Articles, Blog

Why Are Doctors Miserable? | The BURNOUT Epidemic

December 18, 2019


There are multiple statistical trends among
medical students and resident physicians that are worrisome – the most poignant of which
is the fact that doctors, including medical students and resident physicians, have the
highest suicide rate of any profession. In this video, we’ll cover burnout, a common
precursor to depression and suicide, in medical trainees. We’ll go over what burnout is, what causes
burnout, and how you can reduce your own risk of burning out. What’s going on guys, Dr. Jubbal, MedSchoolInsiders.com. Burnout can be described as a physical or
mental collapse caused by overwork or stress, often relating to caregiving activities or
work. It is thought to be derived from three distinct
elements, including emotional exhaustion, depersonalization, and reduced sense of
personal accomplishment. Keep those three elements in mind, as we’ll
be referring to them throughout this video. Burnout is everyone’s business. Burnout
has reached epidemic levels, in some studies exceeding 50% of medical trainees or doctors
in practice. It’s not exclusive to just medical students
and residents, but rather workers in all industries. In this video, we’ll be focusing on the
data regarding burnout in medical trainees and doctors. This, too, is everyone’s business, as burnout
contributes to an increased risk of medical errors, depression, and adverse effects
on patient safety. You don’t want your doctor burned out. There are several theories on what causes
burnout, the most convincing of which is the Job Demands-Resources Model. In its simplest terms, the Jobs Demands-Resources
Model states that high job demands lead to exhaustion, and low resources lead to cynicism
and feelings of low personal efficacy. Overall, chronic exposure to stress is the
main risk factor. It’s no surprise, then, that medical students and residents in particular
are subject to extraordinarily high rates of burnout. It’s common for medical trainees to be deprived
of sleep, have a high workload, relatively low salaries, and several responsibilities
in their workplace. Yet there are other tremendous but often overlooked
stressors in this profession, including the great responsibility for the health of other
people, dealing with patients, their pain, and their families. In a 2018 meta-analysis and systematic review
by Rodrigues and colleagues, it was found that residents in surgical, like general surgery
and ortho, and urgent specialties, like anesthesiology and OBGYN, demonstrated significantly higher
rates of burnout. Additional factors correlated with burnout include younger age, female gender, and having a high workload. Interestingly, students who are single are
significantly more emotionally exhausted than classmates in relationships. This doesn’t mean to run out and get into
a relationship pronto, but it does highlight the importance of social support in warding
off burnout. If you look at the rates of burnout over the
past few decades, there has been a consistent and steady rise. After scouring the literature and trends in
medical training, I would attribute this to three main factors: First, increasing competitiveness. Over the past 10 years, medical school has
become significantly more competitive, with a significant rise in the number of applicants,
but not enough new positions in medical school to accommodate the increase. In such a landscape, pre-med and medical students
are subject to ever increasing levels of stress. Dr. Atul Gawande wrote an excellent piece
in The New Yorker about how technological changes in medicine have contributed to burnout. In short, increasing requirements for computer
documentation are highly correlated with burnout, which is why neurosurgeons are less likely
to be burned out than emergency physicians – they just spend less time documenting. Additionally, decreasing physician autonomy
is a major factor, as outlined by the Jobs Demand-Resources Model. Having more equal representation by both men
and women in medicine is no doubt a great thing. There are more female physicians now than
ever before. In fact, 2017 marked the first year where
there were more women than men enrolled in medical schools. It is important to note, however, that the
literature has consistently demonstrated that women are more likely than men to experience
burnout, and the increasing rates of women in medicine is one of many factors contributing
to increasing rates of burnout over the years. This is obviously not a judgement in any
way, but rather an objective reporting of the data. By understanding differences in burnout pattern
causes and behaviors between men and women, we become better equipped to solve a multifaceted
and complex issue. For example, as reported by the AMA, burned
out female physicians are more likely to sleep, eat junk food, or binge eat than their male
counterparts. The 2018 Medscape Physician Burnout & Depression
Report noted that women rank family and romantic relationships as top factors contributing
to burnout, whereas for men, finances was number one. Further examination of the patterns in burnout
between men and women is necessary in order to best address and overcome this complex
issue. In order to address burnout, we must look
