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Are We Experiencing a Burnout Epidemic? (washingtonpost.com)

"Burnout is everywhere," reports the Washington Post.

"Caused in part by social media, the 24-hour news cycle and the pressure to check work email outside of office hours, it could hit you, too -- especially if you don't know how to nip it in the bud..." A recent report from Harvard and Massachusetts medical organizations declared physician burnout a public health crisis. It pointed out the problem not only harms doctors but also patients. "Burnout is associated with increasing medical errors," the paper said... Ninety-five percent of human resource leaders say burnout is sabotaging workplace retention, often because of overly heavy workloads, one [2017] survey found. Poor management contributes to the burnout epidemic. "Organizations typically reward employees who are putting in longer hours and replace workers who aren't taking on an increased workload, which is a systematic problem that causes burnout in the first place," says Dan Schawbel, research director of Future Workplace, the firm that conducted the survey along with Kronos

Part of the difficulty of pinpointing true burnout may be because burnout is a nonmedical term -- at least in the United States. The Diagnostic and Statistical Manual of Mental Disorders doesn't list it as an illness. But other countries including France, Denmark and Sweden, do recognize burnout syndrome and consider it to be a legitimate reason to take a sick day from work.... For those who suspect they might be on the road to burnout, there are practical tools to mitigate it. Among others: physical exercise, sleep and positive social connection (the real kind, not the Facebook kind).

The Post also ran a follow-up article which suggests that to fight burnout, companies need to set reasonable work hours -- and develop a culture encouraging breaks and vacations.

23 of 174 comments (clear)

  1. Falsifiability? by Krishnoid · · Score: 4, Interesting

    Is there any sort of guideline/range/fuzzy-logic-set of behaviors or symptoms that indicate that you are definitely not/likely not/maybe/likely/definitely experiencing or approaching burnout? It seems like you'd want to be able to definitely rule it out as something that you're experiencing, unless it's an issue of work/life balance, which never seems to be possible.

    1. Re:Falsifiability? by ath1901 · · Score: 2

      Yes, there are a self questionnaires:
      Maslach: https://en.wikipedia.org/wiki/...

      and there's also this which I can't find an English version of:
      KES/KEDS: https://www.ncbi.nlm.nih.gov/p...

      Last time I looked the risk seems to be related to long term lack of recovery and not the stress itself. From what I remember, as long as your stress doesn't affect your recovery (sleep etc) you have a low risk of clinical burnout. Once it starts affecting sleep and preventing recovery there is an increased risk.

      If we assume lack of recovery is the real cause and then guess a lot, it could explain the current trend. There would not be one single factor but many like the increased efficiency of many jobs where simple and repetitive tasks are eliminated (thus fewer short breaks for the brain). Smartphones also remove a lot of short mental breaks when our brains used to rest (for example during commutes or waiting for the water to boil).

  2. repeat after me... by Anonymous Coward · · Score: 5, Insightful

    "i.

    don't

    give

    a

    fuck."

    that's how to avoid this so-called burnout. when you have no fucks to give.. life is absolutely grand.

    (in the presence of others, such as your boss, best to 'think it' not say it).

    1. Re:repeat after me... by b0s0z0ku · · Score: 2, Insightful

      Or stick your nose outside the USA, where workers actually have protections -- government health insurance, mandatory vacation time, mandatory sick leave, mandatory limits on working hours. The US "dog eat dog" model isn't the only one on this good green Earth.

    2. Re:repeat after me... by b0s0z0ku · · Score: 2, Informative

      Australia, NZ, Argentina, Chile are all decent places to live and have over 30 paid days of time off per year by law. This isn't only in Europe -- this is most of the non-US world. Not everyone wants to "take over the world". Some of us just want to live comfortably and have some fun while we're here.

    3. Re:repeat after me... by sfcat · · Score: 2

      Australia, NZ, Argentina, Chile are all decent places to live and have over 30 paid days of time off per year by law. This isn't only in Europe -- this is most of the non-US world. Not everyone wants to "take over the world". Some of us just want to live comfortably and have some fun while we're here.

