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One of my favorite junior colleagues has burned out and quit :(

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  • One of my favorite junior colleagues has burned out and quit :(

    Now that I am more engaged on the issue, I am seeing this more than ever.

    One of my favorite colleagues, an oncologist about five years out, has burned out and quit rather suddenly. She is about three or four years out of training, with three small children, and has acquired the caseload of two other female colleagues who left to relocate to be closer to family over the last 18 months. That left her as the only female oncologist on our staff (read: she gets all the breast CA referrals, in addition to her share of the general oncology mix, as well as any women who would prefer a female), and she was getting crushed.

    She is smart, hard working personable, and very collegial. I really enjoyed discussing cases with her because I always learned something, and she never pushed to hard to do something Interventional that was dangerous or impractical (unlike some of her colleagues). I was very disappointed to learn this today, and I was equally disappointed with others’ responses.

    The Admins, who should have seen this coming and prevented it, were angry that she is leaving with little notice (3 weeks).

    And one of her partners, whom I cornered today in our department, blamed it on “family issues”. If there were “family issues”, it was because she was working at the hospital until 11 pm every night! What BS!

     

  • #2
    we all know what family issues mean!

    however, i'm not sure what the admins could do to prevent it.  locums?  force her to cut the schedule?  force other docs to change practice patterns or take call?

     

    Comment


    • #3
      My hospital lost a breast radiologist because her “throughput” was too slow.  She opened her own practice and I became her patient.  No offense but spending time looking at a mammogram is a positive in my opinion.  She is very busy after absorbing another mammogram practice.

      Comment


      • #4
        Could she do just breast cancer.

        Comment


        • #5
          Three weeks is really sudden.  I know if I quit with that little notice administration and my colleagues would be ticked off at me too, regardless if I was being treated like a rented mule.

          Comment


          • #6
            It's a legitimate issue man. The sad thing is they'll lose probably $500k to $1million to replace her.

            Burnout is crazy expensive (https://thephysicianphilosopher.com/2017/12/20/wellness-worth-cost/)

            I hope that she is okay and that the other partners don't burn out, too, because of it. Tough situation

            Comment


            • #7




              Could she do just breast cancer.
              Click to expand...


              Maybe she would not want to do "only" breast cancer

              Comment


              • #8




                we all know what family issues mean!

                however, i’m not sure what the admins could do to prevent it.  locums?  force her to cut the schedule?  force other docs to change practice patterns or take call?

                 
                Click to expand...


                It took the Hospital a couple years to find her. Knowing that her workload was growing unnaturally due to other departures, they should have provided scribes and assistants to help her get her work done. For all of the revenue that she generates for the Hospital, they should have had a driver take her to and from work, so she could spend that time with her charting. It sounds crazy, but it’s true. The $750k per year Hospital CFO could be replaced in a heartbeat, but an oncologist of this quality and potential will take years to replace, if ever.

                Hospitals should be more attuned to physician wellness. They ignore it at their own peril.

                Comment


                • #9




                  It’s a legitimate issue man. The sad thing is they’ll lose probably $500k to $1million to replace her.

                  Burnout is crazy expensive (https://thephysicianphilosopher.com/2017/12/20/wellness-worth-cost/)

                  I hope that she is okay and that the other partners don’t burn out, too, because of it. Tough situation
                  Click to expand...


                  Great article (linked), and while we can debate the math, the fact that burnout and physician turnover is costly is not debatable.

                  Comment


                  • #10




                    It’s a legitimate issue man. The sad thing is they’ll lose probably $500k to $1million to replace her.

                    Burnout is crazy expensive (https://thephysicianphilosopher.com/2017/12/20/wellness-worth-cost/)

                    I hope that she is okay and that the other partners don’t burn out, too, because of it. Tough situation
                    Click to expand...


                    how does one get the 500k to 1 million?  wild guess?  the variance must be higher than that?  if it takes two years to replace some specialties, and those specialties were generating 2-3 million per year, it stills seems an underestimate but depends on how well the remaining team can make up the revenue of that person.

                    Comment


                    • #11







                      we all know what family issues mean!

                      however, i’m not sure what the admins could do to prevent it.  locums?  force her to cut the schedule?  force other docs to change practice patterns or take call?

                       
                      Click to expand…


                      It took the Hospital a couple years to find her. Knowing that her workload was growing unnaturally due to other departures, they should have provided scribes and assistants to help her get her work done. For all of the revenue that she generates for the Hospital, they should have had a driver take her to and from work, so she could spend that time with her charting. It sounds crazy, but it’s true. The $750k per year Hospital CFO could be replaced in a heartbeat, but an oncologist of this quality and potential will take years to replace, if ever.

