"Bill murdered the CEO?" "The coroner said it was the most brutal beating with a laptop he's ever seen." "How's Bill in prison?" "Feels better than he did at the hospital."

The focus on “burnout’s” cure being “resiliency” is like saying a victim of abuse needs to get over it.

Let us all take a moment to appreciate that primary care is "easy and boring" until specialists run into an undifferentiated patient. Family Med FTW!

For me the best part was the CEO proudly mouthing the lines of his treasured publicity stunt. Truly captured the level of entitlement and ignorance that has to be present for anyone to look at our system and think they still deserve million dollar bonuses...

Hey at least the "anti burnout" courses are for free and online so you can comfortably watch them from your work place during the 5 minutes breaks in between 24 hours shifts

The zoom on Bill's face at the end made me both laugh out loud and then let out a small single sob at the end for my impending medical career 😭

Like I know we should be worried about Bill, but the CEO had to take a 10 minute break from his 3 hr lunch. Admin does care! /s

When I saw the CEO sprinting with his laptop, I thought he was going to fire off a hospital-wide email on how well we have all done during these pressing times, signed by all the upper executives who no one has ever heard of.

This man has done more to address burnout than the entire U.S. health system. He’s probably saved more resident lives than we can count

I remember doing paediatrics years ago. I would be one of two doctors covering the entire hospital at nights and weekends. I worked 36 hours on, 12 off, for 2 months straight because we were short staffed.At the end of a 36 hour shift, I was in the emergency room, trying to write up notes, I hadn’t done any neonatal checks or discharges, and a SHO came in and looked at my face (this is unusual, people just fire questions and complaints at you, but forget you’re a person and don’t even look you in the eye), and just asked “are you ok?” I burst into tears. Proper, inconsolable ugly crying. She called our consultant, and he actually came in ON THE WEEKEND to help. Apparently they were all amazed I hadn’t broken sooner. Which begs the question, why wasn’t I offered help sooner? I quit paediatrics within a year. loved the specialty, but it was killing me.

"you, and you alone..." is truly the nail in the coffin. Healthy Gamer has an excellent breakdown of burnout without too much of the "you're SOL" feels

I both mourn and love the way Family Medicine says "I recognize burnout because I'm waist-deep in it myself" without saying it.

At one point during the first COVID wave, after I’d spent 20 minutes in the closet crying, I returned to the ward only to find my friend and colleague sitting at the computer watching cute puppy videos on KZfaq. I sat down next to him and we watched the puppers be silly and adorable for the next half hour. That was the high point of that day. Bill needs puppy videos..atleast a temporary solution for burnout 🙃

This’s me a few months ago. Currently on sick leave from work. It took my brain 4 months just to even begin to recover. Burnout is a nightmare I wouldn’t wish on anyone. I want healthcare to do better. Also, all hospital CEOs should be forced to do every resiliency module that has ever been created while burned out so they can understand just how insulting it truly is, as a concept.

Portugal, basically the whole health system is burned out (personally my weeks are 62 to 80h) and the Health Minister just said "resiliency" should be a higher priority when contracting medics, and is as or even more important than clinical knowledge. A week later she cried on television because some people (guess who) didn't appreciate those kind of comments. The sweet irony...

Clicked on this video faster than Jonathan can nod in modest confirmation.

Literally my entire department right now.... Thank you for your work. These videos are way more therapeutic than that 10 part resiliency course I'm behind on.

A first year Internal Medicine resident here, with a big unchecked Post-rounds list sitting in 4th floor short stay unit. Never related to a video more

Family medicine knows the burnout look because he sees it in the mirror every day

It's so scary how accurate this is.....not even Jonathan could save him!

hahah the secret hospital bathroom is real. Always get annoyed when mine gets used

Months ago when our hospitals and ambulances were overloaded due to the Delta variant, doctors and paramedics and nurses were all crying out for help, something, anything... our politicians here in Australia told the public the health system was coping. I will never get over it.

