Physician Burnout VUCA and the Trump Effect
HINT: none of this is good for physician well being
One of the core factors driving physician stress levels and physician burnout in the USA is the CHAOS in the healthcare marketplace.
What used to be a simple world of seeing patients and billing insurance has morphed into EMR's, Meaningful Use, Volume to Value, MACRA, the Affordable Care Act and a blizzard of mergers and acquisitions that have turned even the average 50 bed hospital into a major physician employer. Independence and autonomy are out the window and who knows what Big Brother will demand of us next.
This chaos is stressful and adds to the risk of physician burnout
It is hard to feel certain about the future when your crystal ball has gone dark. It is hard to feel confident about your practice and your career when you are getting a paycheck from the third different organization in the last 6 years -- as the big fish gobble the little fish in many market places.
A very similar perfect storm of accelerated change happened in the US military in the 1990's when guerrilla tactics and crazy things like IED's and body bombs displaced orderly tank battles on the modern battlefield. After all, how do you feel confident as a commander in the field when you never know what is coming around the next corner.
The Army War College came up with a new acronym for this crazy new reality. They call it ...