at both preventative and therapeutic interventions. How do we reduce the risk of it happening,
and if it has happened, what can we do about it? Similarly, we must examine how individuals
can best deal with burnout, and what we need to change on a systemic level to reverse the
trend of increasing burnout over the last several decades. On an individual level, there are 4 main pieces
of actionable advice: First, social support. The most consistent finding throughout the
scientific literature is that social support reduces burnout. Women seem to be better at this, seeking professional
help for burnout on average 31% of the time compared to men at 24%. My advice to you is two-fold: first, seek
professional help if you believe you are burned out, depressed, or suicidal. Second, seek the support from your friends,
family, and colleagues. I advise doing a shared activity where you
can speak at ease and with relative privacy, such as during a hike, a relaxed sport, or
grabbing a meal or coffee. Second, sleep. Sleep duration is negatively correlated with
burnout, meaning the more you sleep, the less likely you are to be burned out. Unfortunately, if you’re burned out, your
sleep quality is likely to suffer. I have an entire playlist on sleep videos
going over the best ways to optimize your sleep, with actionable advice on improving
sleep hygiene and consistently waking up significantly more refreshed. Link in the description below. Number three, optimize your day-to-day life. Life optimization is the name of the game
here at Med School Insiders. In creating a future generation of happier,
healthier, and more effective doctors, we understand that your personal and professional
lives are not siloed apart, but rather are closely intertwined. Optimizing your sleep, productivity, and overall
efficiency is going to go a long way. However, there are frequently overlooked aspects
that deserve highlight. First, shorten your commute. When I was in plastic surgery residency, I
paid a premium to live near the hospital. This reduced my commute drastically and also
allowed me to cycle to and from work. Ultimately, this meant more time for sleep,
and I was able to get cardio twice daily, automatically. Other ways you can buy yourself more time
include ordering takeout instead of cooking yourself, getting a housecleaning service,
or using ride-sharing services like Uber or Lyft rather than driving. Maintaining healthy habits such as proper
nutrition and regular exercise will also go a long way in sustaining this intense lifestyle
and warding off burn out. And number four, an important point about vacations. Contrary to popular belief, they may not be
as helpful as you think. The reduction in burnout symptoms is short
lived, lasting on average less than 3 weeks. Plus, we want sustainable fixes, and vacations
are relatively infrequent if you work in the medical profession. Now onto the systemic causes. Ultimately, burnout is more of a systemic
issue than a personal issue. While we must all take responsibility and mitigate it in
our own lives, the fact that burnout among medical students, residents, and attending
physicians has been consistently rising for decades points to a systemic cause. More and more medical schools and residency
programs are pushing wellness programs to address this growing issue. While these programs may have good intentions,
their utility and ultimate benefit is questionable. A major point of contention is the fact that
these programs push an undertone that burnout is the responsibility of the medical student
or resident – a failure of individuals to properly self-care, sleep, and mitigate stress. Rather, we need to urge our programs and institutions
to make meaningful changes. Facilitating social support, sleep, and autonomy
are areas that, based on the scientific literature, would be beneficial to this growing issue. Burnout has been strongly correlated with
suicidal ideation, even after controlling for depression. This is something I care deeply about, as
I’ve lost friends, colleagues, and classmates to suicide. Nothing was being done about it, and suicides
were being swept under the rug. So I decided to do something about it. Together with a team of other medical students
and residents passionate about this issue, we have started an initiative to raise awareness
and help fund proposals in reducing medical student and resident physician burnout, depression,
and suicide. It’s called the #SaveOurDoctors Grant. If you too refuse to sit idle in this epidemic,
this is your chance to take a stand. There are three ways for your to help: first,
submit a video on the submission page outlining your own proposal and enter for
a chance to win yourself. Second, blast #SaveOurDoctors on your social
media accounts. And third, donate to the cause. Fully 100% of all proceeds go toward the grant
and addressing this issue. I’ve personally put $1,000 from my own pocket
into this, but if you’re willing to donate even $5, that too will go a long way. Thank you for watching. I hope this video has helped you understand
burn out and provided you with actionable advice. If you too are passionate about doing something,
please get involved with the #SaveOurDoctors movement Thank you for your support.