So many of my (burned out) senior partners wonder why I, as a new, fresh out of residency junior partner wasn’t picking up extra calls and weekends like so many others of my cohort since we’re all “typically young and hungry!” I finally had to tell one of them that I wanted to actually watch my kids grow up rather than work so I could pay someone else to watch them grow up… He looked at me like I was from another planet and he couldn’t fathom my motivations… So sad… I try not to say that to any of my other partners though, because when one of them overheard me saying that, he got the saddest, most introspective look on his face I’ve ever seen on an attending physician… It broke my heart!

The fact that doctors all around the world can relate to this one guy's skits just shows how universal the medical training/job/burnout experience can be

"and you alone-" is a genius line to end the video on.

Bill is lucky some other drs showed concern. In some hospitals you're not even allowed to look burned out and you get tagged as "difficult"if you can't smile or look happy to be working there.

the part where you stop moving to conserve energy for breathing, it's not an exaggeration folks

I known that vacant stare all too well. What he needs is a cup of coffee from the nursing coordinator, a reminder that he's doing the next teaching session on the intricacies of common bile duct injuries, and seven calls from the ER flow nurse checking whether those 7 referrals can come to the ward while their work-up is pending.

I'm so glad to see Family Medicine as a part of this! My mom was one, and they have to deal with a lot of shit. That woman knows what to do in every medical situation possible, honestly, and is used to not having fancy stuff to diagnose or solve problems. She has saved the lives of at least 3 family members (my dad, grandma and grandpa) at least once each over the years, by simply knowing how to improvise and apply her knowledge. A good clinic or family doctor is what everybody needs most of the time :)

This is so fucking accurate. I literally had to sit through a burnout/resiliency keynote during my nurse residency. Basically, it's your fault and your fault alone that you're burned out, and only you can fix it.

I think all corporate employees can relate to this, but most of us aren't saving lives or quality of life. Thanks to you, I remembered and scheduled my long overdue eye exam for May! Cheers and can't wait for wth Wednesday!

I know this feeling all too well. It first starts rather benign, getting up from bed becomes more and more difficult, a sense of looming dread every time you walk into the hospital, feeling pure envy towards the patients that are admitted because they get to lay in bed all day, and it stays like that for a few months. Then it progresses to specific ideations, "if I crash my car into this curb right now at full speed maybe I'll get hurt enough that I don't have to go to work today" "This knife I am using to cut the tomatoes, if I just stab it into my thigh all the way to the hilt maybe I'll get a sick leave to stay home for a few days so I can sleep for a bit". Then it goes one of three ways, you either just snap out of it one day which is highly unlikely but does happen usually following an extended vacation, or you snap at one point either by making a scene or you do something so egregious you are basically just taunting being fired while laughing about it cause the absolute worse thing that can happen is that they'll kill you and death in your state of mind at that point is a better outcome than coming to work one day more, or you just quit and say "I don't think this field is for me after all and I am looking to change my speciality" which is the most political way of going about quitting g your job without harming your future career.

oddly enough, one of the things on his to-do list was "respond to emails about how your resiliency survey is overdue"

Secret bathrooms improve moral. Change my mind

I'm surprised doctors don't have strong unions to prevent this kind of thing from happening. I work in aviation and if management tried to pull this kind of shit on us there would be hell to pay.

Our region offered our clinic's docs a resiliency course (on-line, of course) - we all declined. We'd already be gone if we weren't resilient - what we really need is systemic Jonathons!!!

I clean the doctor office area at my hospital. I pull the trash, clean bathrooms, and vacuum. I vacuum once a week. Not a heavy traffic area. Some if the offices I have to vacuum more then once a week. The Specials office is an example. I have to vacuum that office three to four times. There is always food on the ground.They have to eat so fast it makes a mess. My hat goes off to the burnt out doctors out there. Yall keep up the great work. Even if it makes a mess.

my company did literally that when I had burnout. cut my salary, cut my worktime, sent me to resiliency training in my free time - mandatory. however I am happy they did. I got more resilient in my next job and they payed the training.

CEOs don't really care. They know that after a while we will develop "Battered Spouse" Syndrome and the abuse will seem normal to us. And if they get lucky we might even think that bad things happen because we are not working hard enough.

