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Anaesthesia
and burnout
Burnout in
mid-career
Dr Robin YoungsonAnaesthetic Specialist
CoFounder of Hearts in Healthcare
Anaesthesia
and burnout
Anesthesiology 20111 in 2 academic chairs of
anesthesiology suffering from
burnout
Anesthesiology 20111 in 2 academic chairs of
anesthesiology suffering from
burnout
Anaesthesia
and burnout
Burnout causes a 40% increased in heart attack and stroke – a bigger risk than
smoking, high cholesterol or lack of exercise. Those with the highest 20% of
burnout scores have a 79% increased risk of coronary heart disease!
Anaesthesia
and burnout
Pessimists The profound influence
of psychological
wellbeing
Long-term survival after
heart attack:
- pessimists have 4 times
higher death rate from
cardiac disease and 3
times higher mortality from
all causes of death
Optimists
Anaesthesia
and burnout
The profound influence
of psychological
wellbeing
Chances of getting clinical
influenza after standard
inoculation:
- 3 times as many
pessimists get influenza,
as optimists
OptimistsOptimists
PessimistsPessimists
Anaesthesia
and burnout
The caring
crisis
Two in five
health workers
are incapable
of caring for
patients
Photo credit: Guy Mayer
Anaesthesia
and burnout
The industrialization of
healthcare with a focus on
budgets, throughputs,
production, and targets has
dehumanized the system:
- Loss of compassion
- Patients suffering
- Care fragmented
- Health workers burning out
- Costs out of control
- The system in crisis
Anaesthesia
and burnout
…and emotional memories
of care last a lifetime
If health professionals
can’t care, what is the
impact on patient
outcomes?
The experience of care
triggers a powerful
biological response in
the patient…
Photo credit: Gus Chan
Anaesthesia
and burnout
Cascading reactions in the healing response…wellness genes up-regulated
new protein synthesis
tissue healing
enhanced immunity
lowered blood pressure
positive emotions
cancer genes activated
stress hormones
tissue breakdown
compromised immunity
raised blood pressure
negative emotions
wounding
Anaesthesia
and burnout
empathysympathy
non-
judgement sensitivity
motivationtolerance
of distressPaul Gilbert
model of
compassion
Anaesthesia
and burnout
“Approach” “Withdrawal”
kindness
appreciation
gratitude
mindfulness
the joy of service
Two competing systems of motivation:
pain
anxiety
fear
distress
Anaesthesia
and burnout
kindness
appreciation
gratitude
mindfulness
self-compassion
choosing to love
their work
The only health professionals
who flourish in the broken
system are those who learn and
practice the daily habits of…
Anaesthesia
and burnout
The scientific evidence for
all these claims can be
found in the book that
launched Hearts in
Healthcare
Anaesthesia
and burnout
Five daily practices that can
transform your life…
1. Choose your thoughts
on your journey to work
2. Small acts of kindness
3. Making the human connection
4. Find out first your patient’s concerns
5. Treat every patient like a family
memberPhoto credit:
Lewishamdreamer