100 Comments

  • Reply sode sumanth February 2, 2019 at 4:22 pm

    In India we still write essays in exams to get through,it freaks me out.Don't know about examination system in your country

  • Reply Colin February 2, 2019 at 4:25 pm

    My uncle, who was a very successful optometrist, told me that the single biggest thing to prevent/alleviate burnout is to have a hobby you are EXTREMELY passionate about outside of medicine. Meaning something you do almost every day (even if you work 100 hours a week), or something arduous. For example, my uncle ran a business flying private jets. His best friend was a near professional level musician. It’s not just playing tennis once a week, it’s playing four times a week and training for it.

    I’m only a med student so I’m not as busy as many residents but I devote A LOT of time to my individual hobbies. Discipline is so important even when you’re having fun

  • Reply nuju888ice February 2, 2019 at 4:29 pm

    Interesting thought. You note that women seek professional help for burnout more then men (31% vs 24%) could this discrepancy be a factor is why burnout is more reported in women. In other words, could the rates of burnout between the genders actually be closer but women report it more than men?

  • Reply Faye Salda February 2, 2019 at 4:36 pm

    Thank you doc! This is really timely for me. Keep posting more vids it really helps! ??

  • Reply Hakan SARIKCI February 2, 2019 at 4:38 pm

    Thanks, I need that. I am a trainee and i see doctors that they’re doing a lot of computer things. They don’t look at me even when i ask something. I will be intern after 5 months and i have a lot of fear about that. That’s not i wanted to be. I wanted to be a researcher and a doctor that have another hobbies. There is no time for hobbies. I started to feel bad even when i play games. I just ask myself ‘Your chosen way is not this, just be a doctor and study.’ What if i think to die at intership when i see computer writings, professors rebuking, nightshifts, to not sleep in home and USML thing (here one is different and absurd exam)

  • Reply Becca Mardis February 2, 2019 at 4:47 pm

    Another fantastic video!! This is something I’m extremely passionate about, and I’m so glad you touched on it in great detail. LOVE your channel.

  • Reply Tada_ February 2, 2019 at 4:54 pm

    Save Doctors? Save patients first! If you can't deal with the stress from the medical school, it means that you don't deserve to be a doctor. Suppose someone is a psychiatrist and is burnout. How can he/she treat the patients properly? There are reasons why medical school is tough. Only those who can manage their own stress are allowed to be a medical doctor. They can't be both a doctor and a patient.

  • Reply Christian Rupprechter February 2, 2019 at 4:58 pm

    2:15
    Deprived of sleep, high workload, low salaries and several responsibilities
    Man, you're making me doubt my decision to start Medical school this year.

  • Reply Adnan A February 2, 2019 at 5:02 pm

    I just interviewed a doctor about this yesterday ?. This is a great breakdown!

  • Reply Patricia Lora February 2, 2019 at 5:02 pm

    Awesome video!

  • Reply John Hurlbut February 2, 2019 at 5:12 pm

    Great work.

  • Reply Study With Additti February 2, 2019 at 5:29 pm

    really high quality video!

  • Reply Stuti R. February 2, 2019 at 5:39 pm

    Dr j this is extremely helpful and I'm glad someone is talking about it. I'm only a pre med and the way I've observed how bad I am at dealing with stress I'm afraid how will I survive in med school or let alone residency.
    Ive been under constant stress and in depression from last 3 years and no matter how hard I try I feel like I just can not get out of it.
    All the things you mentioned.
    Because of personal reasons I can't get professional help.. At least not this year. As for taking to friends and family I'm nit someone who likes to openly talk about 'me'. Some close friends do know but that's as far as I can go.
    I'm again going to try to get back to having a healthy routine and see if this time it helps me out or not.
    As for you… Do you think it'll be a huge problem for me in med school?
    (if somehow I got in one)
    This has been interfering with my studies for ages it'll be amazing if you make a video on how you study under pressure.
    Thanks for the video as always 🙂

  • Reply adiamondsmile February 2, 2019 at 5:52 pm

    TEACHING!!!!

  • Reply Zetsuke4 February 2, 2019 at 5:56 pm

    I am burnt out and this video helps a lot! Thank you so much for this.

  • Reply Kate See February 2, 2019 at 5:56 pm

    So excited to see a video from MSI on this! Great as always; very informative and helpful

  • Reply Study Pickle February 2, 2019 at 6:15 pm

    I’m not even a med student but these videos are always insightful. I’m also worried for my cousin who is currently studying for her MCAT. I always ask her to hang out whenever she’s free bc I know she has lost a lot of friends putting school and extra curriculars first.

  • Reply Thrawn Mon February 2, 2019 at 6:17 pm

    Thanks for the vids fam! I found out 2 days ago I’ve been accepted into med school! ☺️

  • Reply MASTER FAZE SAITAMA February 2, 2019 at 6:33 pm

    Amazing video and you should join dan lok

  • Reply MASTER FAZE SAITAMA February 2, 2019 at 6:33 pm

    If u want join …dan lok

  • Reply MASTER FAZE SAITAMA February 2, 2019 at 6:33 pm

    Join med school

  • Reply Ian Chiquier February 2, 2019 at 7:06 pm

    It's awesome how even with almost half a million subscribers you're still very active with responding to individual comments in the comments section.

  • Reply Kendel Romanesco February 2, 2019 at 7:48 pm

    Burnout isn’t necessarily physical exhaustion. Burnout is when you become bored and dispassionate with everything around you.

    Think of the times you were motivated and productive : you were probably working a lot more that you were at the time of burnout.

    Burnout comes when you lose faith in what you’re doing, you become disillusioned and bitter and resentful. You feel exhausted just thinking about everything you have to do. Why ?
    You are probably putting in hours of hard work, but aren’t seeing clear benefits/results. Personally, I’ve always wanted to be a doctor because of the type of people doctors were : smart, hard working, productive, empathetic. They were everything I wanted to be. I didn’t mind studying and putting in the effort to be productive and efficient, because all my actions were vouching for this identity, and that was tremendously exciting.

    Then reality came crashing down. I realized most doctors around me were awful : anti-social, narcissistic, sleep-deprived, too absorbed in their own self- improvement to be genuinely empathetic.

