unhappy doctors[1]

8/7/2019 Unhappy Doctors[1]

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He adlin e s

Frustrated physicians find careers outside of medicine

Suicide rate of women doctors in US is twicethat of other working women

Suicide rate high in female doctors

Many doctors prone to stress


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W hat is happin e ss

Emotional stateFeelings of enjoyment and satisfaction

Pursued and commented on extensivelythroughout world history

Happin e ss is a choic e that r equ ire s eff ort at

tim e s (Anon)


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W e All

want happiness

need appreciation crave for recognition want to be applauded desire to be called as good humans are looking for certificates from our

institution,friends, family & colleagues.


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Are doctors unhappy?

Unhappy is a crude word

Happin e ss is e ss e ntially a stat e o f goingsom ew he re, w hol e he art e dly , on e dir e ctionally , w itho u t r e gre t or r e se rvation.W illiam H She ldon


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P hysician Dissatis f action:

Study in 1997 revealed physicians were lesssatisfied in every aspect of their professional life

compared to 10 years prior.

40% of practicing physicians in 2005 would notchoose to enter the medical profession if

deciding on a career again Higher percentage would not encourage theirchildren or highly qualified college graduates

to pursue medicineSource: 1Sullivan P, Buske L. Results for CMA s huge 1998 physician survey point to a dispirited profession. CM AJ. 1998;159:525-528 .

2Massachusetts Medical Society. Physician Workforce Study. 2005.


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Dissatis f action

Dissatisfaction has been reported in diverse groups of physician

Primary care Surgery Infectious disease Anesthesiology

Large study revealed lowest dissatisfaction in primary care sub-specialists and high e st in s u rgical s ub sp e cialti e s s uch asgyn e cology , ENT, and plastic s u rge ry

Increasing unhappiness among physicians has led to job changes,non-clinical work and early retirement

Source: 1Leigh JP. Kravitz RL. Schembri M. Samuels SJ. Mobley S. Physician career satisfaction across specialties. Arch Int e rn M e d .2002 J u l 22;162(1 4) :1577- 3Leigh JP. Kravitz RL. Schembri M. Samuels SJ. Mobley S. Physician career satisfaction across specialties.

Arch Intern Med. 2002 Jul 22;162(1 4) :1577-8 4 84 .


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Le ag ue o f u nhappin e ss

Country Veryunhappy

Unhappy Neutral Happy Very happy

UK 23 43 17 14 2

US 14 45 10 19 11

NZ 8 25 30 25 11


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Why might doctors be unhappy?


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B M J Su rve y

Poll---- May, 20011400 doctors voted90 countriesLevel of unhappiness

The reasons of unhappiness


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W ork pr e ss u re


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Ne gativ e m e dia

Ne gativ e m e dia coverage might representthe world's waking up to the limitations of doctors and medicine, and it's uncom f orta b le .newspapers sometimes do influence byhighlighting negative trends and emphasizingscandal.


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Junior Doctors

House officers syndrome:- long training hours

- excessive work loads- sleep deprivation- changing work conditions

- peer competition- self denial


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Junior doctors training..

W hat s w rong w ith th e se guys?!! M ed r e conciliation Hard e r, f ast e r!!


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Se nior Doctors

Senior Physician find new stresses waiting forthem:

- work faster and longer hours- mountains of paper work and threat of malpractice suits

challenge to explain and defend work- daily confrontation with sickness and death


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P ro b le ms

Dysfunctional relationshipsBoss Unappreciative , Climate of criticism . no

feed backColleagues blaming each other, hostility andoppositions ,hospital care blaming primary

care, nurses blaming doctors & docs blamingpoliticians.Patients Demand???


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Sorry boss I wasdoing my best


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P ati e nts s view

Modern medicine can do remarkable things: it cansolve many of my problems

Doctor can see inside me and know what's wrong knows everything it's necessary to know can solve my problems, even my social problems

So we give you high status and a good salary


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He lp

So often we buy into fallacy that something or someone is going to come along and make us happyHope is a powerful influence in our lives.

-Work does not have to be merely a domain of energyexpenditure but also of energy renewal

-Learn to receive support, healing and meaning while

giving A new job More Money


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New jo b

Changing jobs/ career may not be a optionSmall town

Not very many opportunitiesInadequate openings in the job marketLess money offered


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M on e y


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Se arch f or happin e ss

Happiness sneaks through the door youdidn't know that you left open

John berry Moore

IS IT WOR TH P ER SUING?


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YES

There is only one way to happiness and that isto cease worrying about things which arebeyond the power of our will

Epict e tu s

The Grand essentials of happiness aresomething to do, something to love andsomething to hope for

Allan K Chalm e rs


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How to f ind happin e ss

Deep Relaxation, help combat depressionM ak e list o f b le ssings yo u can be thank fu lCompile a collection of Inspiring thoughtsKeep Your mind focused on positive thingsStop sneaking consolations with complaints,sighs, sad looks and cryingSocial interactions more positiveDevelop interests & activities


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W hat You Can Do ?

Identify your main goals

Do relaxation activities

Organize time and set priorities

Maintain a good diet

Exercise


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W hat You Can Do ?

Leave your counseling at workPursue a project or hobby

Don t feel that you must do everythingKeep a things to do listSocial calls, showing warmth to friends

Try to eat outMusic/dance


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R e lax !

Psychological studies every individual 60,000thoughts/day 57,000are same the day before!Do you watch same TV program every day over &over again?Emotional Toxins

Its neither wealth or splendor but tranquilityand occupation which give happiness

Thomas Jefferson


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What difference doeshumor make inrelieving stress?

Laughter is positivestress.

When we laugh, weare stimulated andthen we relaxrelieving the stress.


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IF YOUR WORKLOAD GETS TOO MUCH...

THINK OF HOW TO BALANCE YOUR LIFE!


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Stop complaining !

Stop being miserable at work.Unhappiness & criticism are contagious move

on to avoid catching the bugWhen frustrated with small issues, considerchanneling the energy to solve

Use Erect posture rather than droppingDon t use slow, quiet & monotonous voice


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R e -f raming

Re-framing is a technique to change the wayyou look at things in order to feel better aboutthem.

There are many ways to interpret the samesituation so pick the one you like.

Re-framing does not change the external reality,but helps you view things in a different lightand less stressfully.


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B e - Asse rtiv e

Being assertive involves standing up f or yo u r

pe rsonal rights and expressing your thoughts,feelings and beliefs directly, honestly andspontaneously in ways that don t in f ring e th e rights o f oth e rs .


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Ve ntilation

A pro b le m shar e d is a pro b le m halv e d

Develop a support network through friends or

colleagues to talk with. It s not always eventsthat are stressful but how we perceive them.

Writing a diary or notes may help releasefeelings bu t do not r e -re ad w hat has bee nw ritt e n.


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W hat You r Employ e r Can Do?

Provide more clerical assistanceProvide more educational opportunities to learnabout counselingProvide more social activities and retreatsEstablish a Physician Health CommitteeMentor program

Provide more workshops, in-services, advancedcourses, etc.Provide more verbal praise & reinforcement forthe job


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C re ating n ew contracts f or doctors

Work within guidelines

Be accountable for key objectives andimproving qualityActively support and contribute to achievingthe goals of the organisationWork within resource constraintsEngage in team and collaborative working


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Concl u sion

Unhappiness &burnout among physician is aserious problem, with a risk for suicide.Programs and conferences are needed to alertphysician against this issue.Medical training should be re-evaluated andrestructured to prevent burnout.Physicians suffering of burnout need to learnnew adaptive coping mechanisms.


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unhappy doctors[1]

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