Comments on: Do doctors set themselves up for physician burnout? http://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html Wed, 15 Feb 2012 00:14:00 +0000 hourly 1 By: Dr. Mary Johnsonhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-105617 Dr. Mary Johnson Fri, 10 Jul 2009 00:12:40 +0000 http://www.kevinmd.com/blog/?p=39003#comment-105617 I'm there right with you, Paul. I totally get your passion.A few weeks ago, I put the N.C. Medical Board on notice: Get a hearing aid. Make the referrals and recommendations that fix this or we will ultimately dance in court. You don't get to tell the troops that they must blow the whistle on badness - then do absolutely utterly fricking NOTHING to protect them. I'm DONE.And when I say "we", I mean the Board can bring JCAHO and DHHS as dance partners.NONE of what happened to me should have happened under ANY kind of government that prides itself on accountability. I’m there right with you, Paul. I totally get your passion.

A few weeks ago, I put the N.C. Medical Board on notice: Get a hearing aid. Make the referrals and recommendations that fix this or we will ultimately dance in court. You don’t get to tell the troops that they must blow the whistle on badness – then do absolutely utterly fricking NOTHING to protect them. I’m DONE.

And when I say “we”, I mean the Board can bring JCAHO and DHHS as dance partners.

NONE of what happened to me should have happened under ANY kind of government that prides itself on accountability.

]]> By: Paulhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-105458 Paul Thu, 09 Jul 2009 21:46:35 +0000 http://www.kevinmd.com/blog/?p=39003#comment-105458 Thanks Robert and Mary. This is an area that I am passionate about. It is scary to think about turning away a third party payor esp for our community where "the other group" would enjoy the volume we would provide. The contracts aren't bad enough to be seen as "poison pills" but collective bargaining (sorry, I mean colusion) would go a long way in negotiating fair reimbursement. We have a single "non-profit" hospital in our town in northern new england and have the same difficulties that Mary is steaming about. That her efforts found deaf ears is disheartening. The financial and bylaw enforced coercion that these "charitable" institutions levy feels criminal to private staff like our department. I still will not go quietly into that good nite and am seeking individual council as to what my/our options are. Wish me luck. Thanks Thanks Robert and Mary. This is an area that I am passionate about. It is scary to think about turning away a third party payor esp for our community where “the other group” would enjoy the volume we would provide. The contracts aren’t bad enough to be seen as “poison pills” but collective bargaining (sorry, I mean colusion) would go a long way in negotiating fair reimbursement. We have a single “non-profit” hospital in our town in northern new england and have the same difficulties that Mary is steaming about. That her efforts found deaf ears is disheartening. The financial and bylaw enforced coercion that these “charitable” institutions levy feels criminal to private staff like our department. I still will not go quietly into that good nite and am seeking individual council as to what my/our options are. Wish me luck. Thanks

]]> By: Robert Berry, MDhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-105434 Robert Berry, MD Thu, 09 Jul 2009 20:58:00 +0000 http://www.kevinmd.com/blog/?p=39003#comment-105434 Paul,You are right about saying "no". Start by saying "no" to contracts with third party payers and just find out how much freedom you can experience. Paul,

You are right about saying “no”. Start by saying “no” to contracts with third party payers and just find out how much freedom you can experience.

]]> By: Dr. Mary Johnsonhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-104557 Dr. Mary Johnson Wed, 08 Jul 2009 19:46:33 +0000 http://www.kevinmd.com/blog/?p=39003#comment-104557 Paul, I've been awake for a very long time.And you're right. Paul, I’ve been awake for a very long time.

And you’re right.

]]> By: Paulhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-104276 Paul Wed, 08 Jul 2009 12:26:53 +0000 http://www.kevinmd.com/blog/?p=39003#comment-104276 Refreshing to see that some of you are waking up. Prepare to be the new slaves in the biggest sellout to doctors in history. Nothing changes until you say, "NO". Refreshing to see that some of you are waking up. Prepare to be the new slaves in the biggest sellout to doctors in history. Nothing changes until you say, “NO”.