    I was unlucky, maybe doctors aren’t like this in other parts of the world. THIS wasn’t who I wanted to become. So I started slacking off. I was top of my class for so long, so this came as a shock for me. But they disgusted me, all I could think of when studying was the type of person I was going to become. I was sacrificing so much and for what? To become something I didn’t believe in.

    If you are burned out, you are probably putting in more than you are getting. If the reward seems worth it, trust me when I say you won’t even notice when you work your ass off.
    When you are burned out, turning to your family for support isn’t exactly going to help because they couldn’t possibly understand what you’re going through (unless you have doctors in your family).

    Females experience more burnout than males because there is more pressure on women to excel at different things. Trying to remain at the top of your field, being socially and emotionally available when your family/friends need you, the stress of being attractive enough to get married before it’s too late to get children (men don’t have to visually look good to attract women *sigh*), raising said children, cleaning and cooking and working hard in the hospital and more…. All this and men still get better pay and more respect. Sounds superficial, but if we women could just brush these things off and ignore all the expectations that come with our sex, trust me, we gladly would. We end up being stuck between family and friends that find us “too studious, not feminine enough, not socially engaged enough” and medical peers that find us “not focused enough, not career driven enough, not ambitious enough”. Yeah, you try juggling 5 thousand things at once.

    I can’t believe females being more burned out than males comes as a surprise. Really shows how self-absorbed some men really are.
    If being a doctor is difficult, then being a female doctor is even more challenging. A woman CAN choose to exclusively focus on her career…which leads to loneliness, and back to disillusionment (no one wants to spend the rest of their lives with a woman who won’t be available to raise kids herself, but somehow a man who works hard at his job and is absent is just trying to earn money for his family. You know, because women can’t be possibly doing that as well.) Many women put off surgery not for a lack of qualification, but because the hectic lifestyle it demands can’t mesh with outside responsibilities and expectations.

    There comes a time when you ask yourself : is it worth all the sacrifice? Working in a world driven by narcissistic men who have less responsibilities and get more respect than you do?

    That, my friends, leads to burnout.

  • Reply amit levin February 2, 2019 at 7:50 pm

    Time currently in college and not studying medicine but I still love this information cuz it's very good for me I'm also suffered some sort of degree of there now. I'm going to use this information thank you Doctor Jabo I love you information is a very very very useful thank you

  • Reply Nicole Hessabi February 2, 2019 at 8:06 pm

    Registered Nursing students suffer from serious burn out too! Thanks for the video. ?

  • Reply Mariana Andrade February 2, 2019 at 8:07 pm

    What an amazing video! ♥️ Thank you! I've been feeling like this for several months now and I thought it was due to my own personal faults. Now I can give myself a chance to really solve the issue so I can keep helping people! Thanks again ?

  • Reply Nora Doughty February 2, 2019 at 8:07 pm

    Is it bad that I’m burnt out in 8th grade

  • Reply Daria Brutus February 2, 2019 at 8:57 pm

    Yes this issue has seriously been bothering me. Its ridiculous that their isn't much attention being given to this important issue thank you for being part of the solution!!

  • Reply Voldermort BUTT February 2, 2019 at 9:15 pm

    Love the animations. Great video!

  • Reply Zosia Muszyńska February 2, 2019 at 9:27 pm

    great work, it is really important topic and I am so grateful that somebody finally is talking about it!

  • Reply SavageMC 123 February 2, 2019 at 9:51 pm

    You sir, have impeccable timing❤️??‍♂️

  • Reply MariahxJimin February 2, 2019 at 9:59 pm

    I can't imagine not cooking…

  • Reply ??????????? February 2, 2019 at 11:33 pm

    I’ve heard mindfulness based stress reduction (MBSR) can help with stress, but that’s only one variable that could help. It helped me calm down during a stressful peak but it takes time and practice to implement which might not be realistic in the demands of a healthcare environment and everyone is different so it may have varied results. Thanks for the video and help!

  • Reply schoudry schoudry February 2, 2019 at 11:36 pm

    Starting Med school this July!

  • Reply Juju Butterfly February 3, 2019 at 12:06 am

    Currently a pre nursing student and the sheer stress of it is physically, mentally emotionally exhausting. This video came at the RIGHT time and I fully agree this is a systemic problem. As humans we need TLC but as future professionals out here learning to save lives we need A ton of TLC, sleep, food , understanding and compassion.
    To those who have made ugly comments about doctors not deserving to not be a doctor if they can't handle it — y'all better watch it. Karma is a bitch! The same doctor you've disrespected will be one you'll need to save YOU or YOUR loved one. Ijs.

  • Reply T3 Future M.D. February 3, 2019 at 12:23 am

    Wired cause I just read an article on this. Urologist is the highest

  • Reply F G February 3, 2019 at 12:59 am

    Hello,dr Kevin J. I’m studying for ck according to your recommendations.i hope I will succeed.how much time do u recommend to spent to review a block of 40 qs on average to be efficient and productive.Thank you.

