Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Doctors: Fight burnout like it’s the plague

Stella Safo, MD
Physician
August 4, 2013
Share
Tweet
Share

shutterstock_74641645

When I was a med student, the thing I loved most about primary care was continuity of care. I loved feeling like I had a sense of my patients’ lives, of the intimate details of their day to day, of their fears and dreams. I thought that this connectedness was all I needed to have a successful career as a primary care doc.

Fast forward to two years later when I am in the depths of internal medicine residency. With two years of training behind me, I’m in what is known as the post-honeymoon phase of medical training. I’ve been a ‘real doctor’ long enough to see that primary care is just plain hard. I’m the “fall-back” doctor. My patients go to a specialist and when they need a letter for disability, they come to me for all the paperwork. Orders for commodes, bed rails, and insulin needles pile up in my mailbox. Medical equipment reps send me endless faxes to sign off on automatic scooters for patients who we know can walk just fine. Simply put, my to-do list never seems to end.

No wonder the rate of burnout is so high, I think to myself sometimes as I rush from my inpatient hospital duties to a clinic session overbooked with sick patients, some of whom have been waiting months to see me.

Certainly, this model of care in which a sole clinician is responsible for all the patient’s needs is not sustainable. It’s simply too much work for one person to shoulder. Doctors who sign up for this do it for some years, tire and leave, all the while watching their specialist friends enjoy the simple pleasures of more free time or fat paychecks or both. For these reasons, recruiting new doctors to primary care becomes more difficult each year, an issue that will come to a head as the Affordable Care Act expands access to preventive care for millions of previously uninsured Americans.

Still, none of the challenges or uncertainties of primary care practice make me any less certain that my choice to enter this field was absolutely, 100% the right one. All the paperwork and hurdles aside, my patient encounters are better than I dreamed. From counseling a family to obtain hospice care for a dying loved one, to helping a woman overcome her deep fears of discussing a history of sexual abuse, to working with newly released ex-convicts at key moments in their lives, I could not ask for more meaningful work. I feel sad for doctors who are so jaded by the system that they cannot enjoy beautiful encounters like the ones I get to partake in on a daily basis. So no, despite its hardships, I wouldn’t trade this job for the world.

I will, however, offer some advice on how to make this whole business of being a primary care doc something that most of us young people will want to do for a long time: Fight burnout like it’s the plague. Force yourself to take a break even if it means asking for time off, to have wellness days when you simply pamper yourself, and to seek activities that make you happy. For residents, this may mean opting for a research month rather than a specialty elective, allowing yourself a slower pace to work and play—it certainly won’t affect your career, but it will enhance your happiness.  For me, when I started practicing yoga again, seeing my family more, and sometimes even leaving work early to go home and take care of my personal wellness, I felt more like the person before residency who knew that primary care would be fulfilling and worthwhile work. The things that were hard were still hard, but they were no match for the parts of preventive medicine that I adored.

As residency draws to a close, I look forward to a long career in primary care, likely focusing on primary care for HIV- and hepatitis C-infected patients in an urban setting. But most importantly, I look forward to a life in which I allow time for nonprofessional development, in order to ensure that burnout cannot take hold. For me this may mean taking time off to work in primary care in Ghana, spending time on hobbies like cooking and yoga, or simply working in a smaller, non-academic setting that allows for more personal time. Whatever the decisions are, I will make them knowing that primary care work is a marathon, not a sprint, and the road to longevity begins with self-care.

Stella Safo is an internal medicine resident who blogs at Primary Care Progress.

Image credit: Shutterstock.com

Prev

Guantanamo: End forced nasograstic tube gagging

August 4, 2013 Kevin 13
…
Next

Why one doctor throws away insurer mailings

August 5, 2013 Kevin 21
…

Tagged as: Primary Care, Residency

Post navigation

< Previous Post
Guantanamo: End forced nasograstic tube gagging
Next Post >
Why one doctor throws away insurer mailings

ADVERTISEMENT

More by Stella Safo, MD

  • a desk with keyboard and ipad with the kevinmd logo

    How my ER rotation turned me into a primary care doctor

    Stella Safo, MD

More in Physician

  • How restrictive opioid policies worsen the crisis

    Kayvan Haddadan, MD
  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • How to balance clinical duties with building a startup

    Arlen Meyers, MD, MBA
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 10 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Doctors: Fight burnout like it’s the plague
10 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...