]]> By: Jimmy Zhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-104185 Jimmy Z Wed, 08 Jul 2009 05:18:10 +0000 http://www.kevinmd.com/blog/?p=39003#comment-104185 Pretty easy solution. Put yourself first over the interests of the patient. It doesn't do the patient any good if you are , dead, tired, grouchy, etc.... The patient will most likely live another day. I for one put the number one person in my life first.....ME! Patients come second. Makes everyone happy. Pretty easy solution. Put yourself first over the interests of the patient. It doesn’t do the patient any good if you are , dead, tired, grouchy, etc…. The patient will most likely live another day. I for one put the number one person in my life first…..ME! Patients come second. Makes everyone happy.

]]> By: Resident Dochttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-103885 Resident Doc Tue, 07 Jul 2009 22:46:59 +0000 http://www.kevinmd.com/blog/?p=39003#comment-103885 The most interesting line from the article is "I lost a few extra hours of sleep each time I did something for ..." in other words the only way you can make time for yourself is to sacrifice time to sleep. There is something very wrong in a system where that is the case. The most interesting line from the article is “I lost a few extra hours of sleep each time I did something for …” in other words the only way you can make time for yourself is to sacrifice time to sleep. There is something very wrong in a system where that is the case.

]]> By: Dr. Mary Johnsonhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-103884 Dr. Mary Johnson Tue, 07 Jul 2009 22:43:18 +0000 http://www.kevinmd.com/blog/?p=39003#comment-103884 "Many physicians have made already an effective transition into more life balance and there are many available resources and programs that support them with that goal."Pray tell, Iris, WHERE are the resources and programs that help with such goals? Where is the oversight? Where are the checks and balances and boundaries that might allow doctors to take control of their careers?I've been looking for eleven years, and I can assure you, such things are NOT to be found in North Carolina. “Many physicians have made already an effective transition into more life balance and there are many available resources and programs that support them with that goal.”

Pray tell, Iris, WHERE are the resources and programs that help with such goals? Where is the oversight? Where are the checks and balances and boundaries that might allow doctors to take control of their careers?

I’ve been looking for eleven years, and I can assure you, such things are NOT to be found in North Carolina.

]]> By: Web Media Daily – July 7, 2009 | Reinventing Yourself...http://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-103859 Web Media Daily – July 7, 2009 | Reinventing Yourself... Tue, 07 Jul 2009 21:33:35 +0000 http://www.kevinmd.com/blog/?p=39003#comment-103859 [...] Do doctors set themselves up for physician burnout?…   Kevin, M.D. [...] [...] Do doctors set themselves up for physician burnout?…   Kevin, M.D. [...]

]]> By: JEB Johnson, MDhttp://www.kevinmd.com/blog/2009/07/do-doctors-set-themselves-up-for-physician-burnout.html#comment-103857 JEB Johnson, MD Tue, 07 Jul 2009 21:26:09 +0000 http://www.kevinmd.com/blog/?p=39003#comment-103857 Iris Grimm: You are exactly right. I believe setting limits could be taught to physicians. I was blessed to have two mentors in residency who knew how to be on 24/7 and still set limits. That is a fundamental skill that is not part of any curriculum that I have seen. So much of what we do to fix problems starts at the top and works down. That is akin to treating a young woman's butterfly rash with cortisone and missing her lupus diagnosis. I do not think the powers that be, whether that is the Obama group or the AMA have a clue about what is fundamentally wrong with the delivery of healthcare these days but that won't stop them from slapping on the hyrocortisone. I am old enough to know that I cannot tell what the future will bring. We should never quit trying to influence the world. Medicine and "life" is about caring for others. Iris Grimm:
You are exactly right. I believe setting limits could be taught to physicians. I was blessed to have two mentors in residency who knew how to be on 24/7 and still set limits. That is a fundamental skill that is not part of any curriculum that I have seen.
So much of what we do to fix problems starts at the top and works down. That is akin to treating a young woman’s butterfly rash with cortisone and missing her lupus diagnosis.
I do not think the powers that be, whether that is the Obama group or the AMA have a clue about what is fundamentally wrong with the delivery of healthcare these days but that won’t stop them from slapping on the hyrocortisone.
I am old enough to know that I cannot tell what the future will bring. We should never quit trying to influence the world. Medicine and “life” is about caring for others.

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