How Do You Feel? | Dr. Jessi Gold and Dr. Aparna Atluru
Oct 28, 2024
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Dr. Jessi Gold, the first chief wellness officer for the University of Tennessee System and author of "How Do You Feel?", joins Dr. Aparna Atluru, co-founder and chief medical officer of Marvin, to tackle clinician burnout and mental health crises. They dive into the symptoms of burnout and the potential addition to the DSM, gender disparities in physician suicide rates, and how technology both helps and hinders clinician well-being. The conversation underscores the importance of specialized mental health care for healthcare workers, sharing personal struggles and innovative solutions.
Clinician burnout, stemming from excessive workloads and a culture discouraging help-seeking, leads to emotional and physical exhaustion in healthcare professionals.
Gender disparities significantly impact female physicians' mental health, intensifying stress from societal expectations and workplace biases that hinder their well-being.
Deep dives
Understanding Clinician Burnout
Burnout among clinicians is characterized by emotional, physical, and mental exhaustion, as well as feelings of depersonalization towards patients. It often results from excessive administrative burdens, high patient loads, and a workplace culture that glorifies martyrdom among healthcare providers. This problematic culture discourages clinicians from seeking help for fear of being viewed as weak or inadequate, exacerbating their mental health issues. The reluctance to confront these issues leads many to suffer in silence until their condition becomes severe.
The Impact of a 'Hero' Narrative
The perception of medicine as a 'calling' contributes to the burnout experienced by many healthcare professionals. This narrative suggests that clinicians must constantly be available and committed to their roles, often at the expense of their own well-being. It leads to a culture where questioning one’s commitment or expressing struggles is viewed as a sign of weakness, further entrenching clinicians in unhealthy work environments. As a result, many healthcare workers continue to endure undue stress, often without the necessary support systems to address their mental health needs.
Technology's Role in Work-Life Balance
While technology has introduced burdens through increased documentation requirements, it also has the potential to alleviate some burnout symptoms if used effectively. Enhancements such as AI-driven support for administrative tasks could help reduce unnecessary workload pressures, yet there's a risk that increased efficiency will only lead to higher expectations for patient volume. The conversation around technological solutions must not ignore the essential need for a supportive work environment, including appropriate staffing and compensation structures. Successful implementations in systems, such as intelligent scheduling, demonstrate the potential for technology to improve clinician work-life balance.
Gender Disparities in Healthcare
Gender dynamics play a significant role in the mental health of clinicians, particularly female physicians, who often face compounded pressures due to societal expectations. These professionals frequently juggle clinical responsibilities alongside family care, contributing to heightened stress levels and a sense of inadequacy within their roles. The disparity in prestige and support received compared to their male counterparts exacerbates emotional tolls, intersecting with challenges like harassment in the workplace. Addressing these systemic biases is crucial for improving mental health outcomes for all clinicians, especially women.
Doctors are not okay. Nearly half of physicians in the United States experienced burnout in 2023, leading to absenteeism, reduced productivity, turnover, and many leaving the profession altogether. In this episode, we discuss the clinician burnout and mental health crises with two expert guests: Dr. Jessie Gold, the first chief wellness officer for the University of Tennessee System and author of "How Do You Feel? One Doctor's Search for Humanity in Medicine," and Dr. Aparna Atluru, co-founder and chief medical officer of Marvin, a company that provides specialized mental health care for healthcare workers.
We cover:
😮💨 The definition and symptoms of burnout, and if we should add it to the DSM
👩⚕️ Gender disparities in physician mental health and suicide rates
💻 The impact of technology on clinician well-being
✍️ Personal experiences with burnout and mental health struggles in medicine
💡 Potential solutions and interventions, including specialized mental health care for healthcare workers