  • Reply niceviewer February 3, 2019 at 1:43 am

    Are residents and med students put through unnecessary stressors by their programs? Or are the stressors for the most part necessary?

  • Reply Voice Luckan February 3, 2019 at 1:43 am

    Like the saying goes, "Not All Heroes Wear Capes", and this really defines Doctors

  • Reply Lalady Warriors February 3, 2019 at 2:29 am

    What cause burn out for me is that
    College life will surprise you in a bad way, no one really advice us that we we're really go hard in to college

  • Reply 1chumley1 February 3, 2019 at 3:51 am

    Medicine is not for me.

  • Reply Meaghan Wood February 3, 2019 at 4:18 am

    I’ve wondered before hearing that statistic if Drs are just more successful at committing suicide compared to lawyers or someone else. We know the body, how to keep it alive, and therefore can understand how to do the opposite?

    I saw several failed attempts at suicide as an EMT, showing that people can often not ‘reach their goal’ and just have serious injuries. Now I’m in med school with a different perspective to reflect on this. This wasn’t meant to be a dark comment!! Great vid 🙂

  • Reply Amir Dada February 3, 2019 at 4:28 am

    <3

  • Reply mingsanx February 3, 2019 at 5:05 am

    I’m already burned out and I just finished the pre-med curriculum… but I don’t want to give up on this.

  • Reply ♧☆♡◇ February 3, 2019 at 5:09 am

    As a med student, I like to distract myself from all the stress by drawing, petting my cats and taking care of my plants. It helps me cope.

  • Reply Ayeye Brazorf February 3, 2019 at 11:53 am

    What never stops surprising me, is how we victimize doctors, and nobody ever mentions the lives of PhDs scientists. Equally stressful jobs, for much less money, much less security, and total disregard by society.

  • Reply x Toaster God x February 3, 2019 at 12:27 pm

    Watch your very logical argument about the differences in the genders just be called sexist by some loser punk leftist from brooklyn or LA

  • Reply npvezeau February 3, 2019 at 1:37 pm

    Are veterinary students and other Allied Health profession students welcome to apply for and take part in this initiative?

  • Reply Blinded Bliss - Diana February 3, 2019 at 1:55 pm

    Could you please properly sourse the studies you use in your video. Without that, you're just a random guy on the Internet.

  • Reply Keara Lytmus February 3, 2019 at 2:03 pm

    Just realized, I'm still a clinical student yet I got burnout already… And it does affected my daily performance in the hospital.

  • Reply Ingo Axton February 3, 2019 at 5:54 pm

    High yield video 😀

  • Reply Sarah Niang February 3, 2019 at 8:05 pm

    Hello Dr Jubbal,

    I'm in my second year of a three-years Microbiology program towards a Bachelors degree. It has been quite stressful so far, achieving the grades and everything, and often found myself close to giving up but my love for Medicine kept me going. I would like to know, do you recommend taking a GAP year after my Bachelor before applying for med school? In order to take a step back, refocus, strengthen my application (take time to effectively study for the MCAT; do some medical shadowing in other countries; write strong personal essays; do some volunteer work etc..)?

    Thank you for your time! I love your vids, great job!

  • Reply We M February 3, 2019 at 8:43 pm

    This video came one day after I got a real burnout from my finals.

  • Reply Dumb Genious February 3, 2019 at 9:42 pm

    I’m in highschool and I’m doing all advanced classes because I feel like that’s my level but after first semester I feel like the school year is done. I really don’t think I’m going to do this semester. I have so many important classes but my brain is on hiatus

  • Reply Varied Disciplined February 4, 2019 at 2:00 am

    As so appreciate our doctors. All of them. If I was my psychiatrist, I would kill myself after hearing the shit I say. Shit's real, and nobody knows how real except doctors.
    Respect. I would've killed myself a long time ago without all levels of mental health support.

  • Reply Daniel Donaldson February 4, 2019 at 2:37 am

    Not sure anyone here read a book called Why We Sleep by Matthew Walker. You don't need to read the whole book, but for med students/future med students, I think should read pages 316-322

  • Reply Dimitrije Jovanovic February 4, 2019 at 11:25 am

    I am a gamer and medical student at the same time. I highly value my free time, because when I can dedicate some of my time towards things I love (video games, books, and movies), I can perform at my best. In two short years, I will become a doctor, and oh boy, I am in for a lot of pain. Hospitals in Serbia are undermanned and underequipped, and complaining about depression and burnout is here considered as weakness. There are a lot of my colleagues (myself included) and professional doctors being burned out. Some of them even left practicing medicine in order to prevent suicide. Something has to be done. Increasing salaries and the supply of doctors can be costly, but hey, doctors are the ones who hold many lives in their hands, and should be treated as such!

