J-LSMS 2019 | December

REFERENCES

What can the physician do to combat cynicism and burnout?

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Wible, P. What I’ve learned from my tally of 757 doctor suicides. https://www. washingtonpos t . com/nat i ona l /hea l th- science/what-ive-learned-from-my-tally-of- 757-doctor-suicides/2018/01/12/b0ea9126- eb50 - 11e7 - 9 f 92 - 10a2203 f 6c8d_s to r y. html?utm_term=.53d56fec9030. January 13, 2018. Andrew, LB. Physician Suicide. https:// emedicine.medscape.com/article/806779- overview. August 1, 2018. Hoffman, M, Kunzmann, K. Suffering in silence: the scourge of physician suicide. https:// www.mdmag.com/medical-news/suffering- in-silence-the-scourge-of-physician-suicide. February 5, 2018. Collier, R. Physician suicide too often “brushed under the rug.” http://www.cmaj. ca/content/189/39/E1240. October 2, 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC5628041/ Meszaros, L. Physician burnout triples the incidence of medical errors. FeaturedArticles in Internal Medicine. www.mdlinx.com/internal medicine/featured articles/. September 06, 2018.

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White, T. Medical errors may stem more from physician burnout than unsafe health care settings. https://med.stanford.edu/news/ all-news/2018/07/medical-errors-may-stem- more-from-physician-burnout.html. July 8, 2018. Batley NJ, Nasreddine Z, Chami A, Zebian D, Bachir R, Abbas HA. Cynicism and other attitudes towards patients in an emergency department in a middle eastern tertiary care center. https://bmcmededuc.biomedcentral. com/articles/10.1186/s12909-016-0539-y. January 29, 2016. https://www.ncbi.nlm.nih. gov/pubmed/26823070 Peng, J; Clarkin C; Doja, A. Uncovering cynicism in medical training: a qualitative analysis of medical online discussion forums. https:// bmjopen.bmj.com/content/8/10/e022883. August 8, 2018. https://www.ncbi.nlm.nih. gov/pmc/articles/PMC6196850/.

• Put your well-being at the top of your to-do list. Establish a therapeutic relationship with a primary care provider. One in three physicians do not have this type of relationship. • If you see yourself in this article, acknowledge that the problemexists. Ask for help and follow through with it. This is a sign of strength, not weakness. Your well-being depends on it. Do it. NOW.

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9. Lyndon, A. Burnout amonghealthprofessionals and its effect on patient safety. https://psnet. ahrq.gov/perspectives/perspective/190/ burnout-among-health-professionals-and-its- effect-on-patient-safety. February 2016. 10. Firestone, L. Is cynicism ruining your life? The risks of indulging in cynical attitudes and the rewards of being positive. https://www. psychologytoday.com/us/blog/compassion- matters/201212/is-cynicism-ruining-your-life. December 3, 2012.

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In September, we celebratedWomen in Medicine Month by recognizing LSMS members on social media and showcasing what it means to them to be a woman in medicine.

Being a woman in medicine is an honor. It is a wonderful and great responsibility to provide care for people in our community. It takes a level of sacrifice and boldness to protect patients and lead complex health care teams.

I thank God every day for my work as a physician and psychiatrist. Making a positive difference in the lives of the mentally ill, and ultimately in society, is an honor. The presence of greater diversity, including greater numbers of women, has made a profound difference in medical care. Women and men can combine a full-time practice, family life, and outside pursuits.

Medicine, my ministry, my calling, my passion, is all I ever dreamed about from age 3; now it’s my purposed reality for life.

Cynthia Brown-Manning, MD LSMS Member Since 2018

Azeen Sadeghian, MD LSMS Member Since 2016 This breaks some of our ingrained social norms.

Mary Fitz-Gerald, MD LSMS Member Since 1989

13 J LA MED SOC | VOL 171 | NO. 3

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