# Burnout — GCMD Library living collection

Everything in the library about burnout — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 43 cited statements

## Episodes
### Fundamentals
- [Physician Wellness: 2018 Pediatric Surgery Practice Gap #6](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454) — video · [machine version](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454.md)

### Evidence & Research
- [Surgeon Wellness & Medical Errors: Practice Gap discussion at Update Course 2018](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350) — video · 10:32 · [machine version](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350.md)

### Long-Term Care
- [StayCurrent Forum: Resident Wellness](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303) — video · [machine version](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=0) Clinical vignette and initial responses to surgeon stress (Ep 1)
- [3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195) Epidemiology of surgeon burnout and institutional support gaps (Ep 1)
- [6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382) Systemic barriers and proposed solutions for surgeon wellness (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0) Physician Wellness as a Practice Gap (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=0) Introduction and transition from medical school to residency social dynamics (Ep 3)
- [1:57](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=117) Why resident wellness matters and individualized approaches (Ep 3)
- [6:41](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=401) Practical wellness tactics: forced participation, habit formation, and personal routines (Ep 3)
- [10:33](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=633) Introspection, documentation burden, and job negotiation (Ep 3)
- [14:31](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=871) Closing remarks (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "Kurt Heist talks about the second victim syndrome, and it is real." (opinion) [Ep 1 · 1:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=75)
- "Hospitals have M&Ms, safety reports, and evaluations, but do not take care of practitioners after adverse events or acknowledge the effect on them." (clinical) [Ep 1 · 1:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=75)
- "Mark Rowe described all surgeons having a mental cemetery of mistakes they revisit, and at age 80-something he still remembers really bad complications." (host_summary) [Ep 1 · 1:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=75)
- "The medical field has not acknowledged the mental and physiologic effects of complications on surgeons or done anything effective about it." (opinion) [Ep 1 · 1:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=75)
- "There is tremendous pressure for surgeons to ignore emotional responses to medical errors." (opinion) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "Surgeon wellness has an effect on patient safety and care." (clinical) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "Many surgeons are unprepared for the emotional response to a medical error, and this is not covered at all in training." (clinical) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "There is a 40% burnout rate among American surgeons." (epidemiological) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "25% of American surgeons have clinical signs of depression." (epidemiological) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "Suicidal ideation was experienced in 6% of general surgeons in an ACS survey, twice the level of the American population in general." (epidemiological) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "9% of surgeons have experienced a medical error in the last 3 months, and the chances they will have symptoms of burnout is twice as high." (epidemiological) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "There are 4 phases of response to a medical error: physical and physiologic, emotional response, recovery, and long-term adjustment." (clinical) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "Most healthcare systems do not have systems set up to support care providers when an adverse event occurs." (clinical) [Ep 1 · 3:15](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=195)
- "Children's Mercy has a reasonably structured wellness center approach for physicians who seek help, which is more robust than initially thought, but there is no formal policy." (clinical) [Ep 1 · 4:39](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=279)
- "Wellness support at Children's Mercy is often dependent on the surgeon recognizing the problem themselves and self-referring." (clinical) [Ep 1 · 5:01](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=301)
- "A common response surgeons have under emotional stress is to change their approach to care after a complication, jumping around with every complication trying to land in the right spot." (clinical) [Ep 1 · 5:07](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=307)
- "Buffalo Children's Hospital has a support system, but it is of no good because surgeons must confess publicly to access it, and if they want to keep their job, they keep quiet." (clinical) [Ep 1 · 5:25](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=325)
- "When surgeons cannot access support in a supportive fashion, their behavior is noticed by everybody, and they may become more disruptive and face more punishment." (clinical) [Ep 1 · 5:25](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=325)
- "Burnout must lose its taint and stop being seen as a bad thing; it should be recognized as going through a bad time." (opinion) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "Two Annals of Surgery articles from 2008 surveyed 8000 surgeons with a 30% response rate and found significant suicidal ideation." (epidemiological) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "There has been a non-zero number of pediatric surgeons who have committed suicide." (epidemiological) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "The suicide rate among physicians in general is significantly higher than the general population." (epidemiological) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "Surgeons going down because of wellness issues is a much bigger cost to hospitals than trying to recruit another surgeon." (opinion) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "The administrative response to surgeon burnout is always more administrative overlays every year, which takes away surgeons' time, the one resource they have to recover." (clinical) [Ep 1 · 6:22](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=382)