  • Reply Rica Hernandez February 4, 2019 at 3:03 pm

    Thank you so much Dr. Jubbal

  • Reply Rica Hernandez February 4, 2019 at 3:08 pm

    This is what i am worried about when i get to medicine. What i've learned while i was studying my nmat was don't stressed out, we need to find balance in studying and rest time. 'Cause our brains are tired too and cannot retain the information we studied so we need to take the time to rest and do something enjoyable.

  • Reply Steven February 4, 2019 at 3:54 pm

    I’ve experienced/suffered from burn out. Horrible thing to go through. It’s tricky to notice the ship sinking… rock bottom is the wake up call. Took me a few years to get back on track.

  • Reply Zach Hugs February 4, 2019 at 8:31 pm

    Can you do a video about anesthesiology

  • Reply Garrett Rossi February 4, 2019 at 10:47 pm

    In my opinion institutions place majority of the responsibility of preventing burnout on the the individual provider. The focus on what you as the individual needs to do to prevent or treat burnout when really it’s a systemic problem with the way medicine is practiced in the United States

  • Reply Parisa Teukwi February 4, 2019 at 11:59 pm

    How old are you

  • Reply A February 5, 2019 at 2:06 pm

    I had severe burn out in the last year of my school, followed by depression. I didn't see any sense in studying anymore and I was like "why should I study or why should I do X if I'm gonna die in the future" etc. So sad to think about how I depressed I got.. But now I'm at medical school and am getting better after 2 years of misery and sadness! I didn't got any professional help!

  • Reply TheFoodanese February 5, 2019 at 3:43 pm

    This guy gets statistics ??

  • Reply Angela Moore February 6, 2019 at 6:08 am

    Thank you for this video and the info. I had posted a question about burnout and am currently struggling to recover from it. Thank you so much.

  • Reply Eleanor Wang February 6, 2019 at 6:49 am

    In terms of burnout in women vs men I think it's important to acknowledge gender discrimination as a contributing factor to burnout.

  • Reply Jacob H February 7, 2019 at 1:22 am

    Please give me some words I should hear. I’m a radiology student. 2 years of core courses, now in my 2nd of 5 semesters. It’s 5 days a week and I’m burnt out, I don’t know what to do. I work on the weekends at a hospital too. It all feels like a chore, especially Clinicals. I honestly hate getting up everyday to study. What do I do?

  • Reply CommanderPIPI1 you know from ps4 February 8, 2019 at 6:09 pm

    I like your style of presentation dude. Thumbs up keep going.

  • Reply Tanya Tejeda February 8, 2019 at 9:00 pm

    Thank you for addressing these kinds of issues rarely talked about and frowned upon when mentioned ❤️

  • Reply PurpleConvict February 9, 2019 at 10:39 am

    I prefer Burnout: Paradise

  • Reply Viridian February 9, 2019 at 2:58 pm

    I was in college as an engeneering major, and mostly watched this channel for the study tips that were more universaly applicable and I could use in my study. Though in the end I got hit by burn out in a major way, I began to feel like what I was doing wasn't going to pay off, I wasn't good enough, I had gone through high school eisily without having to spend much time on study etc, and wasn't well adapted to the loss of free time for one thing and that was largly what I had needed in the past to stay functioning. I also wasn't attractive at all to girls and no matter how much I tried to push the issue out of my mind I just couldn't get away from it, I had never been in a relationship, and just wasn't good enough do deserve to be loved by anyone, and had trouble making friends and what friendships I had wern't much worth it. I had always been rather lonely but largely like I said with my free time I could keep the worst of it at bay, but couple that with not being effective at studying, not being good at remembering what I needed to learn and just in general not doing well with such huge tests with no steady class work or grades to balance poor tests, or prepare. Also I grew up very poor and was poor in college as well all of this causing more stress. And yeah being so… so lonely… trying to improve myself is just so pointless when you know you're not good enough for anyone and anything you try to do doesn't change anything. Plus my family wasn't terribly supportive, and I felt like I had to be doing more for them. And in the end the stress was just to much and I learned I just wasn't good enough, or smart enough to be and engineer. Then I spiraled into a huge depression and then instead of just failing calc II I began to fail all my classes and eventually just locked myself in my room for over a week, no one even noticed or cared and I just thought all that time about suicide. failing my classes also meant I lost all scolarship and grant money. So I would no longer be able to even afford college. even two years after the event just steping foot in the city where my old college was at I began throwing up just from the anxiety of being in proximity to the college. I latter got a job trying to just get my life in order they ended up over working me, paying me very little. and in the end crippled my leg, and now I'm in constant pain. And nothing can be done about it. I can't get work, no charity, no help of any sort other then having a place to stay with my mother, eating sparingly as can't afford much food, and I can't exercise because of the pain, and the medical bills ruined my life and credit, and took all the money I had saved working that crappy job that got me disabled. So now I guess there isn't much else I can do but try to ride things out one day at a time or till it becomes to unbearable and just kill myself. My life is basicly over but among many other things it's basically because of burn out. My life is now irreparably ruined by it. All I can say is do you're best to avoid it. don't end up like me.

