The epidemic of physician burnout isn’t just a personal problem. Burned out doctors are more likely to make mistakes, less likely to follow preventative care guidelines, and more likely to have dissatisfied patients. When a burned out physician leaves an institution or quits all together, it can cost north of a million dollars to replace them. Unwell doctors lead to unwell patients — and an unwell health care system. The toll that the burnout epidemic has taken on physicians, patients, and even the bottom-line requires more than individual adaptation on the part of physicians. It requires a grass-roots movement to heal the healers.
Our guest on this episode is Mary Brandt, MD — pediatric surgeon and Distinguished Emeritus Professor of Surgery, Pediatrics, and Medical Ethics at Baylor College of Medicine. Over the course of her clinical career, Dr. Brandt published over 245 peer reviewed publications, 26 chapters, and 2 books. She became particularly attuned to the suffering of trainees and physicians while serving as General Surgery Program Director and Dean of Student Affairs at Baylor, and she subsequently obtained a Master of Divinity Degree to better understand and articulate what she was observing. Dr. Brandt is a persistent advocate for physician wellness and correcting systemic issues in medicine.
Over the course of our conversation, Dr. Brandt describes the moment she felt called to surgery, her fruitless efforts to resist this calling, and how the combination of competence and humility allowed her to manage the pressure of operating on children. We explore the evolution of the physician-wellness movement and why the health care system cannot afford to ignore the wellness of its physicians. Finally, Dr. Brandt posits that the hard work of compassion is what can sustain physicians long term.
In this episode, you’ll hear about:
3:00 - Dr. Brandt’s unexpected path to becoming a pediatric surgeon
11:00 - Dr. Brandt’s mental approach to the high stakes work of pediatric surgery
27:49 - The disconnect between the work of healing and the business side of medicine
38:15 - How Dr. Brandt’s studies in liberation theology have influenced her vision for the healthcare system and medical practice
42:00 - The three shifts healers can make to collectively change medicine
48:20 - The ‘practice’ of compassion and how it can protect physicians from burnout
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