      You clearly don't know the history of Argentina or Chile then. And Nordic countries with large nationalized oil funds to pay for expansive social programs are nice if you can get them but unless your country is lucky enough to have those properties, its likely that their policies won't work for you like you (all of us really) wish they might.

      --
      "Those that start by burning books, will end by burning men."
    4. Re:repeat after me... by dryeo · · Score: 4, Interesting

      Perhaps when Germany declared war on you, you should have surrendered. At least we wouldn't have to listen to your bullshit about saving the world out of the goodness of your heart when it was purely self defence.
      You've done very well by sitting out the serious wars as long as you could and finding weak countries to dominate.
      You've also done very well by forcing the world to use your dollar so you can borrow like there's no tomorrow, therefore artificially jacking up your economy. What kind of shape would the USA be in if they had to actually pay for stuff. Wish I could run my household like that, put everything on the credit card and brag about how successful I am while buying tons of weapons on credit to threaten my neighbours and support some of the worst human rights violators in the name of freedom.

      --
      https://en.wikipedia.org/wiki/Inverted_totalitarianism
    5. Re:repeat after me... by Anonymous Coward · · Score: 4, Informative

      Could you list more than one nordic country with a large nationalized oil fund? Because I live in a nordic country and know zero. I do know one with a national oil fund, which is not the same thing. That still leaves out the question of who all these other nordic oil fund countries are?

  3. Rent a cabin.. by steveb3210 · · Score: 5, Insightful

    I rented a primitive cabin in NH this winter where there was no cell service within 10 miles. We had no power, plumbing - just a wood stove.

    And it was fantastic...

    1. Re:Rent a cabin.. by ShanghaiBill · · Score: 2

      I rented a primitive cabin in NH this winter where there was no cell service within 10 miles. We had no power, plumbing - just a wood stove.

      I hope you at least had cable Internet, and didn't have to rely on DSL. That would be rough.

    2. Re: Rent a cabin.. by mapkinase · · Score: 2

      When the time comes, just do it, don't bother with manifestos.

      --
      I do not believe in karma. "Funny"=-6. Do good and forbid evil. Yours, Oft-Offtopic Flamebaiting Troll.
  4. In the case of doctors... by Uncle_Meataxe · · Score: 5, Insightful

    The shortage of doctors in the US may be, in part, to blame for their long hours and burnout. Their professional organizations have limited the number of medical school and residency slots, which partly explains how they're paid about twice as much as those in other developed countries. Given that a large majority of freshmen entering US universities have pre-med aspirations, there is no lack of potential doctors in the US. More reading here:

    The problem of doctors’ salaries
    https://www.politico.com/agend...

    1. Re:In the case of doctors... by b0s0z0ku · · Score: 4, Insightful

      Thing is, once you finish residency, you CAN work shorter hours. Locum tenens, per diem hospitalist, part-time all are options. Remember, doctors are in demand, so it's relatively easy to find work that's less than full time.

      You just need not to have a large amount of student loans. State school for undergrad, state school, scholarship, or Eastern European country for medical school. Perfectly doable if you plan for it and you know you want to finish your residency, then be able to slow down.

    2. Re: In the case of doctors... by dryeo · · Score: 2

      If you're artificially limiting competition to get that salary, then yes.

      --
      https://en.wikipedia.org/wiki/Inverted_totalitarianism
    3. Re: In the case of doctors... by Anonymous Coward · · Score: 2, Insightful

      You're overtrained. Denying medicine by making it too expensive is proving far more deadly than the failures of lesser trained people.

    4. Re:In the case of doctors... by techdolphin · · Score: 4, Interesting

      I host and produce the Medicare for All Explained podcast in collaboration with Physicians for a National Health Program. Yes, doctors are experience burnout, but often that burnout is caused by having to deal with insurance companies. Doctors have to fight insurance companies to get them to approve necessary treatments, and often the treatments are covered. Doctors have to figure out what drugs are on their patients' insurance plans. These activities take time away from patients. Doctors don't want to spend time fighting insurance companies. They want to help and treat their patients, which is why a majority of doctors favor a single-payer Medicare for All system.

