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
Medicine is a team sport & the pandemic is unending. Waves keep coming, primary care is hurting, RN are exhausted & the impact of
#LongCovid disability could be enormous (in terms of impact on health care workers & increased needs of patients). Things aren't sustainable. 4/5
Creativity, collaboration & a whole lot of compassion are urgently needed to rethink how we can support health care professionals. North American health care is broken, hopefully not irreparably so. 5/5

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More from @doreen_rabi

Jan 2
In #medicine, we need to re-think "leadership".
On this Jan 1, 2022 I find myself 3 yrs in to a 5 yr leadership position & reflecting on what I have learned about "leadership".
Some thoughts (🧵): 1/8
1. "Leadership" is a terrible brand & misunderstood. Often equated w/ lots of work & big decisions, "leadership" over-emphasizes the actions of the "leaders" & devalues the contributions of the team. That concept will get you the wrong leaders & terrible results. 2/8
2. "Leadership" automatically evokes visions of a person standing out from their team & instills power in that person. Any centralization of power will create inequity & inequity is inherently unsafe. The "leadership" language is a problem. 3/8
Read 8 tweets
Jan 1
In Alberta, we have had lots of experience w/ moving too fast too soon on lifting restricitons wrt to COVID.
On the 5-day iso recommendation:
The evidence says viral shedding peaks at 5-days, but ppl are still infectious until ~9 days. 1/8
thelancet.com/journals/lanmi…
I get that w/ high infectivity, workforce management is a nightmare. Decreasing iso time for folx w/ lower viral loads d/t vaccination may be a reasonable BUT saying that essential workers can work in those first 5 days is ++problematic. 2/8
Telling anyone to work w/ symptoms while infectious is asking for trouble particularly in higher risk settings. The details on how risk will be reduced are not yet available which leaves one to assume this plan is motivated by economic & not public health reasons. 3/8
Read 8 tweets
Oct 18, 2021
CS:Suicide.
I have planned my death, twice.
1) CO poisoning while kids were away w/ their dad.
2) Insulin OD in secure med closet (I am alone in clinic after hrs all time, it would have been easy & effective).
I had explicit plans, even dates. 1/11
cmaj.ca/content/193/41…
I have a history of disordered eating, anxiety & depression, all very stable & well treated but work is a major trigger for my suidical ideation. I have used the @Albertadoctors PFSP program, but lets be clear- that is a BANDAID, not a solution. 2/11
I am grateful for the PFSP, don't get me wrong, but any notion that it is wellness support is absurd. It's a crisis line. Wellness is about feeling safe, secure, seen & supported in your success. Medicine provides none of that. 3/11
Read 11 tweets
Jan 31, 2021
TY @NightShiftMD for sharing this important conversation w? @jkwan_md & @NathanStall. As a fledgling advocate, I want to amplify & expand on some important points re: MD advocacy. Short thread 1/6
Advocacy as a professional competency is both required & ill-defined. The @Royal_College has an important role in empowering trainees to "flood the freeway". There needs to be more emphasis on healthy policy & how we can influence in #MedEd & beyond. @JillianHortonMD 2/6
@jkwan_md discussed the important issue of online gender-based harassment. There are structures embedded w/in institutions that silence/oppress women & BIPOC who are more likely to be labeled as "unprofessional" if they are vocal w/ concerns. @AmyTanMD @MalindaSmith 3/6
Read 6 tweets
Jan 3, 2019
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

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