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Burnout is often described in terms of workload: long hours, full waiting rooms, administrative burden. Those factors matter. But they do not fully explain a pattern many of us rec...
If you hadn’t smoked your whole goddam life, I would be asleep right now. This thought floated through my brain as I stood waiting for the elevator to take me to where an old man w...
The opportunity ahead is to treat physician well-being as a core strategic priority, measured with the same rigor and acted upon with the same urgency as any other critical perform...
There is a moment every surgeon remembers. A minute earlier, it was an ordinary case, someone complaining about the overnight appendectomy they had to come in for, someone else des...
For years, I gave my patients advice that I was not following myself. Reduce your stress. Protect your sleep. Listen to your body. Set healthier boundaries. Then I would finish a f...
I understand why clinicians kill themselves. That’s not a dramatic opening. It’s a fact I’ve carried for years, one that most people in medicine understand but rarely say out loud,...
The practice of medicine was once anchored to a physical place. Whether it was an office, a hospital, or an outpatient clinic, there was a threshold to cross, a door to close, and...
I left Nepal to train in a country I barely knew, carrying the kind of ambition that doesn’t leave room for doubt. Internal medicine residency, then a rheumatology fellowship at th...
A study in JCO Oncology Practice surveyed 542 oncology professionals across 55 countries on exactly this overlap. The numbers are stark: 56.1 percent met criteria for burnout, 34.1...
Burnout is pushing emergency physicians to leave the specialty, or to reduce clinical hours, adding to the body of research pointing to a crisis in health care in Canada, according...
I have spent the last few weeks watching a popular television drama set in a chaotic urban emergency department. After more than three decades of practicing psychiatry, I did not e...
We know that recruiting and replacing a physician costs somewhere in the range of a million dollars per physician, depending on the specialty. We know the effects of physician burn...
When I started my first full-time faculty position, one of my biggest worries was how I would manage working with the interdisciplinary team. I’d spent the last few months working...
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! For 23 years, an emergency physician stayed calm in the chaos and held the line. Then one night he...
I grew up in the western suburbs of Chicago as the youngest of three boys. I experienced deep depression and suicidality at nineteen, after a childhood of anxiety that often left m...
Physicians are exiting medicine faster than the sector can replace them. We’ve been facing burnout, workforce shortages, growing administrative burdens, and other mounting pressure...
Early in the morning of December 13, 2023, I dragged myself to the computer at my kitchen island after a terrible night of interrupted sleep. While I had experienced neck pain and...
A colleague recently reduced her clinical schedule from full time to 0.8 full-time equivalent (FTE). She did not want to practice less medicine; she was trying to make the job sust...
A few days ago, while covering a four-day stretch of on-call shifts, I was asked to step down from my usual role as a psychiatry registrar to cover a vacancy in the senior house of...
Modern health care has never measured more. Patient satisfaction scores. Throughput. Productivity. Readmission rates. Quality metrics. Efficiency benchmarks. Engagement surveys. Da...
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! What if burnout is the wrong word for what doctors are actually going through? Gus W. Krucke argu...
Humankind has forever sought a peculiar comfort in naming. Anything our senses can perceive or our minds can conjure has been subject to a unique identifier. The mantle of an exper...
My name is Tony Grandelis. I’m an OB/GYN hospitalist, a medical educator, and a person in long-term recovery from substance use disorder. Through my brand Recovering Healthcare, I...
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