Dike Drummond MD

Recent Posts

Physician Work Hours and Depression - the Dose-Response Curve

Posted by Dike Drummond MD

A recent study reported in the NEJM reveals the Dose-Response Curve between hours worked by resident interns and depression prevalence. 

This was a huge study, over an 11 year time span, showing a powerful dose response curve between hours worked as a physician and depression prevalence. Said another way: too much time spent as a "provider" inside the healthcare delivery system is bad for your mental health.

I deliberately did not write, "too much time seeing patients" in the sentence above,  because we both know the "job" of being an intern or a practicing doctor is so much more complicated than just patient care. 

This is a massively important fundamental observation for all practicing physicians and for US national healthcare policy. 

Let's take a quick dive into the details.

Tags: stop physician burnout

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Stop Physician Burnout - What to do when a patient says thank you

Posted by Dike Drummond MD

To prevent physician burnout, you must manage your three internal Energy Banks

A Thank You from a patient or family member can top up all three accounts, but ONLY if you know what to do and say in that moment.

"Thank You" is like rocket fuel because it provides an instant infusion of Spiritual Energy, reconnecting you with the purpose in your practice.

Unfortunately, most doctors deflect thank yous and miss this golden opportunity to prevent burnout.

This is another lesson we never received in Med School, Residency or Fellowship - How to RECIEVE a Thank You with Elegance and Grace.

NOTE:
This is Part 3 of 3 in our Series on Physician Energy Management. Here are the first two:
Part 1 - Physician energy has nothing to do with batteries being run down
Part 2 - Physician's 3 Energy Banks


Physician's Top 3 Work-Life Balance Shortcuts
FREE Online Video Training >> Lessons from our 40,000 doctor experience
5 CME Credits - Short Online Video Lessons
Tools for Daily, Weekly and Monthly Balance
 

 

The Thank You Connection to Spirit

Spirit in your practice is your connection to PURPOSE. You must have reminders you are making a difference and serving a purpose regularly or your Spiritual Energy Bank becomes drained. At that point, the little voice in your head might start whispering, "What's the use."

That little voice phrase, "What's the use. I'm really not making a difference or serving a purpose here," is actually the third symptom of burnout.

Here's how I discovered the Thank You connection to Spirit.

It was by accident, early in my physician coaching practice. I was looking for a way to help doctors remember what they enjoy about seeing patients

I asked hundreds of my physician clients:

"Tell me about your last Ideal Patient Visit"

You know the one...

That special interaction, during an otherwise busy day, that lights you up. Where, at the end of the day, you said to yourself,

"oh yeah, that's why I became a doctor in the first place," with a little fist pump.

Or when you get home, you say, "Honey, sit down, I have to tell you what happened at work today."

About ten doctors into this inquiry, a pattern began to emerge that has held true to this day - across hundreds of doctors. 

97% of the time that feeling of satisfaction and accomplishment comes from two words the patient, or a family member, said to you.

Tags: Physician Burnout, physician patient communication

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Physician Burnout and Doctors 3 Energy Banks

Posted by Dike Drummond MD

Physicians have three sources of energy to draw upon in practice and their larger life

In this post you will learn:

  • The differences in these 3 distinct types of energy
  • The symptoms that arise when you are in the negative in any individual account
  • How you fill each one to the brim

These simple principles will supercharge your ability to recognize and prevent your own physician burnout.

Tags: stop physician burnout

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Physician Burnout has nothing to do with your batteries being run down

Posted by Dike Drummond MD

The Battery Fallacy is one of the great myths of Physician Burnout. 

Until you understand how energy works inside the physiology of a doctor, you can't begin to protect yourself from burnout.

The Battery Fallacy

When I deliver a training at a Med Staff Meeting, I always ask, "Raise your hand if you have ever said, 'My batteries are run down, I just need a recharge'. All the hands go up. 

The batteries-run-down is the most common metaphor for burnout and it is TOTALLY INACCURATE.

The Battery Theory of physician energy management is a myth, a fallacy.

It is a blind spot.

It is a barrier to recognizing and preventing physician burnout. 

Our work with over 40,000 doctors in the last 12 years has revealed a working model of physician energy that provides:

An accurate representation of energy balance in doctors

The energetic source of the symptoms of burnout 

Burnout treatment and prevention mechanisms you can put into place today

Tags: Physician Burnout

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Work Life Balance for Physicians Power Tool - Scheduled Spontaneity

Posted by Dike Drummond MD

Work Life Balance for Physicians – the power of “Scheduled Spontaneity”

When it comes to work-life balance for physicians, it's up to you. Left to its own devices, your career/practice will naturally dominate your larger life.

The two prime directives we learn in our medical education:
The Patient Comes First
and Never Show Weakness
virtually guarantee work will always come out on top. 

Work Life Balance is a task only you can accomplish. You must force the issue. Make it happen.

