Lakshman Swamy: Joy and Burnout on the Front Lines
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Transcript of Lakshman Swamy: Joy and Burnout on the Front Lines
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Joy and Burnout on the Front Lines
@laxswamy#GenQI#QF16
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https://thejaggedword.com
@laxswamy
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Existential crisis
Emotional exhaustion
Depersonalization
@laxswamy
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Broken systems predictably cause burnout.
Participation in QI can build resilience.
@laxswamy
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Sweetandsour, Getty Images www.gettyimages.com
@laxswamy
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@laxswamy
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Mr. VThe patient reports that he wants to die, wishing for someone to “put a gun to my head and pull the trigger.”
Sorrowing Old Man (At Eternity's Gate) by van Gogh
@laxswamy
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http://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=26063
@laxswamy
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@laxswamy
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@laxswamy
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@laxswamy
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The Impact of Systems Issues“I'm just CONFUSED now”
“I have learned the CYNICISM OF MEDICINE”
“More BITTER and UNHAPPY”
“I have a NEGATIVE OUTLOOK”
Michael H Getty Images Stock http://www.gettyimages.com/
@laxswamy
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Perspectives changed… “Things are done just to PREVENT LAWSUITS”
“LITIGATION and INSURANCE dictate care”
“COMPLICATED system, FRACTURED communication” Andrew Unangst Getty Images Stock http://www.gettyimages.com/
@laxswamy
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…For the worse.“It's not altruistic.”
“No longer interested in primary care”
“I feel like PATIENTS ARE MY ENEMIES.”
Vincent Hazat, Getty Images Stock http://www.gettyimages.com/
@laxswamy
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In a word…“It is easy to become JADED”“I’m more JADED”“Doctors become JADED. This is unavoidable.”“Made me more JADED and frustrated”
Idea Images Getty Images Stock http://www.gettyimages.com/
@laxswamy
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We have institutionalized burnout.
@laxswamy
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@laxswamy
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@laxswamy
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“Accolade”For completing all of the MRI forms needed to get
a patient scanned quickly overnight!
Thomas Imo Getty Images Stock http://www.gettyimages.com/
@laxswamy
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“Accolades”Able to get cath records --from the DOMINICAN
REPUBLIC #BOSS
visual7 Getty Images Stock http://www.gettyimages.com/
@laxswamy
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“Accolade”When the entire system was down, he accessed the EMR with cellphone + wifi hotspot + laptop!
Miguel Navarro Getty Images Stock http://www.gettyimages.com/
@laxswamy
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“Accolade”Going to the pharmacy to pick up her patient's
medications - and paying for them!
Influx Productions Getty Images Stock http://www.gettyimages.com/
@laxswamy
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“Accolade”He rented a zip car to
drive a patient's meds to his rehab!
https://twitter.com/zipcarchicago
@laxswamy
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Broken systems push us to stop caring.
@laxswamy
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@laxswamy
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@laxswamy
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@laxswamy
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@laxswamy
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https://www.etsy.com/shop/aphroditescanvas
@laxswamy
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@laxswamy
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We institutionalize the creation of technicians in those who dreamt of
being healers.
@laxswamy
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Those who feel that they can change the system are impervious to
burnout.
@laxswamy
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Cause for Optimism
“Motivated to make system improvements”“Provided me with opportunities to improve”“It has inspired me”
@laxswamy
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Cause for Optimism
I am still here for the patient.
@laxswamy
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#genQI@laxswamy
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@laxswamy
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Martin Barraud Getty Images Stock http://www.gettyimages.com/ @laxswamy
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John Clutterbuck, Getty Images Stock http://www.gettyimages.com/@laxswamy
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It starts with you.
@laxswamy
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AccoladeExceptional bedside manner in leading a
difficult family meeting.
Sigrid Gombert Getty Images Stock http://www.gettyimages.com
@laxswamy
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AccoladeDiagnosed pericarditis w/ pericardial effusion on history and exam
alone.
@laxswamy
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AccoladeSaved a patient’s life
when he overdosed on heroin… on the street.
https://www.colorado.gov/pacific/hcpf/news/colorado-medicaid-now-covers-opioid-overdose-antidote-nasal-spray
@laxswamy
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@laxswamy
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Find the students.Learn from their experiences.
Empower them.
@laxswamy
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We are all #genQI
@laxswamy