Peter Brindley explains how burnout affects us all. It affects the cost, quality of care, organisational culture, performance and patient outcomes.  Burnout is fatigue, loss of ideals, purposelessness, presentism and the sense of being under-appreciated. It is not tiredness, exhaustion, boredom, mid-life crisis, depression, PTSD, perfectionism or narcissism. Moreover, burnout involves the 4 C's: cutting corners, cynicism, callousness, and contempt. Peter explains when and why, and to whom a burnout occurs. A major reason for burnout is the difference between expectations and reality. This drives the thought, “this is not what I signed up for.”  Furthermore, he presents the 12 steps which lead to a burnout. It begins by the need to prove yourself by working harder, neglecting your needs, avoiding issues, and losing friends or hobbies. This leads to denial, withdrawal, behavioural changes, depersonalisation, inner emptiness, depression and finally burnout. Peter suggests a few things that we can do to prevent burnout. He recommends purposeful imbalance and dividing career into thirds: learning, earning, and returning. Evidently, burnout is a chronic condition, and although it cannot be cured, it is manageable. It might take years to manifest and hence, we must always be on the lookout for the signs. Finally, for more like this head to our podcast page. #CodaPodcast

1. Burnout
“In a culture where work is the
new religion, burnout is its crisis
of faith”
Jennifer Senior; New Yorker Magazine

2. Burnout: everybody pays!
Montgomery. J Health Organizat’n and Managem’t 2011;
Cost

3. Why we need to discuss it?

4. “Self love..not so vile as self neglect”
Henry IV

5. My mate

6. What Burnout is?
• Fatigue
– “always tired”
• Loss of ideals
– “what’s the point”
• Purpose-lessness
– “why bother”
• Dehumanized; robotic
– “presenti-ism”
• Sense you are under-appreciated

7. What Burnout isn’t
PTSD
ML
crisis
Bore
dom
Perfe
ct’ism
Exha
ust’n
Tired
-ness
Narci
-sism
D’pre
s’n

8. Four C bombs
• Cut corners
• Cynicism
• Callousness
• Contempt

9. Even simpler
Expectations
Reality

10. adbusters

11. “Not what I signed up for”
• Asymmetrical Rewards
– “To err is human”
• Loss of autonomy
– Paperwork; bureaucracy
• Cognitive Scarcity
– “Move the meat”
Arch Intern Med 2001; 135; 2

13. When ?
“I can’t make things better”

14. Why?
1 Prove yourself
2 Work harder
3 Neglect needs
4 Avoid issues
5 Lose friends/hobbies
6 Denial
7 Withdrawal
8 Behavioural changes
9 Depersonalization
10 Inner emptiness
11 Depression?
12…………….BURNOUT
Freudenberger and Richelson

15. Who(m)?

16. Maslow’s hierachy of needs

17. “Most men lead lives of quiet
desperation and go to the
grave with the song still in
them.”
Henry David Thoreau

18. How common?
• 40% all workers
• 50% physicians
• 30% surgeons
• Yup, trainees too…
• Yup, housewives too…

20. With thanks, M Jacka

21. Why isn’t it taken seriously…

22. RICH
HEALTHY
PAMPERED

23. adbusters

24. …Or “Weltschmerz”

25. Why me?
“If you think you can do a thing
or think you can't do a thing
…you're right.”
Henry Ford
http://www.brainyquote.com/

26. “The fault is not in our stars, but ourselves”
Julius Caesar

27. “being a doctor…one of the
few acceptable reasons for
abandoning a family”
Dr Linda Clever, President of Renew

28. Botrytis

29. So, am I burnt-out?
http://www.mindtools.com/stress/Brn/
BurnoutSelfTest.htm#Table

30. Burnout:
what to
do…

31. Chance. Psychol Theory Res Pract 1978

32. F**K
I’M
GREAT
JUST
ASK
ME

34. Avoid fetishes!
fetish: desire/dislike with excessive gratification/revulsion.

35. What THEY can do
1) Stress management/counseling/mindfulness
2) MANDATORY sabbaticals
3) “PROFESSIONALISM”
4) REAL Socializing

37. “We overestimate what we can do in a year,
& underestimate what we can do in a decade”
Bill Gates

39. What can YOU do?
1) “Great: the enemy of good”
2) Balance OR…..“purposeful imbalance”
3) Divide career into thirds:
• Learning, Earning, Returning
Life on the wire: Todd Duncan

40. Despair.com

41. “Heavy hangs the head that wears the crown”
Henry IV
Educ
Res’chAdmin
Charity

42. “Keep it above the line”
http://www.ozprinciple.com/self/steps-to-accountability/
“Blame-storming” “Get angry”
Be professional Stay calm Own solution
“Not my problem”

43. Relationships
Spirituality
Self-care
Approach to life
Work
Renew-o-meter: http://renewnow.org/renew-o-meter/
Resilience

44. “Curing vs managing”

45. Emotional
Psychiatric
Physical
Family/Social
Financial
Legal
Work
10 yrs
Discovery

46. In closing…Be there for others…
• Booze and drugs

47. And look after yourself
“To do well, you must be well”
Anonymous…but darn smart
MANY MANY THANKS….