Thank you, ER doc! I know what you mean. It is CONSTANT. Digital. We have reached a point of digital overload and over-processing while losing patient contact and connection. We will collectively need to work on how to keep the human factor in what appears to be unstoppable digitization. Hope you are enjoying retirement! Greetings
It's so hard to balance your life and work while working big hours. So burnout is really close to many of us. What really helps is support from our loved ones
Thanks Doctor Hadzic. I first saw you speak at a small regional anesthesia talk in the early 2000's. In your talks, books and videos you have always advocated for patient safety & satisfaction along with simplicity. That was the pitch for regional anesthesia. With improved technology like ultrasound, improved airway management tools (e.g. Videolaryngoscopy), better monitors, and better medications (e.g. Sugammadex) the job satisfaction of anesthesiologists (& all medical providers) should be at a record high. Unfortunately, things have been tilted the other direction by encroachment into the ORs by things like poorly designed EMR's, non-evidence-based Joint Commission mandates, low-return compliance activities, etc. Anesthesiology (& medicine) is a great profession with an amazing history of unparalleled contributions to advancing patient care. Let's aim for simplicity again. Work-life balance will improve. Great video.
I'm 7 years out from anesthesia residency and couldn't take the fulltime schedule anymore. I backed off to half time ONLY. No call, no weekends, no more freebies. It has made a huge improvement. Med school applicants are naturally conscientious, guilt-driven perfectionists. Throw them into a 7+ year professional workaholic indoctrination program and you get a population of workers that don't know how to say "NO".
Thank you for your comment. Right know i am wondering, if I should change the residency in anestesia in Germány. Now I make the first year and i feel overwehlmd. The Germán language ist not mine motherlanguage. IT is spanisch...
Thanks for sharing so clearly! I’m a RN and see this in my MDs-driven to still give the best care but just exhausted by the constant pressure that keeps coming with digital age. RNs feel it too, so much work creep, feels like I’m never off…
Doctors are themselves responsible for this... Instead of focusing on simple, cheap and effective treatments for patients..the intelligent amongst us started focusing on providing treatment in detail, making it complicated and costly with no proportionately added benefit to the patient. The cost and length of training of new doctors increased proportionately. The cost of treatment increased so much, and the stakes so high, that only big businesses can tackle it now, forcing doctors to the position of maximum of skilled labour. Now a days doctors are just like 'sales guys' in a big corporation. They are like everyday operations worker responsible for running of the system smoothly. They are not the bosses anymore, but only a labour force. But doctors (particularly intelligent ones) are themselves responsible for all of this.
The changes in medicine have little to do with the majority of 'doctors who only have themselves to blame' That is perhaps simplistic very shallow assertion. 'Doctors' don't each control the system as they have to capitulate to it in order to practice at all. individual doctors are increasingly unable numerically and with each new year they have rapidly diminishing personal power. Most doctors that I have ever met go into medicine to help patients. It used to be a fair deal to the extent that young motivated people would prepare themselves for: Years of competitive study and examinations, long hours, exhausting work, reasonably good salary/recompense (however not compared to business if money was your aim), dealing quite often with entitled, angry sometimes violent patients with little or no redress to their behaviour which is asymmetric to the extent that patients/clients can make financial claims sometimes with little evidence expecting payout from a sympathetic legal system. Actually that was the deal and most accepted it. The politicians, media and other critics have massively increased the encroachment on time with ever increasing burdens imposed to 'keep up to-date', demonstrate high level ability and demeaning repetitive unnecessary courses. Only a very small percentage of this continuing medical 're-education' has any value other than to enable bureaucrats to keep doctors on a leash and course providers to make money. Yes medical companies of all sorts have to some exploited doctors and patients with options that are often high cost ( increasingly advanced medical and pharmacological/biological) treatments are of value to many many people with improvements in quality of life despite perhaps your assertion. 'Instead of focusing on simple, cheap and effective treatments...' compared to todays treatment complexities (paraphrasing your expressed point of view) assuming it is either one or the other when it is actually both. Simple effective treatments continue to be used extensively and hopefully appropriately. Demand for treatments for illness that in prior years would have gone untreated and driven by a media focused on 'miracles' to boost their sales which drives patients/clients to feel they are being maltreated unless they gain complete satisfaction at all levels of service. This is creating a high community cost in places where medical care is paid by general taxation to all irrespective of contribution in the name of universal access and equity. The paradox is that yes all should have equal access to medical care which also means it has to be paid for and with increasing costs this is an open ended funding mess that has the means to pretty much bankrupt economies. If you watched the video you would maybe also conclude that The changes in medicine have little to do with the majority of 'doctors who only have themselves to blame'. After 40 years of clinical practice it is hard to leave your 'critical' analysis of this situation unanswered for those others who may not be aware of this enigma.
Important message, but don’t expect relief from the myriad special interest parasites that have infested our profession. Our professional societies have abandoned us in favor of a socialist, DEI Woke agenda. While my career choice has been personally rewarding, I’m relieved my kids have chosen a different career path. That last notion is a national tragedy and doesn’t bode well for the future of what’s left of our healthcare system.
Retired ER doctor here. 31 years was enough! I love all your videos but this one really hit home. Thank you for your dedication to teaching.
Thank you, ER doc! I know what you mean. It is CONSTANT. Digital. We have reached a point of digital overload and over-processing while losing patient contact and connection. We will collectively need to work on how to keep the human factor in what appears to be unstoppable digitization. Hope you are enjoying retirement! Greetings
Absolutely true. Anaesthesiologist here. We even forget ourselves and get involved in our work life. Glad you took a note and mentioned. ❤
Indeed! Thank you for your comment!
