Session 300 This week, we're joined by Allison who has previously shared her story of burnout. We discuss burnout as well as the birth of MedDiaries - our newest project to help with this prevalent issue.. We're celebrating our 300th episode and it's been our tradition to state the Hippocratic Oath every 50 episodes. "I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. I will apply, for the benefit of the sick, all measures that are required, avoiding those twin traps of overtreatment and therapeutic nihilism. I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug. I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery. I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God. I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems if I am to care adequately for the sick. I will prevent disease whenever I can, for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm. If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help." [04:50] The Prevalence of Burnout in the Physician Community Allison talks about there are bad days as much as there are good days, which is highly prevalent in the physician community. In fact, 42% of physicians in the 2018 Medscape Report are burned out. Based on personal experience, Allison is passionate when it comes to this topic. She also works in the field of Neurology which ranks second on the list of fields that are most likely to experience burnout, second to Critical Care. More and more people are now researching burnout due to its prevalence in the community of physicians, residents, and medical students. Allison describes how burnout has affected her emotional wellbeing, feelings of self-worth, and even the ability to care for herself. "If you can't take care of yourself, you can't take care of other people well. All too often as physicians, we are sacrificing our own wellbeing so that we can take care of other people." [06:25]  Burnout as a Sign of Weakness In the onset of burnout, you begin to feel detached, dissociated, resigned, and separated in some way from the job you were trained to do. And even though it's a high percentage of physicians having burnout, it's not something you experience with other people. You experience it by yourself. "Burnout isn't something you experience with other people. You experience it by yourself." In medicine, what has been taught to us is that if you're strong enough to do it then great; but if you can't handle it, then you shouldn't do it. So if you're struggling with emotional difficulty or feeling exhausted, or if you're experiencing the human side of how difficult it is to be a physician and you talk about it or complain about it, or let it affect your work, then that's seen as a weakness and that it's not acceptable in medicine. This i