I'm also on unpaid medical leave due to burnout & this video makes me grateful for the time I've gotten away from work. Getting out of bed is no longer a struggle & I don't spend most of my day feeling weighted down & hopeless! Here's hoping that the Bills of the world finally get the extended time off that they need 🙏

*CEO runs in* Me: "What the hell is he gonna do?" ... Me: "Oh of course... nothing."

This is literally why I got out of medicine and biotech! Well, after a 6-week medical leave and multiple daily panic attacks. I finally had to listen to my body. The joke about not being able to use your muscles was sadly relatable

That was incredible! You had complex interactions between multiple characters and with multiple very accurate portrayals. Hard to believe that this was all you! Excellent scripting! Really taking things to the next level, not that it was shabby beforehand

I love that Family Med is so ridic burned out and out-of-it but can still barely look at a patient and identify what's wrong immediately. Family med doctors need way more respect than they get.

In all my years of teaching, I've never before know a teacher to quit in the middle of the year. This year, two quit in one grade alone. But we get jeans day every Friday!

PS. Why is nobody talking about the fact the only concern the CEO has is that Bill doesn't quit ... Nice touch Dr G

Internal medicine resident here, entering my 3rd year...the way many of the comments here, as well as the video describe it is just right. The constant disappointment, the physical fatigue, the psychological exhaustion, the feel of "burden" that overtakes evey aspect of every day life... so sad that I, like many others, am forced to actively plan my escape from this job I really love

Hospitals know the cure for nurses feeling burn out: little caesars pizza- exactly one slice for each nurse. Make sure it's cold, only in the break room, and that there is a note on one of the boxes saying something along the lines of "thank you to our (hospital name) family for stepping up in these tough times!

Why do I suddenly feel the urge to hurt the CEO

Wait. There’s a course on resiliency?! This is the cure for burnout?! Doc G., I’m an seasoned OR nurse. 15 years this years. Your content is so accurate. Especially Ortho Bro! My prayer is that we healthcare professionals take care of ourselves better and not wait for the misguided yet kind intentions of corporate healthcare. Maybe a short on a nurse and doc collab? Thank you! ❤️

I was on a safety committee. Everything that went wrong was always the staff members fault. We had one staff member get dust in her eye and they made her take an in service about not turning her face towards air condition vents. SMH 🤦‍♀️.

Isn't it crazy when we talk about healthcare reform, we forget about the health care providers? My vascular doctor put stent my leg on a Sunday. That was my 7th day in the hospital but he would not discharge me without being cared for properly. Thank you Dr Weinberger ❤

Oh god. I love this so much. But hate it equally. Lol. My personal favorite is the sleep deprivation WBT where they basically tell us to drink coffee, but don’t use other stimulants, and to call a taxi if we don’t feel safe to drive. We can make life and death medical decisions, sure, but we aren’t save to drive ourselves home. God I hate this job, lol. #TeamBill

Not me expecting the code burnout button to summon a psychologist 😭 this is too accurate it hurts

I finished medical school this week so this takes me on a journey onto the future. Thanks doc! 💀

As an MLT that has seen coworkers get burned out (understaffed lab with COVID at a major hospital? CRAZY workloads) and possibly on the way to burnout myself, this is bull. We're human too. What we need is better staffing and better pay, not just some cookies in a baggie saying "job well done." That being said, those are things our direct manager can't control and I'm fortunate that our manager is big on giving us our PTO in order to PREVENT burnout... I wish more people had management like that. Eagerly awaiting May for a much needed vacation!

Wouldn’t it make more sense to use the money that pays for those seminars to invest in more staff?

I LOVE this! I work at a cancer hospital, and a recent survey of employees revealed a massive burnout problem. My department had a meeting to stress that we need to maintain good work-life balance, as if it is our fault we have burnout. When I mentioned it is hard having good work-life balance when I have 12 active projects in my queue (biostatistician; work in research), she said to just tell the PIs that I will be late getting them my projects. Oh, if only life were that simple.

