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The truth about burnout in medicine: a journey of gladiators, night shifts, and humanity

Tomi Mitchell, MD
Physician
March 13, 2025
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Becoming a doctor is often seen as a noble quest—a path filled with sacrifice, resilience, and the ultimate reward of helping others. We all start the same way: pre-med studies, endless exams, and the grueling four years of medical school. It’s a journey filled with sleepless nights, skipped meals, and cramming obscure diseases into our already overloaded brains. But we keep going, fueled by the dream of finally being called “Doctor.”

And then, the plot twists.

At first, it’s subtle—a fork in the road we don’t even notice. But before long, we realize the straight path we once envisioned no longer exists. After medical school, we enter the clinical world, where our paths split even further. Some of us choose research, while others lean toward administration, but residency is the next battlefield for those who stay in patient care. Each specialty has its challenges, but one thing is universal—the relentless grind.

As doctors, we are often compared to modern-day gladiators. We are trained to push past exhaustion, survive on little to no sleep, and keep going, no matter what. The hospital is our arena, and the night shift? That’s where the real test begins. In those late hours, everything happens—emergency surgeries, unexpected codes, and the cries of newborns taking their first breaths. It’s like a high-stakes reality show, except instead of camera crews, we’re surrounded by adrenaline-fueled surgeons, exhausted residents, and overworked nurses.

And let’s be honest—medicine doesn’t fit into a 9-to-5 schedule. The idea of “clocking out” is laughable. The hospital never sleeps, and neither do we. Calls come at all hours, patients need not pause for weekends or holidays, and exhaustion becomes a way of life. After a long shift, you might find yourself staring at a cup of coffee, wondering, “Is this breakfast, or am I just delirious from lack of sleep?”

Looking back, I realize that medical training didn’t just prepare me for a career: It prepared me for life. Residency teaches you how to adapt, prioritize, and survive under pressure. You learn to balance patient care, endless rounds, and family responsibilities while running on fumes. But here’s what we don’t talk about enough: Even the strongest among us have limits.

No matter how much resilience we build, we are still human. Being human means recognizing when we need to step back, slow down, or even reevaluate our path. Burnout isn’t just a buzzword—it’s a real, tangible medical crisis. We are trained like elite athletes, but even the best athletes burn out. Some of us last a few years, and others hold on for decades, but the truth is that medicine can consume us if we let it.

So, how do we fight burnout? How do we hold onto our passion without losing ourselves in the process?

The answer is simple but not easy: We must stop pretending we’re invincible. We need to acknowledge our limits and care for ourselves the way we care for our patients. Medicine is essential, but so is our well-being. The strongest doctors aren’t the ones who never stop—they’re the ones who recognize when they need to pause, ask for help, and make space to recover.

We need to ask ourselves: Why did I choose this profession? The answer doesn’t have to be the same for everyone. Some love the challenge, while others find meaning in patient care. Some thrive in the intellectual side of medicine, while a deep sense of service drives others. For whatever reason, we must hold onto it—especially when the job feels overwhelming.

Medicine will always be demanding. The challenges won’t disappear. But if we learn to balance our strength with self-care, we can continue showing up for our patients without losing ourselves. And sometimes, the bravest thing we can do is say, “I need a break.” Because even gladiators need to rest.

Burnout in medicine isn’t just a career problem—it’s a human problem. It’s time we acknowledge it, discuss it, and take steps to protect our mental, emotional, and physical well-being. Because at the end of the day, we’re not just doctors—we’re people. And we deserve to be whole, healthy, and happy, too.

Tomi Mitchell is a board-certified family physician and certified health and wellness coach with extensive experience in clinical practice and holistic well-being. She is also an acclaimed international keynote speaker and a passionate advocate for mental health and physician well-being. She leverages over a decade of private practice experience to drive meaningful change.

Dr. Mitchell is the founder of Holistic Wellness Strategies, where she empowers individuals through comprehensive, evidence-based approaches to well-being. Her career is dedicated to transforming lives by addressing personal challenges and enhancing relationships with practical, holistic strategies.

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Connect with her on Facebook, Instagram, and LinkedIn, and book a discovery call to explore how she can support your wellness journey. For those interested in purchasing her book, please click here for the payment link. Check out her YouTube channel for more insights and valuable content on mental health and well-being.

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