1. By James Gray ST3

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

3.  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

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

5.  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

6.  “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”

7.  Depersonalisation  Low productivity  Feelings of low achievement  Emotional exhaustion  MASLACH BURNOUT INVENTORY http://canadianveterinarians.net/documents/res ources/vet-health-wellness-burnout-self-test- maslach

8.  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temper This may progress yet further to:  Poor timekeeping  Indecision  Avoidance behaviour  Apathy  Amnesia  Withdrawn  Alcoholism, drug dependence or other inappropriate behaviour Alcoholismdrug dependence

9.  https://www.youtube.com/watch?v=0M1IijC q6DE&feature=player_detailpage

10.  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?

11.  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

12.  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