesMatter #WhiteCoatsForBlackLives #LEADatStanfordMed #SoMeDocs
#whatdoctorslooklike
One voice can create a unified message
Why don't we speak up?

Be part of the conversation. There are multiple ways to use your voice.

#LEADatStanfordMed #crucialconversations #WhiteCoatsForBlackLives #BlackLivesMatter
Read 20 tweets
Let’s talk #safetyculture

@TheIHI

It’s a framework for a harm reduction towards all: patients & families as well as all staff

Important:
growth mindset
instead of
fixed mindset

to have needed uncomfortable conversations

#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)

Then was expanded to patient experience

Also, cost of care

More recently we have added clinician wellbeing

=quadruple aim

ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism

The acute care side of the hospital - money maker - thinks of this as type of safety & #quality

but not #populationhealth

#Implicitbias elicits 🙄😡😴 response
Read 13 tweets
As #bioinformatician #biostatistician #DataScientist, have you ever felt you've done lots of work, yet achieved nothing? here is how to change that! A thread 👇 1/n
1 - #document rigorously your computing work - same as bench scientists do on experiments. Document your initial thoughts on data, your decisions, tests, issues, how you solved them, how you tried various tools, how you picked one over others. These are all *achievements*. n/1
2 - #track your tasks and efforts - make it quantitative. Write a weekly checklist on GitHub wiki; update and check it off at the end of a day. Version control your codes; push meaningful commits. Be aware of your time spent on each task. Numbers may be boring, but effective. 2/n
Read 13 tweets
It's my absolute honor to introduce today's speaker at the @StanfordWellMD Physician #Wellness Forum.

Dr. @MaryamSHamidi will be sharing insights on the “Nutritional Strategies to Improve Alertness and Mood”.

#doctorsarehumanstoo #preventburnout
It's important to eat meals early (within 60 minutes of natural waking) and weigh the first meal more than the rest.

#IntermittentFasting has so many benefits including decreasing body fat BUT NOT necessarily weight loss. The latter has to do with caloric intake.

#nutrition
Read 23 tweets
In Ö findet seit 2010 schon eine kontinuierliche #Arbeitszeitverkürzung statt -aber auf Kosten der Beschäftigten. #COVID19 hat den Trend noch weiter verschärft -es wäre höchste Zeit dass der Gesetzgeber endlich reagiert +die gesetzliche #Normalarbeitszeit an die Realität anpasst! Image
Die eine Hälfte von uns hackelt sich nämlich ins #Burnout, die andere Hälfte kommt mit ihrem Einkommen kaum über die Runden und landet in der #Altersarmut - das wird immer schlimmer werden - es führt kein Weg an einer allgemeinen #Arbeitszeitverkürzung vorbei.
Wann wenn nicht jetzt mit rund 1,7 Mio Beschäftigten (das ist mehr als 1/3 aller Erwerbstätigen) die arbeitslos oder in Kurzarbeit sind, sollen wir die Erwerbsarbeit ENDLICH sinnvoller verteilen +die #Arbeitszeit der Realität anpassen? Alles andere ist doch dogmatischer Irrsinn.
Read 3 tweets
Dearest colleagues, friends, public (anyone who wants to know), I’m going to tell you about an urban family doctor’s job before & during #COVID19 Here’s my story as told in 16 tweets (1/17): #medtwitter #onpoli @ontarionurses @OntariosDoctors @OntarioCollege
I take care of 1400 patients in @ottawacity in a #patientcentredcare clinic with a rainbow flag and the words “Common Ground.” I have many #LGBTQ patients, and also #Indigenous patients and #mentalhealth and many who live with physical/cognitive disabilities. (2/17) @CBCOttawa
Before the pandemic, I’d start at 9am with #Pediatrics, immunizations, answering questions, addressing parental #depression and #anxiety. Then I’d see other patients with infections, injuries, #diabetes, chronic illnesses. My clinics ended at 6pm, then paperwork. 5 days/wk (3/17)
Read 17 tweets
World Economic Forum: "Lockdown is the world's biggest #psychological #experiment - & we will pay the price"

Apr 9 2020 "With some 2.6 billion people around the world in some kind of #lockdown, we are conducting arguably the largest psychological experiment ever"

#Conditioning
"Unfortunately, we already have a good idea of its results. In late Feb 2020, right before EU countries mandated various forms of lockdowns, The Lancet published a review of 24 studies documenting the #psychological impact of quarantine."

#Handy
"The findings offer a glimpse of what is brewing in hundreds of millions of households around the world...

people who are #quarantined are very likely to develop a wide range of symptoms of #psychological #stress and #disorder..."

#Conditioning
Read 14 tweets
Today has felt tough, not really sure why. Is the 5 weeks of adrenaline in #Covid_19 wearing off, are homeschooling & new normal sinking in? I've kept coming back to these #wisewords today.