These videos keep getting darker but just as true 😭 Poor Bill.

Bill (working his new job in a Coal mine: "Sir, the canary in this coal mine just fainted and died." CEO: "Nonsense, it was probably just sick, what about all the other canaries?" B: "All of them are dead sir, every single one!" CEO: "Huh, weird, I guess that leaves us only one option" Bill: "Get out of here now?" CEO: "No, go faster, it's so much easier without having to haul around these canaries."

I was hoping it was the janitor, running trying to cheer up Bill with Memes or cat-videos or something

When they hit the burnout button I taught that Jonathan would come in and everybody would be like "Jonathan!"😍😍😍😍😍

Thank you for the reminder! I’ve been taking time to recover myself and I’m terrified to go back to a system that will try its hardest to undo all the progress I’ve made…and I haven’t even finished Med school yet. Best thing we can do is show solidarity and also speak out on our experiences to destigmatize something we know so many of us face. And combat the status quo of “well, dr. X is handling it, why can’t you? We’ve always done it this way”…yeah. So that explains why patient satisfaction, etc is still so low…

Your daily reminder that resiliency is not the cure for burnout, it’s your tolerance for burnout. No matter how resilient you are, you’re just resisting the effects of being miserable until they wear you down.

I love it. Although as CEO was climbing the stairs, I thought he was holding a pizza box! Also applicable.

Sending strength and love to everyone who is going through or has gone through burnout.

"...how you, AND YOU ALONE..." Tears. TEARS!

I love the manic feel of the thumbnail

I feel seen. As a family doctor, now a hospitalist in my rural hospital who today managed a right heart failure patient with pulmonary hypotension intubated in our little ICU…and then got yelled at by the pulm crit tele doc on the ipad…I feel you Bill.

Well done! Seems to be the current strategy. The reason for this tactic is that then the managers can document that they've done something about the burnout problem as well as talk about what they've done to solve the burnout problem in various meetings. So... problem solved! Meanwhile, Bill and I are staring off into space.

This is freakin dark man. You don’t even need to be a doctor to relate. Only 17 hours til I can clock out and crawl into bed.

Family nurse practitioner here. We rolled out our new EMR last week. That was the look on my face today. I’m burned out to the max and the admin brought us back packs with granola bars for our efforts. I’m ready to give up 30 years at the beside to work at the coffee shop and dispense stimulants that don’t require a prescription. Thank you for posting this one. Laughter with a big sigh. Good medicine

He didn’t even actually get a blanket or cup of tea 😢

Atlas, the savior! Not the one we needed, or deserved, but still, a savior.

100% what teachers are facing right now too! Just replace "CEO" with "Superintendent" and it's essentially the same damn story. Ortho is a PE teacher, Ophthalmology without a Scribe is either a Music/Art teacher without their tools or a Tech teacher in a power outage, and Family Medicine is that senior teacher/ curriculum coach (if anyone still has those that haven't been forced back into classroom teaching or fired) who has been through it all but is still trying to put in 110% because they love their kids so much. We have different titles, but we're facing the same problems with lack of respect and understanding of the general public, lack of living wages in the face of insane student debt, and being grossly overworked. I just got home. It's 7:25pm. And I'm a substitute teacher/ learning recovery tutor. There were at least 4 full staff teachers still at the school when I left. But we'll go in tomorrow, be greeted with hugs and happy hellos from children who may not know much kindness at home, and we'll keep showing up, finding ways to survive, because we know we may be the only people who are keeping tabs on some of our kiddos who desperately need more intervention from the barely existent CPS in our state. The general population has so little respect, appreciation, and even comprehension of what we all endure. It's a miracle our society hasn't fallen apart long before now, because these problems aren't new or pandemic creations.

bill’s eyes get even emptier as the ceo’s vid goes on and on and on and on and on

The fact that Family Medicine knew what that Code Burnout button was going to do makes him the most evil person in the hospital.