  • Reply alwon February 11, 2019 at 4:21 pm

    i love how the content on this channel is geared towards people in medical positions but the info presented can be applied to anyone. great job

  • Reply Krystal Beauty March 1, 2019 at 2:10 am

    I love ur videos Dr.Jabal!!! They are always so helpful thank youuuu! I will deff try to get more sleep and add exercise

  • Reply Jenni Wrenn March 7, 2019 at 2:32 pm

    Juggling a full time job (which I can't wait to leave), school/ prepping for grad school & taking care of my family(furbabies) is challenging. School is actually my relaxation & hope. I think working in a job one hates can suck the life out of you, but also gives me a reminder to work hard for something better. I appreciate these videos, this channel helps me focus on what is important & gives encouragement.

  • Reply Keaton Merck March 8, 2019 at 5:08 am

    What are the medical fields that are least/most likely to burnout?

  • Reply Vivian Tristesse March 17, 2019 at 10:23 am

    I realized just now that I've been binge-watching your videos to torment myself over having burned out. Bad family history, a ridiculously long list of medical problems, and the resulting mental health problems have caused my GPA to suffer. Last semester I got straight As again like I used to but I'll never get it to 3.6 even if I get max grades in everything until graduation. I feel like my failure is my fault, but I suppose I didn't ask my parents to psychologically and physically torture me ever since I can remember. I also didn't ask my body to develop autoimmune hepatitis and the mysterious pain, fatigue, and 'brain fog' that came with it. Watching Med School Insiders, I realized that a past I couldn't control really will be held against me to the fullest extent. The system really is as callous and bureaucratic as I had suspected.

    Ever since I was a child, I have known suffering. It has been my highest ambition to decrease suffering in others by becoming a physician, even if I have to sacrifice what remains of my health in the process. Doctors have been of little help to me, usually catching things based on blood tests I explicitly ask for. I'm a hard case, presenting with no acute symptoms most of the time, so they prefer to dismiss me. I want to be the physician who makes all the difference in someone like me and helps them live the life of someone who is not prematurely old.

    Surely pushing medical students to the point of suicide by holding them accountable to perfection is antithetical to the goal of producing caring physicians.

  • Reply Paula Contreras March 20, 2019 at 12:01 am

    Amazing video! Thank you for sharing I have started to feel slightly burnt out and I’m going to take your advice seriously and advocate for the cause! 🙂

  • Reply Jay March 28, 2019 at 1:52 pm

    It's the damn EMR!!! It's less about the pt and more about the never ending documentation.

  • Reply Prabhleen Reen April 18, 2019 at 4:21 am

    the way you said obgyn was so weird and unsettling

  • Reply Butthole The Barbarian May 16, 2019 at 8:23 am

    I have a solution. Make Med School cheaper for Med students along with special privileges like free dorm as long as they maintain a 3.7 GPA.

    Male Doctors are definitely stressed with half a million dollars in student loans to pay back.
    While trying to keep up with our gender norm, that we have to be provider with a house, and bad ass car.

    These Universities are loaded with tons and tons of tax-exemption! Shit, when I was attending UC Berkeley; their pre-med program was brutal in price and education. While our fucking Chancellor got caught embezzling 5 million dollars. Also that rat bastard still kept his fucking job! While 30% of the students sleep in tents at the park next to the our school.

  • Reply Tiffany Abreu May 16, 2019 at 9:44 am

    Excellent video. The only thing I would like to point out in the quote concerning the burnout rates being higher in "surgical specialties- like general surgery and ortho, and urgent specialties like anesthesia and OBGYN…" is that OBGYN is in fact a surgical specialty.

  • Reply Taylor Extavour May 19, 2019 at 2:44 am

    I was compelled to point out that women doctors higher rate of burn out cannot only be attributed to solely their gender. Women are greatly marginalized and oppressed in many aspects of American society causing women to have higher rates of depression/suicide in general. And now that we are seeing more women enter the medical field, we are also seeing an increase in burnout, depression, and suicide among females in this already demanding field. This is similar to how we see that African Americans have a greater risk of stroke and heart-related complications not only due to genetics but also due to the emotional and physical stress of racism in America. So it is important to note that women have higher burn out rates, it does not mean that women are somehow less able to be doctors. Women just have to deal with more stressors of sexism and the like on top of the stress of having a demanding career as a doctor/physician

  • Reply steven mendez May 30, 2019 at 1:26 pm

    That's so sad and we need medical doctors, i will learn on how to appreciate my doctor

