Cynical and unenthusiastic? You may be suffering burnout

• physical – constant exhaustion leading to poor immunity and somatic complaints; no improvement after rest and recovery; recurring aches and pains, colds and other ills; symptoms similar to those with depression such as poor sleep quality, lethargy, and a loss or increase in appetite
• emotional – a negative outlook; detachment; loss of empathy, especially for patients and their situations; diminished motivation; sense of being defeated, trapped or helpless; possible persecutory ideas; angry inappropriate outbursts
• behavioural – extreme negativity, callousness and cynicism; anger and cynicism towards patients, colleagues, hospital administration and family; substance abuse, such as an increased reliance on alcohol.

There is also often an inability or reluctance to engage with work, especially when it involves interacting with patients or colleagues.

Personal consequences arising from burnout can be significant and include relationship breakdowns, substance abuse and suicide ideation.

Burnout erodes the values, dignity and spirit of a doctor and leads to low productivity, reduced levels of patient care, increased likelihood of errors and a loss of empathy – raising the risk of complaint about a doctor’s behaviour.

Avant Medico-Legal Advisor, Professor Greg Whelan, says a major concern is that when a doctor loses their sharpness, small things get missed and the risk of a major error escalates.

‘Doctors facing burnout are less likely to pick-up on a patient’s body language, which increases the risk of miscommunication. A sense that a doctor is not sensitive or does not care about a patient is often at the heart of a complaint against that doctor,’ he says.

Organisational change and individual education need to be integrated to prevent burnout. According to Professor Whelan, hospitals shouldn’t place undue pressure on doctors to perform with increasingly fewer resources or to their physical limits.

‘Hospitals have responsibilities – individual heads of services should monitor and adjust workloads to prevent burnout,’ he says.

‘At the same time, it is up to the individual to be professional and recognise if they are feeling overstretched. Doctors need to take personal responsibility if they could be putting patients or colleagues at risk.’

Professor Whelan says rest is an important first step in dealing with burnout. This should include a temporary reduction in work hours followed by a structured return to work plan, negotiated with the relevant department head. Counselling through an employee assistance program and stress management training are also important.

And keep an eye out for your colleagues – changes in a colleague’s behaviour could be an early sign of burnout.

Do you think you may be suffering burnout? Try one of these self-tests:

• Maslach Burnout Inventory
• Mind Tools (free)

You can also fill out our online Wellbeing survey to help us understand what will help you to maintain your health and wellbeing.

References

1. Beyondblue’s National Mental Health Survey of Doctors and Medical Students October 2013.

Learn more

For assistance with burnout, visit Avant’s Health and Wellbeing website or the Doctors’ Health Advisory Service in your state or territory.

You can also access Avant’s Personal Support Program on 1300 360 364 which provides a range of support options for members who are suffering health issues, including a confidential counselling service.