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High Performance Without Physician Burnout

High Performance Without Physician Burnout

When you feel like you’re running to stand still it’s easy to fall into the trap of doing more to clear the decks. Working longer hours is detrimental to your health and your performance. What if there was another way? One rooted in data? Here’s how to sustain high performance without physician burnout.

It may sound like a counter intuitive approach, but sometimes we need to slow down to get more done. It’s a paradoxical truth that we often ignore, at our own cost. Succeeding doesn’t have to come at such a high personal price. It’s possible to succeed without burning out even within a busy healthcare environment.

The landscape of Physician Burnout

Burnout has 3 distinct domains. You’ll recognise it by these 3 components that begin to reveal themselves as you head toward burnout.

  • Emotional exhaustion This is when there’s nothing left in the tank, for you or anyone else.
  • Depersonalization Your energy reserves are so low, you start to feel numb. Your colleagues and patients? They’re starting to look a little bit annoying. This is a classic sign of physician burnout.
  • Reduced personal accomplishment You feel like you’re not developing and you’re not accomplishing anything worthwhile. You have little or no motivation and your productivity nosedives.

It takes honesty and wisdom to recognise when you’ve become the victim of your own drive to succeed and you’re burning out. Or if you’re skating around the periphery of burnout, tempted to keep going at breakneck speed, now is the time to press pause and examine what’s really going on.

Workplace burnout is now recognised by the World Health Organisation (WHO)  as a diagnosable condition, adding it to the  International Classification of Diseases It’s big news in terms of performance and one of the major blocks we come across in our sustainable leadership coaching.

Overdrive & Physician Burnout

Maybe you feel incredibly driven but there just aren’t enough hours in the day? If you’re starting to feel stressed and bordering on burnout, that’s a signal to switch things up and start doing something different. You can’t reach optimal performance by working longer hours or sleeping less. It’s time to adopt some performance smart strategies.

We are living under the collective delusion, that in order to succeed we have to burnout along the way” – Arianna Huffington

Visualise instead of burning out

Really? Can visualisation truly make a difference? Data from the field of sports psychology suggests it can. When basketball players were asked to visualise for an hour a day, it was found to have the equivalent impact of 7 hours of physical practice. Science is only just beginning to understand the mind body connection and the impact that it has on performance. Visualisation is a technique that we’ve used in our coaching with sporting bodies like UK Sport and the Football Association. Why? Because it works. Whatever the habits are that you want to change, begin by visualising them. This is the first step in beginning to align your mind, habits, goals and performance. This mental practice combined with real world effort has been demonstrated to improve results What’s more, it’s more effective than just doing one alone.

Slow Down

Downtime is the key to high performance. That’s why it’s always a mistake to work harder. The constant striving associated with sacrifice syndrome will only take you on a journey to depletion and eventually burnout. Skipping lunch, working late, using your weekend to play catch up are all corrosive practices that will only serve to slow you down. You’ll put more hours in and see fewer results for your efforts.

Renewal is critical for peak performance. Build regular intervals into your daily routine to develop physical and psychological renewal.  This is the way to high, sustainable performance. Yes, you need to set goals and work hard, but there also needs to be space for essential recovery time. Dampen down the sacrifice with some simple changes; take lunch – even if it’s short. Go for a walk, periodically disconnect from tech, practice mindfulness, invest in decent sleep, develop compassion and cultivate hope. Research has demonstrated that the mere act of hopefulness that things can be different, has a positive impact upon our neurobiology and our performance. Don’t wait until it’s too late to strike the balance.

Be strategic without burning out

It sounds obvious, but when we’re stressed or burning out, we lose our way. Our decision making is impaired and we lack the clarity necessary for effective thinking. That’s why strategy is so critical to performance. Effective strategy involves setting clear goals, designing a plan to deliver them and monitoring your progress. Decide upon your metrics for success and tackle your goals each day. Remember to stay flexible, things change and you need to be able to adapt to each situation.

If you’re doing something and it won’t help you to achieve your metrics for success, ask yourself if you should be spending time on it. Think in terms of ROI for your time to maintain your focus and keep your strategy on track.

Discover more…

We’ve successfully worked with thousands of businesses and individuals around the world to help them achieve their goals. We’ve coached hundreds of leaders in business, elite sport and tech. We work internationally with Fortune 100 companies to optimise performance, reduce burnout, building resilience and workforce wellness. We provide consultancy, leadership coaching and training. If you’d like to know more about how we can partner with your organisation, get in touch.