  • Reply WWTormentor June 1, 2019 at 1:11 am

    The problem is in medicine we are constantly being told what to do, when to do it, and how to do it. I spend 30-40 minutes a day doing paperwork per patient. I finish seeing patients between 5-5:30 but stay in the office till 10-11 finishing up notes, submitting authorizations for surgeries or medications etc. I also have to waste my office staff time to submit outrageous amount of charts for medical review which puts stress on my staff as well. On top of that I have to constantly submit documentation in order to get paid for my services. So yes I’m burned out and yes I’m looking to leave medicine for good. But the problem is that a medical degree is a very limited degree. Outside of medicine the only thing my medical degree is good for is teaching, research, or joining board of an insurance or pharma. But even those jobs are far and few between. All I can do is hold on to my sanity long enough to be able to retire when I’m 65 which is another 15 years away and move out of the country where my retirement will go further. So you can do everything under the sun to try to reduce your stress but these things I mentioned we have no control over and they only get worse.

  • Reply Saylem Olberg June 6, 2019 at 12:44 am

    This definitely applies to nursing too!

  • Reply Shawn Reed June 30, 2019 at 2:37 am

    They've never discussed burnout with my class in my medical school. From a medical student who just sat on his ass all day doing absolutely nothing (no energy/motivation to do anything anymore)…. I realize after having watched this video that I have this "burnout" phenomenon. Interesting how doing things I feel "dirty" doing (because I enjoy them but feel I am supposed to be studying all the time, especially after I failed a class and had to remediate it which is now an ugly spot on my record) could actually help me do better in school.

  • Reply Lis ! July 7, 2019 at 6:15 pm

    The whole system is screwed up. How is one supposed to learn at such a fast pace material that they will need to remember for the REST of their career?

  • Reply Amy Helsabeck July 8, 2019 at 10:04 pm

    The Great Physician can help too.

  • Reply OMGz1122 July 14, 2019 at 3:12 pm

    Are there any clinics or on campus at med school for students who seek help? If not, then I am a bit scared

  • Reply Paula Contreras July 20, 2019 at 5:50 am

    I am definitely starting to get burnout and I am desperate to stop it

  • Reply nico July 31, 2019 at 4:04 am

    I would say that the main factor of burning out is to depend on people of badwill. If things that must progress to the good don't, or goes into the wrong direction, it means that your activities are not respected, not fruitfull, not rewarding etc => that's burning out. Throwing a rod.

  • Reply BB Deluxe August 20, 2019 at 3:40 am

    I love dogs. Should I get a dog in med school to help stress?

  • Reply Nazar August 31, 2019 at 2:12 am

    It bothers me very much when i see people entering the medical field for the wrong reason. Im a first year medical student and i cannot tell you how SATURATED it is with people ( especially men ) who are in no way empathetic to people/patients and instead always talk about how they went for MD because they want to be their own boss or to make a good amount of money, firstly that type of thinking is what causes elitism and hierarchical discrimination against nurses, NP’s, and PA’s. I DESPISE students and attendings who went into medicine to fulfill an ego problem, ANYBODY who is a disciplined student or who is genuinely smart can push through medical school no problem HOWEVER NOT everyone can be a doctor. Doctors who go into medicine for the wrong reasons or who lack introspection always burn out first and always lose their empathic ability once they REALLY experience what its like to work with REAL patients and REAL diseases and not just simulation/standardized patients. The people who need to be going into the medical field should not just be the ones with a 3.8-4.0 GPA but the ones who are actually empathetic in their nature and are passionate about people not just diagnoses/treating/ or the science aspect of it. I wish medical school admission interviews would weed out more people who just have good scores because that is not a measure of whether or not they will become a empathetic doctor.

  • Reply dj an September 1, 2019 at 2:24 pm

    May someone send me a link showing that doctors have the highest suicide rate?

  • Reply Jacob Gonzalez September 19, 2019 at 1:55 am

    Gotta love Kevin this man is working hard for all of our doctors ?

  • Reply Thomas McGill October 4, 2019 at 8:39 pm

    It doesn't make a lot of sense for a woman to be a doctor if she wants to have children. Too much time in school and working to form good relationships. Plus, women tend to be less motivated by outside accomplishment and more motivated by dominating their partner and making him do what she wants.

  • Reply InsaneTryndamain October 29, 2019 at 6:20 am

    Lol 22 a day for vets this ain’t shit ?

  • Reply Watch YouTube With Me November 17, 2019 at 11:11 am

    I'd be willing to bet that a more thorough analysis of the data regarding social support would reveal that women in relationships with men receive less social support (probably more likely to experience consistent undermining, neglect, and conflict) and considering that women rate romantic relationships among the top contributing factors to burnout, it should come as no surprise. Also, noting that family is the other top ranking factor only further suggests that women don't receive the social support they need at home.

  • Reply Petroleum Jelly December 1, 2019 at 9:16 pm

    Why don't doctors unionize? Get loud. For a bunch of smart people, I'm surprised at how helpless as a whole doctors seem. Stop letting hospital administrators call the shots. Wtf.

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