🌳 Acceptance
🎶 Find your rhythm
👨‍👩‍👧‍👧 Tribe
🤣 Humour

Thread1/5
🌳Acceptance: we're in this for a long, hard slog, life has changed, so when it does get you down don't be surprised. Concentrate on those things you can control & affect and take joy in these.

Thread 2/5
🎶Find your rhythm: exercise, time with family, walking in the fresh air, just sitting and doing nothing. Be strict with yourself in the ‘off time’ to resist the gravitational pull of your workstation. Otherwise we will #burnout.

Thread 3/5
Read 5 tweets
I was feeling overwhelmed by all the laypress articles about #moralinjury and #burnout in frontline health care workers during #Covid_19 so I decided to do a deep dive into the literature on the mental health of workers during pandemics.

Here's what I found. #thread

1/
Seriously, so many laypress articles.

What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?

I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.

2/
@UChicagoMed @UCCancerCenter But first, some definitions to set the stage:

Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout

3/x
Read 44 tweets
I know everyone is doing this, but here are my reflections after 2 wks in #ICU w/ #COVID19. Also includes lessons from our outstanding collaboration w/ #RapidResponseTeam

(1/12)
Much discussion on clinical phenotypes, but like any disease, #COVID19 is a spectrum. Here are 3 big phenotypes I saw

(2/2)
I’m more worried about running out of #intensivist, #RespiratoryTherapists, etc than running out of #ventilators. Given wide spectrum of disease, true expertise in mech ventilation needed. No 1-size-fits-all approach here

#COVID19 #VentilatorShortage

(3/12)
Read 13 tweets
“These are facts that are important for every LDS woman to know. It’s amazing that these aren’t currently part of the legacy of what it means to be an LDS woman. Very few people know these facts.” — Neylan McBaine, co-founder and CEO of @BetterDays2020

#MWEGconf #firsttovote Image
Image
“We can be good stewards just by living gospel principles.” — Shannon Ellsworth with @LDSEarthSteward

#MWEGconf #environment #sustainability #gogreen #savetheplanet #environmentalism Image
Read 19 tweets
As an ER doc I've always known I could be exposed to a pathogen or toxin that could harm me. But in the past, when the risk was known in an individual patient, I always had the protective gear needed to be as safe as possible. Here's how it feels to be an ER doc right now: (1/14)
In our current situation, there isn't enough appropriate gear to protect every healthcare worker. Combining the normal stressors of everyday life in the ER (on which we thrive) the very real likelihood that we'll become a victim of this #pandemic looms large in our minds. (2/14)
It's a stressor that we bring home as well. From changing out of our scrubs in a “safe place” at the hospital and disinfecting every item we carry back and forth, to disrobing in our garages and sprinting to a shower before greeting our loved ones, life is very different. (3/14)
Read 14 tweets
1/Its the third week of January and a dense fog is coming in from the sea.

It’s still dark before and after work
The #GE2020 campaign is divisive and we can guess it’s unlikely to resolve issues

So for all those at #MedicalTwitter I think it’s time for an anti-burnout thread 🙂
2/First I should say I have read what you’ve all read and I think doctors everywhere are regularly suffering symptoms of #burnout and we all have days when we ask ourselves if this it.

But we pick ourselves up again and if our colleagues are struggling we give a hand up.
3/
Moral injury
Lack of agency
Exhaustion
Burn-out
Resilience ??

We’ve all been there.
So what keeps us going and pulls us back from the edge?

It’s our patients!
And our colleagues👍
Read 15 tweets
Engaging and inspiring grand rounds from @EMARIANOMD today @HSSAnesthesia about biggest threats to #anesthesiology —concerns and solutions- classic Ed. Too much good info to share so excuse the string 1/8
Loss of identity.
-anesthesia is safe. We have enabled remarkable surgeries to happen and make it look easy
-we are sometimes invisible. We have a “ambivalence toward recognition”
-loss of identity ➡️ #burnout 2/8
SOLUTION to loss of identity
- We need to consider our brand
- #anesthesiology can lead in #PrecisionMedicine
- Take a “victory lap” and talk to families after #anesthesia
- Know when to take the mask off. Lead committees, contribute to the hospital, community impact 3/8
Read 9 tweets
#Burnout among #doctors & #nurses appears to be at epidemic proportions these days, with concomitant prescriptions for wellness and resilience. But in reality, most are not burned out: most love taking care of patients and want nothing more than to be able to do just that.
#Resilience? The medical folks I see are among the most resilient people in existence. That they manage to soldier on and not walk out en masse—that’s resilience!

#Wellness? That’s like a kindly offer of an ice pack from a mafioso after he’s kneecapped you with a baseball bat.
The corporatization of medicine has profoundly changed the tenor of medical practice. Somewhere along the line, the medical profession was ceded to the health care industry.

