August 5th, 2020
Can We Rename Resident Burnout, Please?
Daniel Orlovich, MD, PharmD
It is time we stopped framing resident burnout in a certain way. Let’s be honest, the current descriptions give us nothing to build on. How is burnout currently framed? In a strict academic sense, we are guided by clear, globally accepted definitions. We are familiar with Maslow’s Hierarchy of Needs, depersonalization, emotional exhaustion, and reduced personal […]
June 10th, 2020
Resident Wellness Doesn’t Need to Be Expensive or Elaborate
Daniel Orlovich, MD, PharmD
“We’re not like Stanford” she said to me as we sat next to each other during our breakout session. My cheeks reddened. Somehow, suddenly, I felt as if I became the embodiment of my entire institution. And my furrowed brow revealed my surprise. Her tone softened. “What I mean is, resident wellness is easier when the program […]
April 30th, 2020
Why Is Burnout Still Occurring, Even with Work-Hour Restrictions?
Daniel Orlovich, MD, PharmD
“Daniel, this guy is one… sick… puppy,” he stated emphatically, drawing out the last three words. I put my phone down and turned my chair away from the computer. He had my attention. Not because I haven’t taken care of any sick patients before, but because this statement was coming from him. I’m sure your hospital has […]
February 18th, 2020
How Can Attendings Affect Resident Burnout?
Daniel Orlovich, MD, PharmD
A Sad Short Story Harvard medical school. Stanford general surgery training. Northwestern vascular surgery fellowship. Suicide. This devastating path, taken by a 33-year-old trainee in 2010, is not unique. An estimated one physician commits suicide every single day in the U.S. alone (JAMA 2014; 312:1725). A number of these lives are taken on the hospital premises, places […]
December 19th, 2019
Yogurt – The Cure to Resident Burnout
Daniel Orlovich, MD, PharmD
What is the latest answer to resident burnout? It may surprise you. Recent research from a large Midwest academic center suggests that not one but two dollops of yogurt may help stymie resident burnout. “When we first started to look at the reasons why so many residents were burned out, we couldn’t understand it,” stated the […]
November 12th, 2019
Can Minor Changes in a Program Affect Resident Burnout?
Daniel Orlovich, MD, PharmD
“How did you like it there?” I ask, sitting down next to a new fellow (between bites of a plump sandwich, hoping there is no spinach in my teeth). I expect to hear the standard resident talking points — long hours, frequent call, and ballooning student loans. Instead, she surprises me. “Do you know how much they […]