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MENTAL HEALTH                                                                                 MENTAL HEALTH





 HOW TO    lished in 2019, a randomized controlled trial   about joining these monthly webinars by vis-  a pilot randomized clinical trial." JAMA in-


 OVERCOME    showed that just six sessions of professional   iting the BCMS Calendar of Events   ternal medicine 179.10 (2019): 1406-1414.

        coaching led to a statistically significant de-
                                             at www.bcms.org.  
                                               In summary, the detrimental effects of
                                                                                           Nora Vasquez, MD is a Certi-
 PHYSICIAN    crease in emotional exhaustion and overall   burnout can be mitigated by participating in   fied Physician Coach and a Board-
        burnout. There was also a statistically signifi-
                                                                                                           Medicine
                                                                                                   Internal
                                             the BCMS Physician Coaching and Wellness
        cant increase in quality of life and resilience
                                                                                          Certified
 BURNOUT    scores.  Therefore, we must promote and   Program. This program will enhance your   Physician with over a decade of experience. She
        make these coaching programs easily accessi-
                                                                                 developed the Physician Wellness Webinar Se-
                                             awareness, develop your strengths and help
 AND THRIVE   ble so that physicians can get the support   you create the work-life balance you desire so   ries for BCMS physician members to empower
                                                                                 physicians with evidence-based coaching strate-
        they need.
                                             that you can achieve your personal and pro-
            The Bexar County Medical Society   fessional goals. Please share this article and   gies to decrease burnout and enhance physician
 By Nora Vasquez, MD
        (BCMS) is committed to supporting physi-  invite your physician colleagues to join us so   well-being. You can learn more about Dr. Nora
 A   cost for physicians personally and profes-  Coach to help medical professionals mitigate   cians and have charged me to lead and de-  that we can better support our physician   Vasquez at www.renewyourmindmd.com. Dr.
 re you feeling the effects of physi-
                                             leaders through these challenging times.
        velop the BCMS Physician Coaching and
                                                                                 Vasquez is a member of the Bexar County

 cian burnout?  If you answered yes,
 they worked so hard to create.
 then you are not alone. In fact, for years we   sionally. A Mayo study in 2017 revealed   burnout so that they too could enjoy the life   Wellness Program. This program consists of   Reference:   Medical Society.
 that when physicians are burned out, the
        a free monthly Physician Wellness Webinar
 have known that occupational burnout af-  overall quality of health care delivery suf-   Since then, I have worked with hundreds   Series where you can learn effective tips to   1.     Dyrbye, Liselotte N., Shanafelt T. "Ef-
 fects over 50% of physicians in the United   fers.  There are more medical errors, de-  of physicians throughout the United States   help you improve your well-being at work   fect of a professional coaching intervention
 States. What exactly is burnout? Burnout is   creased satisfaction scores, decreased   and Canada. As such, I understand the daily   and at home. You can register and learn more   on the well-being and distress of physicians:
 defined by the World Health Organization   morale and productivity. Most notably, the   challenges physicians struggle with as they
 as feelings of overwhelming exhaustion, in-  personal cost of physician burnout is dev-  lead and serve their patients, while also taking
 creased cynicism and negativity related to   astating, as it often leads to depression, sub-  care of their family responsibilities. What is
 one’s job and reduced professional   stance abuse, broken relationships and even   remarkable is that most physicians don’t re-
 efficacy. Burnout is an occupational hazard   suicide. Alarming data reveals that women   alize how untreated burnout is preventing
 that is expressed due to prolonged exposure   physicians’ suicide rate is 130% higher than   them from experiencing true fulfillment in
 to chronic stressors. Occupational stressors   females in the general population. This is a   their personal and professional lives. Once
 that drive physician burnout include, but are   tragedy that must be addressed at both the   they learn the effective skills to overcome
 not limited to, increased workload, in-  medical institutional level as well as on the   burnout and how to implement evidence-
 creased charting, lack of staff or resources,   individual level.    based strategies, they can create a work-life
 loss  of  autonomy  and  loss  of   As a Board-Certified Internal Medicine   balance that allows them to enjoy their life
 community. That is to say that even the most   Specialist, I experienced the effects of   more fully.
 resilient physicians are susceptible to   burnout throughout my training and career,   The good news is that premier leaders at
 burnout due to the demands, challenges and   but I didn’t even know it at the time. At the   medical schools, hospitals and medical insti-
 responsibilities placed upon them.   height of my burnout, I started noticing that   tutions nationwide now recognize the impor-
 Unfortunately, the COVID-19 global   my usual optimistic thoughts were being re-  tance of investing and promoting physician
 pandemic has exacerbated burnout and is   placed with dread and more negative think-  coaching and wellness programs. Wellness
 contributing to an exodus of highly skilled   ing. I also recognized that I was feeling less   has been defined as “the complex and multi-
 and talented medical professionals leaving   fulfilled at work and so exhausted that resting   faceted nature of physicians’ physical, mental
 medicine at alarming rates. Hospitals and   on the weekends didn’t rejuvenate me. It was   and emotional health and well-being.” Every
 medical institutions are struggling to retain   then that I knew something had to   medical student, resident and attending
 their workforce or even recruit new staff to   change. After exploring my options, I decided   physician deserves to have access to a physi-
 alleviate the workload strain. It’s estimated   to hire a physician coach who helped me   cian coach. Professional physician coaching
 that the cost to replace one physician   overcome my burnout and transformed my   is an effective strategy that promotes wellness
 ranges from $250,000 to $1,000,000. We   life for the better. This pivotal experience in-  and is supported by an increasing body of ev-
 know that burnout also has a detrimental   spired me to become a Certified Physician   idence. According to a JAMA article pub-


  16     SAN ANTONIO MEDICINE  •    October 2021                                             Visit us at www.bcms.org     17
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