The Burnout Factory

Dear reader, 

As we embark on this journey of introspection, I must forewarn you that this contemplation may claim a few precious minutes of your time. And if the notion of time’s passage already flutters in your mind, beckoning you to swiftly skip to what lies beyond these words, I must confess—you’ve unwittingly stepped foot into the realm of burnout.

Burn baby burn

It is true the inherent characteristics of work in the health field determine a context prone to instances of great stress given the nature of the activity and the frequent imbalance between external demands, self-demand, and often the resources available to efficiently comply with the objectives. The intensity and uncertainty of the events in the last three years determined in health professionals that coping with these situations in such a prolonged and continuous manner became in itself a burden, generating in some cases and increasing in many others symptoms of emotional exhaustion, frustration, and lack of motivation for the profession. Inadequate coping abilities may result in emotional fatigue, diminished success, and dehumanization of patients, culminating in a mechanical approach to procedures and interactions. These indicators collectively contribute to what is commonly recognized as ‘burnout syndrome,’ where individuals experience a sense of being overwhelmed and depleted by the demands of their work.

The ‘always on’ culture

In the realm of ophthalmology, burnout syndrome often flies under the radar, potentially due to misconceptions about the profession. Despite assumptions of high job satisfaction and low stress levels, ophthalmologists are just as susceptible to burnout as other medical professionals. Recognizing this disconnect between perception and reality is essential to address burnout within the field and support the well-being of current and future ophthalmologists.

A recent study by Jessica A Sedhom and Leonard K Seibold surveyed 592 ophthalmologists in the US, revealing a notable 37% showing symptoms of burnout syndrome. Distinctions among subspecialties showcased varying rates, ranging from 30.8% to 45.4%. Notably, female ophthalmologists reported higher burnout rates, potentially influenced by gender-specific patient interactions. Hospital-employed ophthalmologists also faced elevated burnout risks compared to their counterparts in private practice, prompting a call for healthcare institutions to address these contributing factors.

Additionally, other research has highlighted the significant impact of early career stages on burnout prevalence among ophthalmologists. Alarmingly high rates of emotional exhaustion and depersonalization among residents emphasizes the pressing need for intervention and support mechanisms at the onset of a practitioner’s career to combat burnout effectively.

It is known to everyone the usual shortage of time for consultations is compounded by the incessant flow of protocols, the increase in administrative tasks, social distancing, fear of contagion, error, and very importantly, the assiduous feeling of not practising the profession as desired and the lack of attention to other patients.

However, beyond what the statistics and studies reveal, it is important to consider that behind what these numbers represent there are real individuals with emotions, struggles, and vulnerabilities. This needs to serve as a reminder to truly appreciate the human element with its corresponding complex experiences.

The importance of self-reflection

Navigating burnout in the medical field requires a multifaceted strategy that addresses the well-being of healthcare providers on individual, collective, and institutional levels. By implementing early interventions and support systems, not only can we safeguard the mental health of professionals but also maintain the standards of patient care in the medical industry.

In the world of ophthalmology, where personal and professional spheres often overlap, finding a harmonious equilibrium is key. Mitigating stress through a blend of activities such as exercise, meditation, seeking counselling, socializing, indulging in hobbies, embracing spirituality, and ensuring adequate rest can aid in maintaining a healthy work-life balance.

When considering upheavals within a practice, it’s vital to pace changes thoughtfully. Introducing too many modifications at once, even if beneficial, can overwhelm the system. For example, during a period of transition like relocating or expanding services, it may be prudent to hold off on additional transformations such as partnerships or new ventures to avoid unnecessary strain. Recognizing one’s tolerance for stress and upheaval is essential, as it differs from person to person. By proactively planning for changes and managing the overall flux in various facets of life, individuals can navigate challenges more effectively and safeguard their well-being in the long run.

Therefore, dear reader, it’s crucial to keep in mind that burnout can quietly encroach. Surrounding yourself with individuals capable of identifying stress indicators is a priceless asset. It’s not just about handling acute stress, but also about recognizing and managing long-term stress that can lead to burnout. Prioritize self-care and be proactive in seeking support when necessary. By doing so, you can effectively minimize avoidable stress during training and practice, setting the stage for a thriving and enduring career.

Dr Guarro came third in the 2024 John Henahan Writing Prize competition answering this prompt: ‘Burnout is a chronic issue in ophthalmology, leading a growing number to abandon the field early in their careers. What should be done to reduce unnecessary stress in training and practice, allowing for a successful long-term career?’.

Idoia Goñi Guarro MD is an ophthalmology resident at KBC Sestre Milosrdnice, Zagreb, Croatia.

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