By James Gray ST3

 Nurses  Social workers  Teachers  Police officers  Legal profession  GPs  25% of healthcare workers suffer from it

 Over demanding patients, with unrealistic expectations  Keeping up to date  Unscheduled care  Practice management  Juggling lots of responsibilities  Diminishing income with higher targets  Constantly changing practices  Revalidation

 Those in group practices  Those who always see the same patient  Male  Those registered with GMC <20 years

 Married for 10 years with 3 children ages 9, 5 and 2 years.  GPST3- see lots of patients  CSA  Professional development inc eporfolio, work based assessments etc  Bishop

 “An experience of physical, emotional, and mental exhaustion, caused by long term involvement in situations that are emotionally demanding”  “Is the index of dislocation between what people are and what they have to do. It represents an erosion in values, dignity, spirit, and will and erosion of the human soul”

 Depersonalisation  Low productivity  Feelings of low achievement  Emotional exhaustion  MASLACH BURNOUT INVENTORY ources/vet-health-wellness-burnout-self-test- maslach

 Poor concentration  Insomnia Insomnia  Poor productivity and more mistakes  Guilt  Denial  Loss of libido  Depression This may be followed by:  Becoming uncooperative and resistant to change  Resentment  Frustrated, bored  Feeling isolated  Paranoia  Irritability  Aggressiveness, short temper This may progress yet further to:  Poor timekeeping  Indecision  Avoidance behaviour  Apathy  Amnesia  Withdrawn  Alcoholism, drug dependence or other inappropriate behaviour Alcoholismdrug dependence

 q6DE&feature=player_detailpage

 How can we prevent burnout?  How can we continue to see the many changes we face as an opportunity rather than a threat?  How can we ascertain that we face each day with vitality and excitement rather than yearning for the day when our superannuation contributions will summate to a satisfactory pension?  What is the secret of eternal youth?

 PDP  Specialist interests  Trainer  Delegate  Know your personal limits  Say “no”  Don’t neglect family  Interests outside of medicine  Look for practice with harmonious relationship  Physical activity  Have boundaries between home and work  Evolve  Book holidays well in advance

 Good home-work life balance is key  Choose future practice carefully  Know your interests and boundaries  Evolve- always see opportunity in change  Essential to be happy GP  Try not to take your home with you