LCM 62: Breaking the Burnout Cycle, with Dr. Stuart Slavin
Release Date: 07/14/2025
Rx for Success Podcast
If you or a healthcare professional you know is struggling, confidential help is available: Physician Support Line: Call 1-888-409-0141. This is a national, free, and confidential support line staffed by volunteer psychiatrists. 988 Suicide & Crisis Lifeline: Call or text 988 anytime for immediate support from a trained counselor. In the high-stakes world of medicine, the focus is relentlessly on patient care, often at the expense of the caregivers themselves. Physicians and healthcare workers face some of the highest rates of burnout, depression, and suicide of any...
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The episode features a roundtable discussion among the coaching team at MD Coaches, designed to address the complex and evolving landscape of modern medicine in honor of Physicians Week. We acknowledge the remarkable advancements in medical innovation and evidence-based practices that have significantly transformed patient care. While these innovations offer unprecedented opportunities for physicians to impact their patients positively, they also bring forth new challenges, including legislative hurdles, ethical dilemmas, and systemic pressures that can hinder a physician's ability to practice...
info_outlineHost Dr. Dael Waxman welcomes Dr. Stuart Slavin, Vice President for Well-Being at the ACGME, for a deep dive into the systemic challenges and solutions surrounding physician well-being in medical training. Dr. Slavin recounts his transformative work at St. Louis University, where interventions like reduced class time and pass-fail grading slashed student depression rates by 80%—without sacrificing academic performance. The conversation exposes the harsh realities residents face: sleep deprivation, productivity pressures, and cultures that stigmatize vulnerability. Dr. Slavin details how the ACGME is pushing structural reforms, from embedding well-being in accreditation standards to providing programs with data-driven tools to diagnose and address environmental stressors.
The discussion also explores the psychological burdens unique to trainees, including imposter syndrome and the "Stanford Duck" effect—the tendency to hide distress beneath a calm exterior. Dr. Slavin advocates for dual solutions: fixing toxic systems (like inefficient workflows and punitive feedback cultures) while equipping individuals with cognitive tools to reframe maladaptive mindsets. He shares promising models, such as Mount Sinai’s Well-Being Champions program, and stresses the need for iterative, trainee-informed change. A rallying cry for educators and leaders, this episode balances stark truths with actionable hope for a healthier future in medicine.
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Music by Ryan Jones.
Find Ryan on Instagram at _ryjones_, Contact Ryan at [email protected]
Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com