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Overcoming the Burnout Epidemic in Healthcare

Overcoming the Healthcare Burnout Epidemic

In 2019, for the first time ever, the World Health Organisation (WHO) recognised workplace burnout as a diagnosable condition, adding it to the  International Classification of Diseases. If you’ve ever ever experienced burnout, you may be left wondering what took them so long. We take a look at how to overcome the burnout epidemic in healthcare.

What is Burnout?

Now reported to be at epidemic levels, the WHO state that “Burnout is a syndrome conceptualised as resulting from chronic workplace stress that has not been successfully managed.” Serious stuff. Healthcare burnout is at an all time high.

Burnout affects our motivation, our performance. It even bleeds into our personal lives leaving multiple casualties. Take a look around and you’ll see examples of workplace stress in healthcare, with professionals constantly being stretched. But how do you know when you’ve crossed over into burnout?

The 3 Domains of Healthcare Burnout

Christina Maslach and Susan E. Jackson designed the the Maslach Burnout Inventory (MBI) to measure occupational burnout. Maslach and Jackson identified 3 components of burnout;

  • Emotional exhaustion This is when you feel tired, fatigued and exhausted at work. Maybe you can manage to get through the day but your reserves are depleted and you have no energy left for anything else.
  • Depersonalization Think of this as indifference at one end of a spectrum and a callous/uncaring attitude at the other. You might even experience hostility towards  colleagues or patients. This is about feeling so numb, that there’s nothing left in the tank for anyone else, your energy reserves are simply too low.
  • Reduced personal accomplishment You may feel that there’s no stretch, no challenge or that you aren’t accomplishing anything worthwhile. The result? low levels of motivation and productivity.

Still Wondering if you’re burning out?

Healthcare burnout symptoms can be varied, but if you find you can answer yes to these questions, you may be experiencing burnout;

  • You dread going to work
  • Sunday becomes poisoned by the thought of Monday
  • You feel exhausted and drained of energy
  • The prospect of work fills you with joylessness
  • There are low level, nebulous aches and pains that you can’t explain
  • You genuinely don’t have enough time in your working day to complete all of your tasks
  • You’re playing constant catch up – with everything
  • Your day is clouded by overwhelm
  • You feel guilty
  • Sleep is difficult
  • You’re short tempered for no reason
  • You frequently feel hopeless about life and work
  • One bad day at work merges into another
  • You frequently feel resentful towards your friends and colleagues or patients 
  • You’ve stopped doing the things that used to renew and energise you a long time ago

Healthcare Burnout Recovery

When you’re experiencing burnout, things can feel harder than usual so don’t beat yourself up. But there is a way forward. It’s important that you create the space to address the underlying causes of burnout. Ignoring burnout won’t help, it isn’t something that will just disappear.

  • Talk to someone. Sharing how you are feeling with a professional will help you to begin the process of addressing the reasons for burnout.
  • Identify what the trigger for burnout is. There might be several reasons, work related stress, taking work home, working patterns, shift work, lack of time for self care or family and friends. This can take time, try journalling or talking therapy to dig deep and discover what’s going on for you.
  • Self care. This one might sound obvious, but when we’re stressed or burning out, sometimes we stop doing the things that renew and re-energise us. Get back to basics and take stock of your nutrition, exercise and general wellbeing. Are there areas where you can be more gentle with yourself or create more opportunities for self care? Start small and build up your routine slowly, one thing at a time.
  • Audit your assertiveness. Are there times when you find yourself saying ‘yes’ when you really mean ‘no’? Brush up on your assertiveness skills and give yourself permission to say no when you need to.
  • Values. Often when we start to talk about work life balance and wellbeing in coaching, we start with values. When our values are congruent with what we do on a daily basis, we have meaning and purpose. Research around wellbeing and happiness suggest that living with purpose is key to our happiness and wellness. Doing some homework around what’s important to us and whether our working life is in alignment with those values can be an enormously useful starting point.
  • Focus on what you can control. This is the cornerstone of many resilience models. Take a look at Susan Kobasa’s 3 Cs or Martin Seligman’s PERMA model to find out how to develop resilience. Our free Resilience Toolkit is also a great place to start learning about resilience.

Work with the Resilient Doctor

Want to know more about burnout or building resilience? We work with the NHS, FTSE 100 companies & sporting bodies to develop resilience and optimise performance. We offer training programmes, consultancy, coaching and keynote presentations. We’ve also worked with hundreds of individuals to help them optimise their wellbeing and performance. Get in touch to discover how we can work together.