The very best part of this is the CEO "cares" enough to show up, and then doesn't care at all because he doesn't even just talk to him himself, it's the video he gives him of himself. I've never seen it so accurately portrayed.

thanks for bringing light to this situation!! I work in healthcare as well and the mention of CEO and resiliency training was HILARIOUS and spot on The true cure for Burn out is adequate vacation time upfront vs accumulated PTO per pay period, flexible schedule, more staff to assist teams with high demands Be well everyone

“Try a yoga class” - Yes, let me find time in my already packed schedule and money in my underpaid bank account to take a yoga class.

Our CEO has indeed been peddling success books and a resiliency course. So damn accurate

This video brought back some repressed trauma from my time working in a VA hospital. Thank you for that.

I’m a second year Family medicine resident and I appreciate that the FM doc always looks discombobulated because that’s exactly how I look ever day. But I wouldn’t change my specialty for the world!

Me a PT who is also burned out: I feel you. None of us are happy

I currently have guilt burn out. Not been able to do the oncall for 2 months due to eye problems, and all I see all day is WhatsApp messages from colleagues, understaffed cos I’m not there. The guilt is palpable and rather unhealthy.

Interesting horror movie you got there Doc

i'm not in the medical sector, but a social worker (working in daycare with 0-3yos, with and w/o disability) and i've gone through two burnouts in the 10 years i've been at my workplace it's one of the shittiest feelings you can experience thankfully, i'm on good SSNRI meds and a lot better now my heart goes out to all of you people putting themselves into their work, especially medical/social workers

I saw the guy running up the stairs with a computer and immediately knew it was some form of Admin.

I can relate. I’ve decided to change to a less stressful position and I’m so happy. Less pay but better quality of life. A big part of burnout is people feeling like they have to stay in their jobs for the paycheck thanks to debt. I feel awful for all the docs with so much school debt. If you could get rid of that you could live differently.

Bills story feels like the one you relate to, cry out to ,hoping noone sees you , wishing everything turns out good at end but kinda you know the ending & you leave with that empty look in eyes.*zoom in on face* Amazing work Dr.G👍

Nurse here. During senior clinicals, my secret bathroom was also hidden, around the corner from the coffee shop. So I could order a coffee, nap on the toilet for 5-10 minutes while my coffee cools, then suck down a coffee real quick before post conference. Worked like a charm.

We have mandatory wellness /resilience sessions at my med school that are scheduled in awkward times and force students to come to campus. Even the professors leading the sessions admit that giving us time off instead would be better at improving student wellness :(

As a veterinarian currently struggling, this hits close to home. Thanks for the first real laugh after a couple of hard days.

I think bill needs his favourite food, a warm blanket, therapy and 6 mnds of rest.

I'm only front desk, but I work in the biggest subspec clinic in our hospital *and* the whole hospital is short receptionists. And most other staff. We're ALL burnt out in healthcare. Solidarity, and wishing my fellow HCWs plenty of coffee and at least five solid uninterrupted minutes of peace here and there.

Oof. It's been almost 3 years since I've been back in school but the murderous rage I feel whenever I think of sitting at a presentation about compassion fatigue and burnout at a mandatory quarterly all staff meeting in between a 10pm-6am shift and a 2pm-10pm shift has yet to diminish

the ending 😩💀

We just got our nice little “you guys are awesome” e-mail while simultaneously being told that our department with be losing more space for frivolous things and changes being made without our consent 😅 Sometimes I look at job openings while at work so I know I have an out.

I left practice in December of 2021. The burn out is starting to abate, but watching this month's series (September 2023) on healthcare in the US has demonstrated to me that it is still just below the surface. I started a MA of Applied Child and Adolescent Development in Infant and Early Childhood Mental Health (IECMH) in 2018, finally graduated in May. In many ways, I'm prouder of that MA than I am of my MD. We spend a lot of time in reflective practice and reflective consultation in IECMH. The only possible way for me to return to medical practice is to bring the reflective practice/consultation model with me and start sharing it with other physicians.

This hits close to home having seen my wife go through family medicine residency during covid (it hit halfway through her intern year), in a rural area, and having a newborn. I'll always appreciate your depiction of family medicine.