Many of us no longer recognize the profession we entered.
Read 10 tweets
Its Monday and your already feeling stressed? 😕

Let’s turn things around and make you feel your best!

Learn how to mitigate 🔥out w/this tweet, props for go out 2 the 1⃣ & only Brent Reed @brentnreed

This amazing presentation is summarized below for you to read!📖 Image
Critical to understand that stress❌=❌burnout

🔑difference: stress👉transient&reversible causes

stress❌NOT always a bad thing!
✅A little bit of stress😬can drive u2 do your best👍💯

⚠️But if fail to get the stressors undercontrol thats when it can take a detrimental toll ImageImage
Why are ➖feelings residual when u attempt to combat 🔥out as an individual🕴️‍♀️?

Lets🤔back2the cause of 🔥out➡️dissatisfaction in the workplace🏥

Well-being efforts 👉 help cope w/sx of 🔥out
BUT ❌ fails to change why the original problem came about😰 Image
Read 10 tweets
Stand out messages so far:

@annaburhouse: Connection to nature & self is so important

@donberwick: One reason it’s poorly tackled is because leaders aren’t looking after their own wellbeing (“starts at home”)

#KFOnline
This is brilliant @donberwick has dived in and started discussing the role of love!

“You cannot give what you don’t have” (one of my mantras!)

#KFOnline
I’m going to respectfully disagree with @Harsha_Shah86 about there not being any burnout if the environment wasn’t so hostile.

It’s about the individual’s experience. Some would burnout in a perfect system.

Understanding the *experience* is the key.

#KFOnline
Read 16 tweets
Thread on how #inclusion, or lack thereof, affects #Wellbeing:

⚠️: upcoming #vulnerability moment

Do you ever feel Iike you don’t belong in the spaces you occupy?
I do.
The feeling is isolating & discouraging.

The reasons why are complex, complicated. /1
#medtwitter #burnout
I will confess here that being in #dermatology and in #academia magnifies these feelings.

Being courageous, stepping outside comfort zones, making your voice heard... it’s good, necessary, but the way you’re perceived and received matters. It has impact.

It’s complicated.
/2
The cycle of self-confidence can be a positive or negative one, and often starts early in youth, affected by things such as parental upbringing, privilege, etc.

That cycle can build on itself, and have huge implications for one’s professional and personal wellbeing.

/3
Read 14 tweets
#Resister | Les #pompiers et le mouvement des #hôpitaux convergent face à la dégradation du #servicepublic. ce mardi 15 octobre dans les rues de #Paris. Par @NolwennWeiler bastamag.net/pompiers-greve…
@NolwennWeiler « Le confort des victimes et la santé des patients passent par le bien-être au travail des agents, raconte Matthieu, #pompier à Saint-Malo. Or, les conditions d’exercice ne cessent de se dégrader. Nos collègues soignants sont de plus en plus nombreux à être en #burnout. » Image
« Le malaise des établissements hospitaliers nous touche, constate Hervé, #pompier syndiqué à la #CGT. Ils sont en train de les démanteler, de les privatiser pour les donner en pâture à des gens qui vont faire de la spéculation. Comme ils ont fait avec la #SNCF. » Image
Read 6 tweets
I remember a surgeon I worked with in med school. She asked me to do something pre-op (without instructions), and after I did what I thought was correct, she started yelling at me for doing it wrong. Then she loudly announced to the OR how stupid I was.

#thread #medtwitter
1/
She literally pointed at me, and laughed with the chief, IN MY FACE. This was 11 yrs ago, and I still remember the moment like it was yesterday. I was livid, but didn’t feel comfortable saying anything.

I entered med school planning on a career in surgery, but changed paths.
2/
While this certainly wasn’t the only reason I ended up in IM/Derm, it helped cement my decision to NOT pursue surgery.

To people who say, “that’s just how surgeons communicate,” or that I just need a thicker skin, I refuse to believe that belittling others is ever okay.
3/
Read 4 tweets
1/ #medtwitter #twitternists #proudtobeGIM

I've been sitting on a @SocietyGIM #sgim19 debrief #medthread since the meeting, and thought I might finally take a swing at it - here goes ..

I am considering whether I can do more division/systems leadership in coming years .. ->
2/ Theme of the conference was 'Courage to Lead', and single best workshop for me was :

Leading Change: Tools/Tips for Change Management

Crediting Alfred Burger, Emily Fondahn, Brent Petty, Nathan Spell, Dan Steinberg - can't find them on Twitter, so giving proper 🗣🗣.
3/ would like to share key concepts for all of us trying to lead in academic medicine or in #advocacy spaces.

First key Slide/thoughts:

The hard stuff - barriers to change .. ->
Read 16 tweets

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