It's so hard to balance your life and work while working big hours. So burnout is really close to many of us. What really helps is support from our loved ones
Thanks Doctor Hadzic. I first saw you speak at a small regional anesthesia talk in the early 2000's. In your talks, books and videos you have always advocated for patient safety & satisfaction along with simplicity. That was the pitch for regional anesthesia. With improved technology like ultrasound, improved airway management tools (e.g. Videolaryngoscopy), better monitors, and better medications (e.g. Sugammadex) the job satisfaction of anesthesiologists (& all medical providers) should be at a record high. Unfortunately, things have been tilted the other direction by encroachment into the ORs by things like poorly designed EMR's, non-evidence-based Joint Commission mandates, low-return compliance activities, etc. Anesthesiology (& medicine) is a great profession with an amazing history of unparalleled contributions to advancing patient care. Let's aim for simplicity again. Work-life balance will improve. Great video.
THank you for the comment and the flash-back! Completely agree with you!
Outstanding period of instruction. Grateful for your teaching.
Glad you enjoyed it!
I'm 7 years out from anesthesia residency and couldn't take the fulltime schedule anymore. I backed off to half time ONLY. No call, no weekends, no more freebies. It has made a huge improvement. Med school applicants are naturally conscientious, guilt-driven perfectionists. Throw them into a 7+ year professional workaholic indoctrination program and you get a population of workers that don't know how to say "NO".
Thank you for your comment. Right know i am wondering, if I should change the residency in anestesia in Germány. Now I make the first year and i feel overwehlmd. The Germán language ist not mine motherlanguage. IT is spanisch...
Thanks for sharing so clearly! I’m a RN and see this in my MDs-driven to still give the best care but just exhausted by the constant pressure that keeps coming with digital age. RNs feel it too, so much work creep, feels like I’m never off…
Glad it was helpful!
In my country, anesthesiologist and anesthetic nurse have burnout from healthcare system, not from technical aspect of the job.
Muy bueno 👌👏🏼👏🏼👏🏼👏🏼
Doctors are themselves responsible for this...
Instead of focusing on simple, cheap and effective treatments for patients..the intelligent amongst us started focusing on providing treatment in detail, making it complicated and costly with no proportionately added benefit to the patient.
The cost and length of training of new doctors increased proportionately.
The cost of treatment increased so much, and the stakes so high, that only big businesses can tackle it now, forcing doctors to the position of maximum of skilled labour.
Now a days doctors are just like 'sales guys' in a big corporation. They are like everyday operations worker responsible for running of the system smoothly.
They are not the bosses anymore, but only a labour force.
But doctors (particularly intelligent ones) are themselves responsible for all of this.
The changes in medicine have little to do with the majority of 'doctors who only have themselves to blame' That is perhaps simplistic very shallow assertion. 'Doctors' don't each control the system as they have to capitulate to it in order to practice at all. individual doctors are increasingly unable numerically and with each new year they have rapidly diminishing personal power. Most doctors that I have ever met go into medicine to help patients. It used to be a fair deal to the extent that young motivated people would prepare themselves for: Years of competitive study and examinations, long hours, exhausting work, reasonably good salary/recompense (however not compared to business if money was your aim), dealing quite often with entitled, angry sometimes violent patients with little or no redress to their behaviour which is asymmetric to the extent that patients/clients can make financial claims sometimes with little evidence expecting payout from a sympathetic legal system.
Actually that was the deal and most accepted it.
The politicians, media and other critics have massively increased the encroachment on time with ever increasing burdens imposed to 'keep up to-date', demonstrate high level ability and demeaning repetitive unnecessary courses. Only a very small percentage of this continuing medical 're-education' has any value other than to enable bureaucrats to keep doctors on a leash and course providers to make money.
Yes medical companies of all sorts have to some exploited doctors and patients with options that are often high cost ( increasingly advanced medical and pharmacological/biological) treatments are of value to many many people with improvements in quality of life despite perhaps your assertion.
'Instead of focusing on simple, cheap and effective treatments...' compared to todays treatment complexities (paraphrasing your expressed point of view) assuming it is either one or the other when it is actually both. Simple effective treatments continue to be used extensively and hopefully appropriately.
Demand for treatments for illness that in prior years would have gone untreated and driven by a media focused on 'miracles' to boost their sales which drives patients/clients to feel they are being maltreated unless they gain complete satisfaction at all levels of service. This is creating a high community cost in places where medical care is paid by general taxation to all irrespective of contribution in the name of universal access and equity. The paradox is that yes all should have equal access to medical care which also means it has to be paid for and with increasing costs this is an open ended funding mess that has the means to pretty much bankrupt economies.
If you watched the video you would maybe also conclude that The changes in medicine have little to do with the majority of 'doctors who only have themselves to blame'. After 40 years of clinical practice it is hard to leave your 'critical' analysis of this situation unanswered for those others who may not be aware of this enigma.
Important message, but don’t expect relief from the myriad special interest parasites that have infested our profession. Our professional societies have abandoned us in favor of a socialist, DEI Woke agenda. While my career choice has been personally rewarding, I’m relieved my kids have chosen a different career path. That last notion is a national tragedy and doesn’t bode well for the future of what’s left of our healthcare system.
Its not a difficult career choice if you know where you stand on morals and values and truly stand by them.
What are you talking about...