
The hidden epidemic: Physicians who stay but mentally quit
Many physicians stay in their roles but have quietly “quit” in spirit—going through the motions while their passion and engagement vanish.

Many physicians stay in their roles but have quietly “quit” in spirit—going through the motions while their passion and engagement vanish.

Let me confess something that might sound ridiculous coming from a doctor: for most of my career, I treated rest like a threat. A sign of weakness. A guilty pleasure to be earned only after I’d answered every email, seen every patient, signed off every note, and probably rotated the tires on someone else’s car just to be safe.

Is the motive behind resilience training to retain staff so that the system can continue to stay revenue-positive, or is it an investment in the ultimate resource of medicine, the human one?

I am just a physician who has spent 20+ years in the ER, had a few leadership roles along the way (which makes for a mildly robust LinkedIn profile), and nurtured some wisdom too. I think that is enough.

After burning out, I learned that chasing a perfect 50/50 work-life balance is unrealistic—especially in medicine. Instead, I now embrace asymmetric balance, where some days work wins, and others, life does.

Psychological safety, defined as a shared belief that the team is safe for interpersonal risk-taking, is a critical component of effective healthcare delivery. Yet, numerous reports and studies indicate that a lack of psychological safety persists in many healthcare settings, leading to adverse outcomes for both patients and providers.

Social connection is good for us. Loss of social connection is a major causative factor in physician burnout. In this article we explore social connection for physician burnout, offering a number of suggestions to reach out and connect for your own wellbeing.

“We lost him”. The surgical resident whispered it under his breath, stepping away from the trauma bay. The blood on his gloves and scrubs, a dull reddish brown under fluorescent lights, told the story of a 12-hour shift spent fighting battles he often lost.

We all talk about the importance of letting go, but they are very few of us that can actually do it well. Perhaps being human makes it so hard.
Yet it is when we let go that things begin to move and what we’ve been hoping and wishing for comes in alignment.

One of the biggest lessons I’ve learned on my Hero’s Journey is the importance of learning to accept ourselves (our full selves).

There has never been a more urgent need to combat, or ideally prevent, physician burnout, mental illness, and suicide. In this article, we explore a number of peer support programs and summarize the key elements required to develop safe and supportive spaces for the unique needs of physicians at risk of burning out.

When you allow yourself to truly see and sit with the fact that we are only here for a short period of time, it can feel scary… and also freeing.

Motherhood is by far the hardest thing that I have ever done and continue doing every day. It is 1 million times harder than being a doctor and requires such a delicate dance of unconditional love, consistency, and compromise. At the same time, there is no doubt that being a physician is one of the hardest professions out there.

I do my best thinking in the quiet, calmness of nature – with space to breathe and observe the beauty of the world around us. I perform best when I have time to think, process, and move at ease with intention. For years, I pushed myself to move faster – with an urgency that was getting me places faster- only to realize I was missing the opportunity to enjoy the journey and the destinations were not where I wanted to be.

Medical residents’ mental health deteriorates during their training, but there are solutions to this resident burnout epidemic.

Women physicians still face disproportionate challenges within their medical careers compared to men. In part 2 we illustrate general and woman-specific strategies to combat female physician burnout.

Medical malpractice litigation is a complex and distressing reality for physicians, with potential far-reaching consequences for their mental health and overall well-being.

In Part 3, we explore the systemic causes leading to physician suicide. In so doing we hope to contribute to physician suicide prevention and highlight the toxic systemic issues that no amount of resilience training or individual risk factor modification can fix.

In Part 2, we explore the barriers to physicians seeking help and debunk these. In so doing we hope to contribute to physician suicide prevention, improve understanding of the-seeking contributors to the epidemic of physician suicide.

Why doctors die: Physician suicide prevention (1)

In this article we explore science-based small and inexpensive self-care for physician self-care options that may, we hope, help relieve stress and ultimately tackle physician burnout.