      Second, doctors salaries are a minor problem when it comes to health care costs. Administration costs caused by our fragmented multi-payer health care system is why our health care costs are so high. Doctors spend on average $100,000 on billing and insurance related costs (BIR). If we got rid of insurance companies, doctor's salaries would be more in line with other countries, and they still might have more disposable income. Hospitals have a similar problem. In the U.S. we average about one billing clerk per hospital bed. In Canada a hospital system with just over 1,270 beds has only seven billing clerks. We have more that 931,000 hospital beds in the U.S.

      The doctors' tax is not the problem. It is the tax from keeping our fragmented multi-payer health care system with insurance companies. A single-payer system would resolve these problems.

    5. Re:In the case of doctors... by Mashiki · · Score: 2

      Give you a tip as to why there's fewer clerks per-bed in Canada. Though this varies a bit by province, in Ontario for example, a hospital must run a balanced budget. A surplus is acceptable but it must be reinvested into the hospital. In other words, regulation and requirements of such is what limits the numbers. If that didn't happen, you'd see the same thing as the US. Also keep in mind, that said hospital may be owned by the city, county, or the province itself.

      We don't have two-tier care here, everyone gets the same level. Ontario after the last election started opening up private for-profit clinics for cataract surgery for sample though, because a wait time of 2 years 'in the system' was the norm. But that's rare, and the government tries not to let it happen. Now you might ask why, when it can be so beneficial. Well, here's the kicker. Because there's a "set level" of care mandated by law, allowing people to pay for care creates the two-tier system, something that the courts and federal governments of the past have aggressively gone after provinces for.

      --
      Om, nomnomnom...
    6. Re:In the case of doctors... by will_die · · Score: 2

      According Bureu of Labor Statistics there are around 68,740 medical billings clerks in the USA; there are 6,210 hospitals in the USA. So doing some simple math you get an average of 11 billing clerks per hospital There are 931,203 staffed beds in those hospitals for an average of 14 beds per billing clerk.

      Going by the numbers you fabricate we can see why you think medicare for all would work. But nice anecdotal story about a single hospital with 1,270 beds and seven billing clerks.
      The number of medicals clerks is more properly explained by number of hospitals. In Canada you have around 1,500 hospitals vs the 6,210 in USA. Assuming you want a minimum of 2 billing clerks per shift you get the average number.

  5. Re:Probably by Travco · · Score: 5, Interesting

    I asked my union to bargain for more vacation instead of a raise. Guess how popular I was at work.

  6. Burnout? No it's called exhaustion by Anonymous Coward · · Score: 4, Insightful

    And not just physical but mental exhaustion. Because we're not shovelling coal all day people expect us to be just as quick, attentive and efficient after 10 solid hours doing mentally taxing work as we were when we walked in the door.
    When you're taxing your brain for practically every second you're awake it, like every other muscle, is going to get tired and you're going to fuck up, be slower and generally less able to do what you do.

  7. Think of the shareholders! by danbuter · · Score: 3, Insightful

    Implementing the vacations/more sick days/ etc would negatively affect stock values for shareholders. This is actually illegal for a corporation to do in the US, without providing concrete facts stating that it would lead to higher yields (good luck with that).

    1. Re:Think of the shareholders! by danbuter · · Score: 2

      https://www.reddit.com/r/law/c... for a great rundown.

    2. Re:Think of the shareholders! by MrL0G1C · · Score: 2

      Firtsly, fair enough, I didn't know all that.

      "Apple is probably one of the more famous ones for basically telling shareholders to screw off - Tim Cook has shut down several votes by some large activist shareholders to stop investing in green technologies and environmentally friendly policies and just seek pure profit - Apple can make way more money if they stopped wasting it on zero carbon this and that."

      I wouldn't agree with those shareholders either, Apple has a public image to keep up and the shareholders clearly aren't recognising that, if Apple is caught with dirty manufacturing processes then they can easily lose customers, less customers is far worse than the tiny margin between green manufacturing and clean manufacturing, especially considering the size of Apple's profit margins. I very much doubt shareholders would win if they took that to court even if both sides had equal legal teams.

      --
      Waterfox - a Firefox fork with legacy extension support, security updates and better privacy by default.