Discover and read the best of Twitter Threads about #burnout

Most recents (24)

CN: Suizidalität, Burn Out
Es ist ca 3uhr morgens, ich habe Nachtdienst. Das Telefon klingelt, Nummer von außerhalb. Sicher eine Krankmeldung. Ich melde mich, am anderen Ende ist nur ein zitternder Atem zu hören. Nach ein paar Sekunden meldet sich eine Kollegin und fängt direkt an zu weinen.
Sie weiß nicht weiter. Sie weiß nicht mehr was sie tun soll. Sie ist gerade irgendwo im Dorf unterwegs und kann nicht schlafen, sie hat Panik vor der Frühschicht. Sie sagt, sie schafft das nicht mehr. Sie erträgt es nicht, sterbenden und vor Schmerzen weinenden Patient:innen
Read 24 tweets
Yesterday I started a series of threads about burnout (original thread below). In today's thread, I want to share a little more about what burnout feels like.

#burnout #burnoutrecovery
Yesterday I mentioned the four key factors in identifying burnout:

1. Deep emotional exhaustion
2. Diminished sense of accomplishment
3. Loss of identity/sense of self
4. Feeling Hopeless

Let's go a little further down the rabbit hole . . .
Anxiety and shame —
These two are so huge I will dedicate a separate thread to each of them later on. However, generalized or chronic anxiety is one of the main causes of burnout. Shame is one of the primary drivers of anxiety. Burnout is always accompanied by anxiety and shame.
Read 17 tweets
"How can I know if I'm in burnout?"

Leaders ask me this all the time. Here are four questions to help you discern if you're in burnout:

[Thread]
#burnout
1. Are you emotionally fatigued?

Not just a little tired but deep exhaustion that goes all the way to your bones. A few days off will not cure this fatigue.
2. Do you have a diminished sense of accomplishment?

You may be doing the same work but everything feels harder and you just aren't getting the results you used to. Work that used to bring you joy, now drains your soul.
Read 10 tweets
1| "Physician #burnout is real. The rate of suicide is really high. On top of that, with all the stressors of #Covid, we're hurting & we're afraid to show that we're hurting for fear of repercussions, for fear of being termed weak."

Watch the full video: bit.ly/3ywIszP
2| "It's the mentality of the patient comes first, which is great. But where do the providers come? And maybe that's a paradigm that needs to shift. We need to take care of ourselves. We need to take care of each other so that we can then take care of our patients."
Read 3 tweets
CN #Depression #Burnout #PTSD
Heute Mittag hat mich völlig überraschend mein Vater angerufen. Wir haben wenig Kontakt und sobald es irgendwie politisch wird, eskaliert es völlig, so auch bei unserem letzten Telefonat kurz nach meinem "Zusammenbruch". 1/4
Ich habe ihm seinerzeit nicht gesagt, wie es mir geht, auch weil ich keine Lust auf ungebetene Ratschläge seiner eher distanzlosen, besserwisserischen Lebensgefährtin hatte, die ich zwar notgedrungen toleriere, aber nicht besonders schätze. 2/4
Heute hat mein Mann doch meinen Vater informiert und ich fand mich unvermittelt und unvorbereitet in der Situation wieder, ihm irgendwie erklären zu müssen, was los ist. Auch wenn ich ihm seine Sorge um mich glaube und ihm seine eher hilflose Küchenpsychologie 3/4
Read 5 tweets
1/🧵🎥 Leading #COVID19 ICU Doctor @DavidJanz5 in New Orleans, the epicenter of U.S. #DeltaVariant surge, testified before US Senate Committee on Health, Education & Labor. Here is what he said: “Studies of #FrontLine workers caring for COVID-19 patients have shown…👇
2/ that the risk for the development of #mentalhealth problems (#PTSD #Depression) are like 9/11 Terrorist Attacks & Hurricane Katrina. Recent research shows that over 1 in 3 healthcare workers are experiencing anxiety, depression & post-traumatic stress disorder.
3/ Symptoms of #burnout are experienced by over half of critical care physicians. This is the state of the workforce asked to return to the #COVID19 #frontlines for a second, third, and now fourth wave.
Read 9 tweets
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new 🧵 each week. #wellbeingwednesday #burnout #medtwitter #meded
2/ To start Year 2, I’ll link to the threads from July 2020.
First, from July 15, a thread on #burnout history back to Freudenberger.
Read 9 tweets
There has been some discussion of a recent paper on #burnout and, unfortunately, a recent suicide of a urology resident.

