Posted by: Speechie Keen | January 30, 2008

B is for Burnout

I got to a point in my working career where I completely burned out. Recent comments on this blog have mentioned burnout as well. Once you’re burnt out in a job, in my experience, there’s no turning back. You need a complete change of scene in order to move on. 

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When I was burnt out, my work completely consumed me. I felt tremendous pressure from all aspects of my job. I’d been forced to take on extra work and responsibility with no thought from my superiors about my expanding workload. My superiors were unsympathetic and one actually told me that I wasn’t being asked to take on more than anyone else in the department. I’d be at my desk at 7am. I was gripped with chronic insomnia and daytime sleepiness. I worked tirelessly but mostly unproductively and to a reduced standard with no thought for my own wellbeing and for no extra credit or recognition. I got every cold or cough going around. I was too tired to do any exercise after work. I absolutely dreaded getting up and going to work in the morning. The world could have opened up and swallowed me whole. I’d collapse in a heap on Friday night after work and spend all weekend dreading Monday morning. I was horrible to be around and the relationship with my husband strained. I felt terrible. I knew the root cause of my burnout, it was the increasingly strained relationship with my manager at the time.

How did I dig myself out of such a hole? I left. I just couldn’t do it anymore. And I sought treatment for depression. Leaving that job was the best move of my career to date. I was upfront with my new manager about my recent experiences. I haven’t looked back.

In researching this post it didn’t surprise me to learn that the highest levels of burnout are found in health professionals. As acute hospital clinicians, we pay a high price for caring and working with people in medically complex, emotional and highly stressful situations. Often despite our best intentions and appropriate treatment, outcomes for patients can be negative and heartbreaking. Unfortunately some patients in acute hospitals die. Taking this on every day is a tremendous burden for health professionals that’s largely unrecognized by the profession and our managers. Couple this with inadequate staffing, large caseloads, limited time to participate in activities beyond clinical work and limited prospects for career advancement and enhancement and you’ve got a recipe for disaster.

If you’re nodding your head reading this post thinking, yep, I’m there, do something about it!  There’s plenty of excellent resources online to assist in recognizing and treating burnout in health professionals. One of my favorite bloggers recently posted on happiness and burnout. She includes an excellent self-assessment to determine if you’re at burnout point and other useful links on the subject. Another useful post I found specifically for health professionals is here

Don’t ignore the signs of burnout, in yourself or your colleagues. When you’re in the throws of it, burnout is soul-destroying and destructive. Seek help if you need it.

Responses

Hi SK,

After reading this blog, i must say..congratualtions! it shows ur courage that you were upfront with your manager about the problems and were willing to give another job a go. Even tho i am a student, many of the part-time jobs i have had, i have been unfortunate to have managers that do not understand a uni students committments to study, clinical rounds…and i must admit, it made me hate going to work because i knew i would just end up at sqaure one, fighting with managers constantly!

I sympathise with you about acute work, no doubt clinical work is demanding, your working with life/death situations everyday, making choices that do affect a patients health, and that would put massive stress on anyone. In my experience as a nursing student on clinical rounds, i saw that there was not enough support out there for health professionals when it came to a patient dying or just feeling overwhelmed. No doubt that if this was addressed, many more talented clinicians would stay.

As a speech student, it was an eye-opener learning about lack of career structure in speech pathology. I do believe that, if you compare Australia to the US, speech is undervalued, and not well-known to many ppl here in Oz..altho in america it seems to be very well acknowledged! I was searching through some speech sites in the US, and i came across an Assosciation in California..if i remember correctly, that offers proffessional recognition as a Medical Speech Pathologist. I think that we need sometihng like that in Australia. A way for speechies to have some sort of professional recognition in a particular field..wether it be Acute, Dysphagia, or Geriatrics, and to def introduce some more structure into the profession..mayb even certain courses to become a recognised Speech Pathology Educator??

Anyway SK, thanxs for listening to my comment, or mayb essay given the length? :P

Cheers

Soon2bSpeechie

Thanks for your comments Soon2bSpeechie..

You know the funny thing.. when you read anything out of ASHA, paedatric issues dominate. What’s clear to me is that the majority of speechies in the US practice with children and not adults. Speech pathologists in the US enjoy a higher public profile and recognition on the back of a mostly paedatric profile. Given this, one could argue that American and Australian speechies have similar standing, profile and recognition in the acute world.

Interesting, isn’t it? Good luck with your continued studies..

SK

There are a lot more pediatric/school based SLPs in the US compared to medical SLPs. Part of this has to do with legislation which forces schools to provide certain services.

As a medical SLP my public profile here in the US is pretty low. I always find myself trying to explain what I do just to separate myself for a pediatric/school therapist.

As far as burnout, I remember when I graduated, my academic advisor told me that the average career lifespan for an SLP was 7 years. I have no idea where he pulled that figure from and part of me figured that it must be because the profession is primarily female and they were leaving the profession to raise kids. After being an SLP for 3 years I could see why someone would move on. Don’t get me wrong, I love being an SLP (been one for 14 years now) but I had to change the way I did things in order keep on.

There are a lot more pediatric SLPs in the US. Part of that has to do with legislation that forces public schools to offer certain services. Here in the US I think my public profile as a medical SLP is close to zero.

As far as burn out goes, I remember when I graduated, my academic advisor told me that the average career lifespan for an SLP was 7 years. I don’t know where he got that figure from but after about 3 years of working in a hospital I could see why it might be true. Don’t get me wrong, I love being an SLP (been one for 14 years) and I think it’s a great profession, but there came a point in my career where I had to think differently in order to keep enjoying the work.

What a timely discussion this is! I’m an SLP from the US who works in the schools. The demands of my job (large caseload, never-ending evaluations, overwhelming amounts of paperwork, I could go on and on) makes me want to change careers. Any former school SLPs out there who have done that? What do you do now? Any advice for those of us who once loved the profession but now find it difficult to feel effective?

Hi SoTired,
It was interesting reading your postings about your heavy workload..perhaps you might be able to relight your love for Speech Pathology by transferring into another area, like Acute, Geriatric or even working with individuals who have Aquired Brain Injuries or Dysphagia..that way it will, (hopefully) be quite differnt to working in a school, and you may find that you enjoy a differnt work setting with a differnt group of patients. I saw a family member suffer through dysphagia, and, from the family’s view, Speech Pathology intervention helped quite alot!
Just a thought :)

Cheers

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