How to Thrive as a Physician in a Broken System

In the United States, we have one messed up medical system. Almost no one is denying that. From the patient’s perspective, it’s crazy-expensive, confusing, and too often, not as effective as it could be.

What’s a doctor to do? Dr. James Turner, an anesthesiologist, author, and physician coach has spent much of the last year gathering data and his thoughts on the subject. The result is Determined: How Burned Out Doctors Can Thrive in a Broken Medical System.

About the Author

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You may be familiar with Dr. Turner’s work over the last five years or so at The Physician Philosopher where he hosts both a blog and a podcast. He’s had his own issues with burnout and has helped coach hundreds of other physicians via the Alpha Coaching Experience as they’ve navigated career challenges of their own.

Initially, Dr. Turner’s focus was primarily on personal finance and the role of financial independence in mitigating physician burnout. His first book, The Physician Philosopher’s Guide to Personal Finance, is an excellent overview of how a young physician should approach money matters.So each month, you’re cash flow positive in the amount of $2,325 or $27,900 per year!

In the medical community, you will find organizations that focus on profits and those that favor their people, knowing that profits can be as good or greater when you have an engaged workforce that feels appreciated. Given the high cost of replacing a physician, a hospital system should focus on taking care of its people so that its people can take care of their patients.

Profit over People

If you expect to find a pot of gold at the end of the career rainbow, you may be disappointed to learn that the rainbow is just one big circle, and it’s up to you to decide where and how it ends. Knowing that the joy that comes with educational and career advancement can be fleeting, Dr. Turner reminds us to enjoy the process, not the product.

The Arrival Fallacy

In the words of Brené Brown, guilt is a feeling that happens when we make a mistake.Shame is a feeling we experience when something goes wrong and we feel like we are the mistake. Guilt is a focus on the mistake. Shame is a focus on our identity.

Guilt Versus Shame

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