1. Tennessee Medical Foundation Roland W. Gray, M.D., F.A.S.A.M. Medical Director and C.E.O. Physicians Health Program

2. Compassion Fatigue  Form of burnout common to Physicians  Caring to the point drained of empathy  Physician last to know  Physical mental and spiritual

3. Predictor  No life outside of medicine  Patient turnover  Patient satisfaction

4. Lawsuits - Relationships  Empathic  Dissociated

5. Causes  See more patients  Do more paperwork  Negotiate more contracts  Less autonomy  Self imposed pressure of perfectionism

6. Warning Signs  Anger  Abusing alcohol, drugs  Blaming  Chronic lateness  Depression  Diminished personal accomplishment

7. Warning Signs (continued)  Exhaustion (physical or emotional)  Headaches  Hopelessness  Irritability  Low self esteem  Sleep disturbance

8. Don’t Blame others Blame others New job New job New car New car Get a divorce Get a divorce Have an affair Have an affair

9. Don’t (continued) Fall into habit of complaining Fall into habit of complaining Hire a lawyer Hire a lawyer Work harder and longer Work harder and longer Self-medicate Self-medicate Neglect own needs and interest Neglect own needs and interest

10. Do Find someone to talk to Find someone to talk to Understand pain you feel is normal Understand pain you feel is normal Start exercising and eating properly Start exercising and eating properly Get enough sleep Get enough sleep Take some time off Take some time off Develop life outside medicine Develop life outside medicine Identify what’s important Identify what’s important

11. For further information: Tennessee Medical Foundation 216 Centerview Drive, Suite 304 Brentwood, TN 37027-3226 Telephone: (615) 467-6411 Fax: (615) 467-6419 Website: www.e-tmf.org