So here is a thread on physician burnout and the recent literature on burnout and suicide.
I don’t know any details on the suicide, but, it is a tragedy. Urology is a surgical subspecialty that can be grueling at times. My heart goes to his family and the program. This cannot be easy for anyone who knew this physician.
Unfortunately, burnout is not uncommon in medicine and surgery. Medscape’s report shows that urologists topped the list of physicians experiencing burntout in 2020. Urology has been somewhere at the top of the list for several years now.

medscape.com/slideshow/2020…
Read 23 tweets
So, that #burnout report then… I've read it a couple of times today and, well, I'm going to need a thread…

The government saying they're doing loads to support NHS and care staff to "develop #resilience" is nothing more than a smokescreen designed to take the heat off them ➡️
🧵 We are not burning out because of our own actions, or even those of our managers and leadership teams.

We are burning out because of decades of chronic underfunding and budget cuts, and the closing of mental health services (who remembers day centres?) ➡️
🧵 not to mention the constant nationwide mismanagement at the highest level, from Mid Staffs to Winterbourne View, the 2015 doctors' strikes, and of course, the PPE fiasco and the trials of Track & Trace… ➡️
Read 9 tweets
It has been over a month since I took a major step back and left my job, thanks to something called #burnout. I had hit a wall.... A thread:
Burnout is beyond exhaustion. Not only do you feel that you have no energy left to work, even if it's the kind of work that you enjoy, you also feel detached. Cynicism takes over, efficiency takes a hit and nothing seems to pull you up.
In past 8 years, journalism has not only been a career, it has been my calling. I TOTALLY LOVE digging stories & holding the system accountable. I worked at (an often unhealthy) neck-breaking pace but that's something I enjoyed doing until...burnout hit me, & it hit pretty hard.
Read 12 tweets
“I’m so burned out. I can’t do this anymore.”

This is one of the most common issues I address with my #physicancoaching clients.

We avoid #burnout and increase/maintain our #resilience when our basic needs are met.

Let’s start with the basics.

A thread 🧵:
Physician burnout is largely due to organizational culture and operations.

Personal resilience plays a smaller role.

wellmd.stanford.edu/about/model-ex…
Physicians are more resilient than the average adult population.

Yet, resilience training is often promoted as the primary way to prevent burnout.

jamanetwork.com/journals/jaman…
Read 11 tweets
Chancellor @jeffreypgold of @unmc opens up our town hall discussion on #wellbeing with a few words.

"The work that we do is difficult and being empathic healers can take a toll on our physical and mental health," he says. "Fostering wellness is not just an individual issue." Image
"As a health care leader, I know that supporting the well-being of our health care professionals begins with the organization, from our policies, practices and culture," Dr. Gold says. Image
Dr. Brandy Clarke, project director of our Center, and Dr. Jordan Thayer, a trainer for our Center, will be guiding this panel discussion. ImageImage
Read 17 tweets
Daily Bookmarks to GAVNet 04/23/2021 greeneracresvaluenetwork.wordpress.com/2021/04/23/dai…
I Have Read Thousands of Résumés, and I Have Some Advice

nytimes.com/2021/04/17/opi…

#résumés #writing
Everything You Know About Passwords Is Wrong

fastcompany.com/3041471/everyt…

#passwords #security
Read 10 tweets
I’ve noticed #burnout is coming up as a topic more in newsrooms. If we don’t solve this as an industry, we will continue to lose incredible people we can’t afford to lose. However, my view has changed on solutions...
1/9
I’m a big advocate of self-care, but this @HarvardBiz article by @JenLeighMoss changes some of my thinking. “…burnout is more than just an employee problem; it’s an organizational problem that requires an organizational solution.”
2/9
hbr.org/2021/02/beyond…
The research showed six reasons for burnout #culture:
1. Unsustainable workload
2. Perceived lack of control
3. Insufficient rewards for effort
4. Lack of a supportive community
5. Lack of fairness
6. Mismatched values and skills.
3/9
Read 9 tweets
Those who:
do not touch patients & never have
who maintain no clinical licenses
who feel free of any commitment to #ethics

are put in charge, by administrators, to control, often via fear & shame, clinicians.

This harms on many levels.
It is anti-#safetyculture.
#MedTwitter
We have lost >500,000 Americans to #COVID19 alone. Preventable deaths. These are mostly the marginalized, vulnerable.