Fortunately the tools for this task are simple and the weekly life balancing process only takes a few minutes.

Tags: physician burnout prevention, Dike Drummond MD, Physician Burnout, Work Life Balance, physician burnout treatment, Physician Coaching

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Physician Burnout - Who Will Save Us

Posted by Dike Drummond MD

Physician Burnout - Who will Save Us?

Let's talk about what to do when you finally realize you are on your own, that no one and nothing is coming to rescue you.

========================

In most burnout blog posts and comments on the internet, physicians do the same thing - blame, justify and complain about the work stresses we are under.

  • Our struggles and frustrations are real
  • Our concerns are 100% legitimate
  • And yet pointing fingers and playing the victim will only keep you stuck DEEP in Einstein's Insanity Trap

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Learn More:

235 Proven Tools for Your Burnout Prevention Strategy
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The latest survey shows over 60% of doctors suffering from symptomatic burnout on any given office day. New levels of work stress seem to pile on each week. We all daydream of a lifeline, a rescue, a refuge, a break.

It is as if we are locked high in the castle tower, at the mercy of our evil captors - EMR, MOC, Preauths, RVU production quotas, the Call Center is a mess, and my Inbox is overflowing like a plugged toilet. Surely someone has dispatched a knight in shining armor to free us from this torment.

All of these concerns are true and valid AND understand one thing ...

Complaining and dreaming of a rescue is Playing the Victim - Pure and Simple

There is no one and nothing coming to save you

This yearning only distracts you from saving yourself

Let me set a framework for addressing burnout effectively - the straightest path to meaningful change in your work day and your organization.

So you can release the urge to blame, justify and complain,
hear that little voice calling you to take back your practice,
and know how to get started. 

 

Tags: physician burnout prevention, Dike Drummond MD, Physician Burnout, physician stress, Physician Leadership

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Physician Burnout – Pathophysiology and Treatment of Burnout

Posted by Dike Drummond MD

In my work with over stressed physicians I have noticed a consistent misunderstanding of the pathophysiology of burnout – the hidden methods physician burnout uses to sap your energy and steal your passion for medicine.

In this post I will show you how Physician Burnout does it’s dirty work.

Once you clearly understand how physician burnout operates, you will begin to see the simple ways you can keep the normal stresses of being a doctor — from crossing the line into threatening your career, your marriage and even your life.

Tags: physician burnout prevention, Physician Burnout, physician burnout treatment, physician burnout pathophysiology

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Time Management is a Myth – Manage This instead

Posted by Dike Drummond MD


Time management is a myth.

There is no such thing as time management.  You and I get 24 hours in each day – 168 of them in a week. No more and no less. The seconds in an hour are a fixed resource that no one can manipulate or manage or finagle or cajole or multiply. So let’s all stop focusing on ” time management ” and do something MUCH more productive instead.

Let me show you a simple checklist to
Manage Your Priorities instead

and create more work-life balance this week

Tags: Physician Burnout, time management

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Old School Physician Burnout Quote of the Week

Posted by Dike Drummond MD

A member of our network just sent me this quote.

I believe it is meant to be some kind of funny ... or a perhaps is offered up as a twisted "reality check" to those who attempt to have healthy boundaries between work and home and run into this individual who appears to claim Iron Man status.

It is certainly old school and completely unhealthy and just plain wrong. This is the workaholic, superhero, Lone Ranger, perfectionist programming we are all victim to.  

This is the boomer philosophy that makes it impossible to have healthy boundaries and admit to any struggle. This is where Imposter Syndrome begins. I feel like I want to take a shower after I read this. You?

Tags: stop physician burnout

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Frequent Imposter Syndrome Impairs One in Four US Physicians

Posted by Dike Drummond MD

"Physicians suffer Imposter Syndrome more than other US Workers"

A headline that has every doctor and nurse nodding their head in agreement and my personal "DUH of the Week" in healthcare industry news.

Fortunately, the authors put together some pretty good recommendations for action steps in the end. Check it out. 

A new study from Tait Shanafelt MD, et al at Stanford is out:

Imposter Phenomenon in US Physicians Relative to the US Working Population

SYNOPSIS:

The researchers conducted a national survey of roughly 3,000 physicians between the ages of 29 and 65. In the survey, physicians ranked four statements on a 5-point scale, from “not at all” to “very true.” The statements expressed thoughts related to burnout, professional fulfillment, self-valuation and suicide.

Based on the participants’ rankings, the study authors found that 1 in 4 physicians experienced frequent or intense imposter syndrome symptoms. (bolds are mine)

AND Stronger feelings of imposter syndrome bring greater risk of occupational burnout, suicidal thoughts and professional unfulfillment.

 

We All Know This is True and remember how it started way back in Medical School.

The inner voice says, "What if they find out?"
... and you are off to the Shame and Guilt Olympics.

Tags: Physician Burnout

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