Over the past five years, the term “burnout” has become closely associated with the health care field. It has reached the point where more than 60 percent of surveyed physicians reported experiencing burnout in 2021, indicating that it has become an epidemic within our profession.
It’s important to understand that burnout is not a personal flaw or a psychological disorder; rather, it is a response to chronic stress in the workplace. Some common symptoms of burnout include exhaustion, cynicism, and decreased efficiency. However, it’s crucial to recognize that burnout is not a lack of compassion. In fact, burnout can be a natural consequence of realizing that you are unable to provide the level of compassionate care that your patients require.
In certain aspects, the experience of burnout can resemble grief. Both are responses to loss and often manifest as exhaustion and impaired cognitive function. On the other hand, compassion fatigue leads to a sense of indifference towards the suffering of others. It is typically a result of prolonged exposure to traumatic events, such as relentless illness and death, which physicians may encounter. The COVID-19 pandemic serves as a prime example, particularly for those working in the early stages of the crisis within the emergency rooms and intensive care units.
It is not uncommon for physicians to experience compassion fatigue intermittently. Experiencing compassion fatigue does not mean they lack compassion; rather, it indicates that they are suffering and in need of support.
While burnout may be seen as a form of disenfranchised grief, it is distinct from compassion fatigue. Equating burnout with a lack of compassion places an excessive burden on physicians while deflecting responsibility from the systems that have contributed to the problem.
As a coach, I have observed that many physicians experiencing burnout are grieving the loss of connection with their patients. Often, this is a consequence of system-wide emphasis on productivity metrics, such as RVUs, combined with excessive administrative tasks that undermine their ability to dedicate meaningful time to patients.
If you find yourself grappling with burnout, it is essential to acknowledge it as the wound it truly is, extend compassion towards yourself, and formulate a plan to move forward. In the wise words of Rumi, “the wound is the place where the light enters you.” Reflect on what this light might reveal for you.
If you are struggling with burnout, remember that it is not a personal failure on your part but rather a symptom of a flawed system. If you feel trapped, consider seeking coaching services. A physician coach can collaborate with you to explore new possibilities and develop a plan that aligns with your personal values and aspirations.
Sarah Samaan is a retired cardiologist and a Master Certified Physician Development Coach. She can be reached at Mindful Physician Coaching and LinkedIn. She is the author of DASH Diet for Dummies.
