KevinMD June 8, 2024
Scott Abramson, MD

Don’t blame others for the burned-out road you are on: It is your own “Ass-Phalt.”

OK.

I know that sounds harsh. We, physicians and other clinicians suffer under the demands of irrelevant EMR guidelines, insensitive hospital administrators, and tyrannical medical–big pharma dictates. However, all these are “external” forces. They are not our “phault.” But what about the “internal” forces, forces that may be, in some way, our “phault” (or at least under our control)? What about those forces intrinsic to our DNA?

“Burnout,” so goes the conventional wisdom, leads to “moral injury.” And “moral injury,” we are told, occurs because our actions (or our feelings) don’t match our values.

Let’s take this one step further.

Burnout, moral injury, and the...

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