Either document measurable work to save lives, or get out of the way and out of budgets that could be used to save lives.
I’ve seen SO much over the years, in the name of #compliance consulting to siphon off money to block &, ultimately, harm.

No this does not save money.
It harms families.
It monetizes coded racism.

There are a multitude of such vendors & consultants.

governing.com/topics/health-…
Read 16 tweets
I am going to make a confession. I too, along with 1000s of doctors once suffered from #burnout. During residency, I thought about quitting pretty much all the time. I burned out again through my professional life. Now, that I have overcome it, I’ll tell you what I learned. 1/
For me, the greatest contributor to burnout was fatigue. In residency it was physical combined with mental fatigue with the sense of loss of power over my own person. (That was in the ‘90s, so put it in perspective). This is pretty common among trainees. Winters were worse. 2/
Seasonal affective disorder is real and can come upon anyone, especially if one is mentally and physically tired. Additive are toxic environments leading to feelings of devaluation, disrespect, inadequacy, giving rise to insecurities and “impostor syndrome” (IS). 3/
Read 9 tweets
#Burnout: A short thread 👇🏼

This is, quite understandably, the most common challenge the wellbeing team are working through with staff in 2021.

Here are a few bits we’ve found helpful...
1. Awareness precedes action

If we don’t know how we feel then, at best, we will be guessing at what will help us, at worst, we will ignore our feelings.

Finding ways of ‘checking in’ with ourself & others brings awareness to our situation. From there we can do something Image
2. Challenge spotting - at work

Gallup studies have identified 5 key causes of burnout at work. We can use this list to identify what might be making us feel like we do.

This can help us ask for what we need at work.

hbr.org/2021/01/do-you… Image
Read 11 tweets
I was born in the 1980s, in the suburbs of Divinopolis, a small city in the Minas Gerais state, 🇧🇷 (right in the middle of the country, so, no beaches there). I’m the oldest of 4 children. I was a happy child who could play in the streets and climb trees.
#IWS #IWSvoices
I also watched a lot of 📺and this helped to develop my passion for science. One of my favourite shows was Beakman’s World. I wanted to be a scientist like him. But I had never met any scientist. I wasn’t even sure if this profession really existed in 🇧🇷.
#IWS #IWSvoices Image
My passion for biology started in high school, because of one very enthusiastic teacher. I’ll never forget my first lab class and she saying: “look at those mitochondria, how beautiful they are!” I decided that I’d be a biologist.
#IWS #IWSvoices
Read 31 tweets
Wie sieht es tatsächlich mit der #Psyche in der Pandemie aus?

Ein Thread.

Ich arbeite niedergelassen als Psychiaterin und dies sind meine Erfahrungen der letzten 3 Wochen:
Die Menschen können nicht mehr. Ja, ich bin Wissenschaftlerin, großer Fan von Drosten/Ciesek und weiß um die Sinnhaftigkeit von #NoCovid.
Aber es ist vorbei, sie machen nicht mehr lange mit.
Meine Patient:innen mit #Angststörungen haben nahezu alle kleine bis sehr große Rückfälle. Was sie sich mühsam erarbeitet haben, ist (gefühlt) wieder weg.
Read 13 tweets
A week before my entire household contracted #COVID-19, I asked in a departmental leadership mtg why we weren’t talking about #burnout at all - the agenda was dominated by stressful topics & I kept muting to silence my kids screaming in the background... insidehighered.com/news/2020/09/1…
I was thinking about the fact that my 1st grader has been out of physical school for almost a year, my twin babies have barely been outside our yard, “me time” and date nights are nonexistent, and even as 24/7 work has invaded our home, I feel less and less able to be #productive
At this mtg—filled with discussion of budget cuts, grant funding drying up, pandemic-imposed challenges w/ data collection, the political assault on science, lack of diversity & inclusiveness on our campus—the weight of it all just sank me. But I was nervous to use the B word.
Read 11 tweets
Le rapport Reuters 2020 est paru, toujours aussi riche avec plein d'enseignements et tendances de fond reutersinstitute.politics.ox.ac.uk/sites/default/… #medias #presse #business #thread
[Thread] 👇 Image
1- La crise du Coronavirus a accéléré la transition numérique des rédactions pour 76% des répondants
> innovation, formats, pratiques journalistiques, modèles d'affaire... Image
2- Revers de la médaille toutefois, 77% estiment que le travail à distance rend + difficile les relations avec les managers et la communication en général, sans parler des risques sur la santé mentale des employés
Read 40 tweets

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