Lakshman Swamy: Joy and Burnout on the Front Lines

Joy and Burnout on the Front Lines

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https://thejaggedword.com

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Existential crisis

Emotional exhaustion

Depersonalization

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Broken systems predictably cause burnout.

Participation in QI can build resilience.

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Sweetandsour, Getty Images www.gettyimages.com

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Mr. VThe patient reports that he wants to die, wishing for someone to “put a gun to my head and pull the trigger.”

Sorrowing Old Man (At Eternity's Gate) by van Gogh

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http://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=26063

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The Impact of Systems Issues“I'm just CONFUSED now”

“I have learned the CYNICISM OF MEDICINE”

“More BITTER and UNHAPPY”

“I have a NEGATIVE OUTLOOK”

Michael H Getty Images Stock http://www.gettyimages.com/

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Perspectives changed… “Things are done just to PREVENT LAWSUITS”

“LITIGATION and INSURANCE dictate care”

“COMPLICATED system, FRACTURED communication” Andrew Unangst Getty Images Stock http://www.gettyimages.com/

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…For the worse.“It's not altruistic.”

“No longer interested in primary care”

“I feel like PATIENTS ARE MY ENEMIES.”

Vincent Hazat, Getty Images Stock http://www.gettyimages.com/

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In a word…“It is easy to become JADED”“I’m more JADED”“Doctors become JADED. This is unavoidable.”“Made me more JADED and frustrated”

Idea Images Getty Images Stock http://www.gettyimages.com/

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We have institutionalized burnout.

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“Accolade”For completing all of the MRI forms needed to get

a patient scanned quickly overnight!

Thomas Imo Getty Images Stock http://www.gettyimages.com/

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“Accolades”Able to get cath records --from the DOMINICAN

REPUBLIC #BOSS

visual7 Getty Images Stock http://www.gettyimages.com/

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“Accolade”When the entire system was down, he accessed the EMR with cellphone + wifi hotspot + laptop!

Miguel Navarro Getty Images Stock http://www.gettyimages.com/

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“Accolade”Going to the pharmacy to pick up her patient's

medications - and paying for them!

Influx Productions Getty Images Stock http://www.gettyimages.com/

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“Accolade”He rented a zip car to

drive a patient's meds to his rehab!

https://twitter.com/zipcarchicago

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Broken systems push us to stop caring.

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https://www.etsy.com/shop/aphroditescanvas

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We institutionalize the creation of technicians in those who dreamt of

being healers.

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Those who feel that they can change the system are impervious to

burnout.

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Cause for Optimism

“Motivated to make system improvements”“Provided me with opportunities to improve”“It has inspired me”

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Cause for Optimism

I am still here for the patient.

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#genQI@laxswamy

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Martin Barraud Getty Images Stock http://www.gettyimages.com/ @laxswamy

John Clutterbuck, Getty Images Stock http://www.gettyimages.com/@laxswamy

It starts with you.

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AccoladeExceptional bedside manner in leading a

difficult family meeting.

Sigrid Gombert Getty Images Stock http://www.gettyimages.com

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AccoladeDiagnosed pericarditis w/ pericardial effusion on history and exam

alone.

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AccoladeSaved a patient’s life

when he overdosed on heroin… on the street.

https://www.colorado.gov/pacific/hcpf/news/colorado-medicaid-now-covers-opioid-overdose-antidote-nasal-spray

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Find the students.Learn from their experiences.

Empower them.

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We are all #genQI

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