                      Hospitals should be more attuned to physician wellness. They ignore it at their own peril.
                      Click to expand...


                      seriously?  i love you like a brother but in my experience, hospitals are a considerable ways away from developing policies that provide that kind of emergency relief.

                      no way would scribes or driver have kept her from burning out either.  the only thing that would keep her from burning out (imo) is extra vacation that they forced her to take, and a serious recruitment of new physicians.  they might have to pay the new ones more than they pay here, which would create another set of issues.

                      the hospital cfo disagrees with your assessment.  physicians are all commodities and need to stop being babies.  man (or woman) up.  salaries have to come from somewhere.  either you are overhead or you are production.  if you are production, you better keep producing.  if you are overhead, you better make the producers produce.  

                       

                      Comment


                      • #12
                        Agree that 3 week is short notice, but doubt that it would change the administration's reaction. I recently handed in my 60 days notice to my group, as per my contract, and was called unprofessional and selfish because I did not give a reason other than im doing whats best for my family, and did not give "enough time to find a replacement".  This from the same boss who told me I cant/shouldnt need to go to all of my wife's chemo sessions after I took 2 extra days off in the past year for her cancer while she had> 40 treatments, 2 surgeries, and a few consults/onc appointments (we only have 4 weeks vacation and i had to use 2 of them for boards).  Much like in sports, we are subject to being called unloyal, selfish etc for leaving a group that has worked us to the point of burnout.

                        Comment


                        • #13










                          we all know what family issues mean!

                          however, i’m not sure what the admins could do to prevent it.  locums?  force her to cut the schedule?  force other docs to change practice patterns or take call?

                           
                          Click to expand…


                          It took the Hospital a couple years to find her. Knowing that her workload was growing unnaturally due to other departures, they should have provided scribes and assistants to help her get her work done. For all of the revenue that she generates for the Hospital, they should have had a driver take her to and from work, so she could spend that time with her charting. It sounds crazy, but it’s true. The $750k per year Hospital CFO could be replaced in a heartbeat, but an oncologist of this quality and potential will take years to replace, if ever.

                          Hospitals should be more attuned to physician wellness. They ignore it at their own peril.
                          Click to expand…


                          seriously?  i love you like a brother but in my experience, hospitals are a considerable ways away from developing policies that provide that kind of emergency relief.

                          no way would scribes or driver have kept her from burning out either.  the only thing that would keep her from burning out (imo) is extra vacation that they forced her to take, and a serious recruitment of new physicians.  they might have to pay the new ones more than they pay here, which would create another set of issues.

                          the hospital cfo disagrees with your assessment.  physicians are all commodities and need to stop being babies.  man (or woman) up.  salaries have to come from somewhere.  either you are overhead or you are production.  if you are production, you better keep producing.  if you are overhead, you better make the producers produce.  ????

                           
                          Click to expand...


                          Interesting post, but I dont get the numbers. Where does the cost come from, recruitment? Because lost revenues for the hospital should be multiples of what was shown, and they lose that each year they go without and any ancillary services from other physicians and departments that is usually generated. Its likely a much larger number.

                          You cant just pummel someone, at some point theyre done.

                          Comment


                          • #14




                            Agree that 3 week is short notice, but doubt that it would change the administration’s reaction. I recently handed in my 60 days notice to my group, as per my contract, and was called unprofessional and selfish because I did not give a reason other than im doing whats best for my family, and did not give “enough time to find a replacement”.  This from the same boss who told me I cant/shouldnt need to go to all of my wife’s chemo sessions after I took 2 extra days off in the past year for her cancer while she had> 40 treatments, 2 surgeries, and a few consults/onc appointments (we only have 4 weeks vacation and i had to use 2 of them for boards).  Much like in sports, we are subject to being called unloyal, selfish etc for leaving a group that has worked us to the point of burnout.
                            Click to expand...


                            sorry to hear all this.  hoping for the best for your family.

                            Comment


                            • #15




                              Agree that 3 week is short notice, but doubt that it would change the administration’s reaction. I recently handed in my 60 days notice to my group, as per my contract, and was called unprofessional and selfish because I did not give a reason other than im doing whats best for my family, and did not give “enough time to find a replacement”.  This from the same boss who told me I cant/shouldnt need to go to all of my wife’s chemo sessions after I took 2 extra days off in the past year for her cancer while she had> 40 treatments, 2 surgeries, and a few consults/onc appointments (we only have 4 weeks vacation and i had to use 2 of them for boards).  Much like in sports, we are subject to being called unloyal, selfish etc for leaving a group that has worked us to the point of burnout.
                              Click to expand...


                              They said that? I mean I get its a hardship for them, but seriously.

                              Comment

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