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He adlin e s
Frustrated physicians find careers outside of medicine
Suicide rate of women doctors in US is twicethat of other working women
Suicide rate high in female doctors
Many doctors prone to stress
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W hat is happin e ss
Emotional stateFeelings of enjoyment and satisfaction
Pursued and commented on extensivelythroughout world history
Happin e ss is a choic e that r equ ire s eff ort at
tim e s (Anon)
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W e All
want happiness
need appreciation crave for recognition want to be applauded desire to be called as good humans are looking for certificates from our
institution,friends, family & colleagues.
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Are doctors unhappy?
Unhappy is a crude word
Happin e ss is e ss e ntially a stat e o f goingsom ew he re, w hol e he art e dly , on e dir e ctionally , w itho u t r e gre t or r e se rvation.W illiam H She ldon
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P hysician Dissatis f action:
Study in 1997 revealed physicians were lesssatisfied in every aspect of their professional life
compared to 10 years prior.
40% of practicing physicians in 2005 would notchoose to enter the medical profession if
deciding on a career again Higher percentage would not encourage theirchildren or highly qualified college graduates
to pursue medicineSource: 1Sullivan P, Buske L. Results for CMA s huge 1998 physician survey point to a dispirited profession. CM AJ. 1998;159:525-528 .
2Massachusetts Medical Society. Physician Workforce Study. 2005.
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Dissatis f action
Dissatisfaction has been reported in diverse groups of physician
Primary care Surgery Infectious disease Anesthesiology
Large study revealed lowest dissatisfaction in primary care sub-specialists and high e st in s u rgical s ub sp e cialti e s s uch asgyn e cology , ENT, and plastic s u rge ry
Increasing unhappiness among physicians has led to job changes,non-clinical work and early retirement
Source: 1Leigh JP. Kravitz RL. Schembri M. Samuels SJ. Mobley S. Physician career satisfaction across specialties. Arch Int e rn M e d .2002 J u l 22;162(1 4) :1577- 3Leigh JP. Kravitz RL. Schembri M. Samuels SJ. Mobley S. Physician career satisfaction across specialties.
Arch Intern Med. 2002 Jul 22;162(1 4) :1577-8 4 84 .
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Le ag ue o f u nhappin e ss
Country Veryunhappy
Unhappy Neutral Happy Very happy
UK 23 43 17 14 2
US 14 45 10 19 11
NZ 8 25 30 25 11
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Why might doctors be unhappy?
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B M J Su rve y
Poll---- May, 20011400 doctors voted90 countriesLevel of unhappiness
The reasons of unhappiness
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W ork pr e ss u re
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Ne gativ e m e dia
Ne gativ e m e dia coverage might representthe world's waking up to the limitations of doctors and medicine, and it's uncom f orta b le .newspapers sometimes do influence byhighlighting negative trends and emphasizingscandal.
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Junior Doctors
House officers syndrome:- long training hours
- excessive work loads- sleep deprivation- changing work conditions
- peer competition- self denial
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Junior doctors training..
W hat s w rong w ith th e se guys?!! M ed r e conciliation Hard e r, f ast e r!!
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Se nior Doctors
Senior Physician find new stresses waiting forthem:
- work faster and longer hours- mountains of paper work and threat of malpractice suits
challenge to explain and defend work- daily confrontation with sickness and death
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P ro b le ms
Dysfunctional relationshipsBoss Unappreciative , Climate of criticism . no
feed backColleagues blaming each other, hostility andoppositions ,hospital care blaming primary
care, nurses blaming doctors & docs blamingpoliticians.Patients Demand???
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Sorry boss I wasdoing my best
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P ati e nts s view
Modern medicine can do remarkable things: it cansolve many of my problems
Doctor can see inside me and know what's wrong knows everything it's necessary to know can solve my problems, even my social problems
So we give you high status and a good salary
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He lp
So often we buy into fallacy that something or someone is going to come along and make us happyHope is a powerful influence in our lives.
-Work does not have to be merely a domain of energyexpenditure but also of energy renewal
-Learn to receive support, healing and meaning while
giving A new job More Money
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New jo b
Changing jobs/ career may not be a optionSmall town
Not very many opportunitiesInadequate openings in the job marketLess money offered
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M on e y
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Se arch f or happin e ss
Happiness sneaks through the door youdidn't know that you left open
John berry Moore
IS IT WOR TH P ER SUING?
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YES
There is only one way to happiness and that isto cease worrying about things which arebeyond the power of our will
Epict e tu s
The Grand essentials of happiness aresomething to do, something to love andsomething to hope for
Allan K Chalm e rs
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How to f ind happin e ss
Deep Relaxation, help combat depressionM ak e list o f b le ssings yo u can be thank fu lCompile a collection of Inspiring thoughtsKeep Your mind focused on positive thingsStop sneaking consolations with complaints,sighs, sad looks and cryingSocial interactions more positiveDevelop interests & activities
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W hat You Can Do ?
Identify your main goals
Do relaxation activities
Organize time and set priorities
Maintain a good diet
Exercise
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W hat You Can Do ?
Leave your counseling at workPursue a project or hobby
Don t feel that you must do everythingKeep a things to do listSocial calls, showing warmth to friends
Try to eat outMusic/dance
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R e lax !
Psychological studies every individual 60,000thoughts/day 57,000are same the day before!Do you watch same TV program every day over &over again?Emotional Toxins
Its neither wealth or splendor but tranquilityand occupation which give happiness
Thomas Jefferson
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What difference doeshumor make inrelieving stress?
Laughter is positivestress.
When we laugh, weare stimulated andthen we relaxrelieving the stress.
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IF YOUR WORKLOAD GETS TOO MUCH...
THINK OF HOW TO BALANCE YOUR LIFE!
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Stop complaining !
Stop being miserable at work.Unhappiness & criticism are contagious move
on to avoid catching the bugWhen frustrated with small issues, considerchanneling the energy to solve
Use Erect posture rather than droppingDon t use slow, quiet & monotonous voice
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R e -f raming
Re-framing is a technique to change the wayyou look at things in order to feel better aboutthem.
There are many ways to interpret the samesituation so pick the one you like.
Re-framing does not change the external reality,but helps you view things in a different lightand less stressfully.
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B e - Asse rtiv e
Being assertive involves standing up f or yo u r
pe rsonal rights and expressing your thoughts,feelings and beliefs directly, honestly andspontaneously in ways that don t in f ring e th e rights o f oth e rs .
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Ve ntilation
A pro b le m shar e d is a pro b le m halv e d
Develop a support network through friends or
colleagues to talk with. It s not always eventsthat are stressful but how we perceive them.
Writing a diary or notes may help releasefeelings bu t do not r e -re ad w hat has bee nw ritt e n.
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W hat You r Employ e r Can Do?
Provide more clerical assistanceProvide more educational opportunities to learnabout counselingProvide more social activities and retreatsEstablish a Physician Health CommitteeMentor program
Provide more workshops, in-services, advancedcourses, etc.Provide more verbal praise & reinforcement forthe job
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C re ating n ew contracts f or doctors
Work within guidelines
Be accountable for key objectives andimproving qualityActively support and contribute to achievingthe goals of the organisationWork within resource constraintsEngage in team and collaborative working
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Concl u sion
Unhappiness &burnout among physician is aserious problem, with a risk for suicide.Programs and conferences are needed to alertphysician against this issue.Medical training should be re-evaluated andrestructured to prevent burnout.Physicians suffering of burnout need to learnnew adaptive coping mechanisms.
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