- "Kurt Heist is very passionate about surgeon wellness and helped set up a robust support system." (clinical) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "When an error or adverse event occurs and the patient safety team is called, resources are mobilized so that one of the leaders proactively goes to the person involved to ask how they are, not to interrogate them." (clinical) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "A proactive support system is needed because there is a lot of stigma around complications and people feel terrible, making them unlikely to seek help on their own." (clinical) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "Different people handle adverse events differently; some say they are fine, while others need resources like an employee assistance program." (clinical) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "For male physicians with burnout, the suicide rate is about twice as high as the general population; for female physicians, the suicide rate is approximately 20 times higher." (epidemiological) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "Surgeon wellness is a real problem that has been unrecognized and unaddressed for a long time." (opinion) [Ep 1 · 8:11](https://library.globalcastmd.com/watch/surgeon-wellness-medical-errors-practice-gap-discussion-at-update-course-2018-350?t=491)
- "ACGME and many residency programs now must address resident wellness." — Trevor Schrobat (guideline) [Ep 3 · 1:57](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=117)
- "Even the 80-hour weekly work cap is very demanding for residents." — Trevor Schrobat (opinion) [Ep 3 · 1:57](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=117)
- "Residents see people dying on a semi-regular basis and perform complex tasks while learning many new things at once, which can cause burnout." — Trevor Schrobat (clinical) [Ep 3 · 1:57](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=117)
- "Wellness means different things to different people; some benefit from yoga and meditation, while others (e.g., a seasoned orthopedic surgeon) may not want those approaches." — Trevor Schrobat (opinion) [Ep 3 · 3:51](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=231)
- "Interns and residents often neglect basic self-care (nutrition, hydration, bathroom breaks) during 8- to 16-hour shifts, which negatively affects their well-being outside the hospital." — Trevor Schrobat (clinical) [Ep 3 · 3:51](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=231)
- "Trevor's wellness program focused on nutrition, sleep, mindfulness, and other strategies to help all residents." — Trevor Schrobat (clinical) [Ep 3 · 3:51](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=231)
- "Mandatory wellness activities (like yoga) can lead to bonding among co-residents and occasionally help individuals discover new beneficial habits." — Rod Gerardo (host_summary) [Ep 3 · 6:41](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=401)
- "Trevor's personal post-residency routine includes 90 minutes of productivity on days off: 30 minutes for fitness, 30 minutes for household tasks, and 30 minutes for intellectual work (e.g., reading journal articles), after which he relaxes guilt-free." — Trevor Schrobat (clinical) [Ep 3 · 8:26](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=506)
- "Trevor meal-preps and brings a large tumbler of ice water flavored with Mio to shifts to stay nourished and hydrated, which helps him leave shifts with more energy than he had in residency." — Trevor Schrobat (clinical) [Ep 3 · 8:26](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=506)
- "Maintaining personal wellness (mental and physical) enables physicians to be at their best when caring for sick or complex patients." — Rod Gerardo (host_summary) [Ep 3 · 10:33](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=633)
- "Introspection about what causes burnout (on-shift factors, home factors, controllable vs. uncontrollable) is important for residents." — Trevor Schrobat (opinion) [Ep 3 · 12:35](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=755)
- "Trevor found that delaying documentation until the end of a shift caused him to leave two hours late, cutting into personal time; he now uses dictation software (Dragon) and plans to hire a scribe to minimize documentation burden." — Trevor Schrobat (clinical) [Ep 3 · 12:35](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=755)
- "When job-hunting, residents should apply to multiple places and negotiate for things that matter to them (e.g., time off, scribes, dictation software); one of Trevor's friends negotiated five weeks of vacation versus the standard four at the same salary." — Trevor Schrobat (opinion) [Ep 3 · 12:35](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=755)
- "If residents identify feasible changes that could reduce burnout, they should communicate with program leadership; if changes are not possible, discussing concerns with colleagues can help." — Trevor Schrobat (opinion) [Ep 3 · 12:35](https://library.globalcastmd.com/watch/staycurrent-forum-resident-wellness-5303?t=755)
- "Burnout directly impacts patient care" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0)
- "Establishing support systems should be a focus throughout education and practice" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0)
- "There is significant stigma around seeking help for physician wellness issues" (clinical) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0)
- "Support systems need to be proactive because of the stigma preventing physicians from seeking help" (opinion) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0)
- "Police officers have training for traumatic experiences, but pediatric surgeons do not" (host_summary) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/physician-wellness-2018-pediatric-surgery-practice-gap-6-1454?t=0)

## Changelog
- Sep 25: 3 items added automatically

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