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Beyond Pixar: Self-Care and the System

Neda Frayha, MD, Lawrence Levy, JD, and Todd Cassese, MD
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What does the former CFO of Pixar have to do with physician burnout and the culture of medicine? We find out in this segment. Neda interviews Dr. Todd Cassese and Lawrence Levy, who helped build Pixar into the company it is today. Together they talk about the need for continuous self-care rather than “checkbox meditation,” and how to change the system while also working on ourselves to find joy in our work.

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Tabor D., PA-C -

Just a few random thoughts on this topic.
We may have an aspect of honor culture in our system, in that if we don't know the answer, then we can be seen as incompetent and if we feel incompetent we may lose a sense of honor amongst peers and feel that this honor cannot be regained, even though we all strive to be maximally competent. This may have developed because of high risk decision making within health care. Underlying this culture may be a series of unintended adversarial relationships. At least that seems to be the case when I worked on the Hospitalist service and interacted with many specialist and providers. This adversarial relationship between providers seemed to be habitual and was usually present in a high paced, high stakes, high stress environment. To make things more complicated, we have to balance patient care within the confines of business and legal environments. Some providers have started doing direct patient care to relieve the stress of dealing with insurance companies and focusing more on patient care. I do appreciate the speakers recommendations and feel its a big step in the right direction. Perhaps the best thing to do is to take maximal responsibility for our current dilemma, at least if were the cause of the problem then it can be changed. Overall, we have chosen a challenging profession both intellectually and emotionally and these challenges will most likely always be there but perhaps with the speakers recommendations we can start mitigating the nonessential stressors.

Mike W., MD -

Thanks for the excellent and insightful thoughts - good stuff!!
M

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Can't We All Just Get Along? Full episode audio for MD edition 204:00 min - 96 MB - M4AUC RAP January 2019 Written Summary 375 KB - PDF

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