An excerpt from Physician Suicide Letters -- Answered. When is a taboo topic no longer taboo? When is it OK to stop hiding behind euphemisms? When is it safe to tell the truth? The answer is now. This week I uploaded 53 chapters of physician suicide letters in a
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burnout Please stop using the word burnout. You are not burned out. You’ve been abused. Let’s get the diagnosis right. We enter medicine as inspired, intelligent, compassionate humanitarians. Soon we’re cynical and exhausted. How did all these totally amazing and high-functioning people get so f'd up so fast? Attention medical students and doctors: It’s not your fault. Burnout is physical and mental collapse caused by overwork. So why ...

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TEDMED-WIBLE-PHOTO-shrink Christine Sinsky, MD, from the American Medical Association interviews Pamela Wible, MD, after her TEDMED talk. Watch periscope video here. Fully transcribed below: Dr. Sinsky: This afternoon we’re here in Palm Springs, and I’m delighted to be here with Dr. Pamela Wible, who gave a terrific TED talk last night. I’m Dr. Christine Sinsky, the vice president of professional satisfaction at the ...

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How do we care for the people who care for us? As doctors, we’re immersed in pain and suffering -- as a career. We cry when our patients die. We feel grief anxiety, depression -- even suicidal -- all occupational hazards of our profession. A recent Medscape article on physician health programs suggests the people who are here to help us may actually be doing more harm than good. ...

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Burnout-640x400 Physician burnout is the latest trend among doctors. There are books, workshops, even special breathing exercises for physician burnout. Suddenly every other doctor I meet has burnout. And half of all med students have burnout before they graduate. WTF. We enter medicine as inspired, intelligent, compassionate humanitarians. Soon we’re cynical and exhausted. How did all these amazing people get so screwed up ...

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How-to-be-a-happy-doctor-640x424 I was a physician employee, many times for many hospitals and clinics. I’d stay a year or two, but eventually I’d quit. Then, in 2005, I opened an ideal clinic designed by my patients. Ten years later, I still love private practice. Why? I’m finally practicing medicine the way I had always imagined. When I decided to open a private practice, I was ...

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Kevin-Dietl-crop-2 Medical school graduation: Time to celebrate our brand new doctors! Except for the families who can’t celebrate their child’s graduation. Or their child’s marriage. Or their child’s birthday -- ever again. Like Michele and John Dietl. They lost their son, Kevin (pictured above), just weeks before graduation. Now they cling to online condolences and family photos. And to the never-ending question: Why? I’ve become a sideline specialist ...

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Money-640x480 I’m a physician entrepreneur. In 1998, I opened my first clinic. My malpractice: $500 per year. Then I tried life as an employed physician. Hated it. So in 2005, I opened my ideal clinic. Best. Job. Ever. My malpractice: $1,230 per year. Want low premiums? Here’s how I did it. A quick tutorial. New malpractice policies mature over five years. So the first ...

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Doctors4th-640x480 It’s July 4th! All across the country, Americans are celebrating freedom, liberty, and the pursuit of happiness. Families and friends are relishing potato salad, apple pie, barbecues and parades. Is your doctor decked out in red, white, and blue enjoying fireworks from his yacht? Probably not. Have you seen any medical students waving little flags? Unlikely. The truth is American medicine has little to ...

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Pamela-Wible-Keynote-Speaker--640x480 I recently delivered a keynote in St. Louis to 600 health care leaders from a health system with 20 hospitals, 600 clinics, and 30,000 employees. They told me not to be afraid of the 12-foot-tall version of myself following me around stage. No problem. I’m one of the few people who has never been frightened by public speaking. The larger the audience ...

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