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

Dr. Ronny Jackson: A victim of political accusations, or physician burnout?

Shawn C. Jones, MD
Physician
May 21, 2018
Share
Tweet
Share

It is no secret that President Trump’s former nominee to run the Veterans Administration, Navy Rear Admiral Ronny L. Jackson, has withdrawn his nomination amidst allegations related to his behavior: that he drank on the job, was a bully in the office and improperly gave out prescription medication.  He has vehemently denied the allegations and characterized them as false and fabricated.

Dr. Jackson is an Iraq War veteran who President Trump has called an “American hero.” The rear admiral has previously also served presidents Obama and George W. Bush as White House physician.  By many accounts, he has done so with distinction and honor.

Was the rear admiral “burned out” of this appointment by false allegations amidst a fierce political battle, that has simply resulted in collateral damage, or is he one of the more than 50 percent of American doctors suffering from severe work-related stress known as physician burnout?  Between 2011 and 2014, the percentage of physicians reporting at least one burnout symptom increased from 45.5 to 54.4 percent.  Some specialties suffer at higher rates than others.  The percentage of surgeons affected increased from previous years to 51 percent in the Medscape survey released in January 2016, which also reported that approximately 53 to 55 percent of emergency room physicians, critical care doctors, urologists, and pediatricians suffered from this malady.

Burnout is a psychological syndrome characterized by emotional exhaustion, depersonalization, and a sense of reduced personal accomplishment.  It can manifest itself in the individual physician in a lot of different ways if left unabated: alcoholism, addiction, suicide, disruptive behavior, affairs, acting out, raging, depression, obsessive-compulsive behaviors, and so on.  Physicians commit suicide much more frequently than the general population — four hundred deaths per year — despite similar rates of depression and other associated mental illnesses.

This is a crisis on a personal, professional, public health, and health system level.   Physician burnout affects the quality of care that doctors provide.  A link between emotional exhaustion and increased patient mortality in intensive care units has been suggested in several studies.  This relationship to quality makes physician burnout important for patients, health care institutions, hospital systems, and our entire health care delivery system.

How can a physician suffering from burnout be identified?  With one of every two physicians in the country being affected, it is a virtual coin toss, but some demographics and characteristics from studies are suggestive.

  • Physicians less than 55 years old are four times as likely to suffer burnout
  • A physician with a child under 21 years of age increases their risk of burnout by greater than 50 percent
  • Certain specialties noted above appear to have unique intrinsic factors in their work which predispose those physicians to burnout
  • The risk of burnout increases with additional work on average 2 to 3 percent per additional hour worked per week
  • Burnout is more than four times more prevalent in doctors who spend 20 percent or less of their time on activities they feel provide their work a sense of purpose
  • A physician who enters orders into the computer (EHR) is nearly 30 percent more likely to burnout

Disruptive behavior, outbursts of anger, a DUI conviction or any other evidence of alcohol/drug abuse, an inability to focus, a loss of compassion, and suicidal ideation can all be indications that a physician might be suffering from burnout.  Finally, it may be intimidating to approach a highly functioning professional and ask the question in an intentional manner, “How are you doing?” But is could be just what the doctor ordered.

So, is Dr. Ronny Jackson burned out by work-related stress or was he “burned out” by political infighting in a beltway battle?  The truth is we just don’t know, but we do know there is a 50/50 chance of burnout simply because he is a doctor in America.

Every patient deserves the highest quality health care our system can deliver in every encounter.  This goal requires not only a competent well-trained physician, but a healthy resilient one who functions in a high quality efficient, compassionate health care system where the doctors’ well-being is part of the equation.

Shawn C. Jones is a otolaryngologist and is the author of Finding Heart In Art: A Surgeon’s Renaissance Approach To Healing Modern Medical Burnout. He can be reached at his self-titled site, Dr. Shawn C. Jones, and on Twitter @ShawnCJonesMD.

Image credit: Nicholas Kamm/AFP/Getty Images

Prev

This physician brought his right brain back from the brink of death

May 21, 2018 Kevin 2
…
Next

How I became the debt free terminator by age 31

May 21, 2018 Kevin 1
…

Tagged as: Primary Care, Psychiatry

Post navigation

< Previous Post
This physician brought his right brain back from the brink of death
Next Post >
How I became the debt free terminator by age 31

ADVERTISEMENT

More by Shawn C. Jones, MD

  • The decision a family can’t make

    Shawn C. Jones, MD

Related Posts

  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Physician burnout is as much a legal problem as it is a medical one

    Sharona Hoffman, JD
  • Despite physician burnout, medical schools are still hard to get into. Why is that?

    Suneel Dhand, MD
  • Here’s what Dr. Seuss can teach real doctors about burnout

    Stacey Searson, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

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 2 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

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

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

Dr. Ronny Jackson: A victim of political accusations, or physician burnout?
2 comments

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

Loading Comments...