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The Spark, Episode 17 - Burnout (Part 1)

The Spark

Release Date: 11/22/2019

The Nepal Episodes, Chapter Three: The Mind of a Learner show art The Nepal Episodes, Chapter Three: The Mind of a Learner

The Spark

What lessons can we learn from each other? At the Tilganga Institute of Ophthalmology in Kathmandu, Nepal, ophthalmologists from around the world convene to improve their surgical skills – and share lessons learned in patient care, community outreach, and global health.   In this third and final "Nepal Episode," Chloe discusses the importance of patient education with Srijana Adhikari, MD, Head of the Tilganga Department of Pediatric Ophthalmology. Finally, Chloe reconnects with UCSF ophthalmologists Neeti Parikh, MD and Madeline Yung, MD, to discuss the "mind of a learner" and the...

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The Nepal Episodes, Chapter Two: Creating Sustainable Impact show art The Nepal Episodes, Chapter Two: Creating Sustainable Impact

The Spark

What are the similarities and differences in surgical training in Nepal versus the US? Chloe explores this question at the Tilganga Institute of Ophthalmology in Kathmandu, where expert physicians share their own training experiences from home and abroad.   In this second of three "Nepal Episodes," Chloe interviews Anu Manandhar, MBBS, MD, Head of the Tilganga Uveitis Department, about her training both in Nepal and at UCSF. Chloe also speaks with resident physicians Saksham Tamang, MD and Anu Amatya, MD about their journeys to ophthalmology, and how teaching and learning can create...

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The Nepal Episodes, Chapter One: By Hand or by Machine? show art The Nepal Episodes, Chapter One: By Hand or by Machine?

The Spark

When it comes to surgery, is "technologically advanced" always superior? Last summer, Chloe Sales (MS3) had the opportunity to explore this question in Kathmandu, Nepal, at the world-renowned Tilganga Institute of Ophthalmology – whose doctors pioneered the use of a low-cost, low-tech procedure that's saved the vision of countless patients.    In the first of three "Nepal Episodes," Chloe chats with UCSF ophthalmologists Neeti Parikh, MD and Madeline Yung, MD, about their experience in Nepal – including training in this surgical technique and expanding access to it in California....

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Staying curious throughout your career with Chancellor Sam Hawgood show art Staying curious throughout your career with Chancellor Sam Hawgood

The Spark

In the last episode of our season, Paul and Chloe sit down with UCSF Chancellor Sam Hawgood, MBBS, to discuss the stages of his career, what's inspired him to stay at UCSF for over three decades, how keeping an open mind has led him to interesting places, and the importance of an inquisitive spirit as you take on new roles. Music by Podington Bear, licensed under CC BY-NC 3.0.

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Leading from the middle with Dean Talmadge E. King, Jr. show art Leading from the middle with Dean Talmadge E. King, Jr.

The Spark

In the penultimate episode of the season, Paul chats with Dr. Talmadge E. King, Jr., Dean of the School of Medicine & Vice Chancellor for Medical Affairs at UCSF, about how clinicians and specialties choose each other, the intentionality of truly collaborative environments, and how his career has steered him towards leadership.

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Using every experience to become a better person & clinician with Dr. Lorriana Leard show art Using every experience to become a better person & clinician with Dr. Lorriana Leard

The Spark

Chloe chats with (then incoming) Associate Dean for Continuing Medical Education, Lorriana Leard, MD, about the value of physician coaching (for both coach and medical student), how AI tools like ChatGPT and Bard may change how students learn and physicians work, balancing personal and professional life goals, and what she's most looking forward to in her new role.

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Following your heart down the winding road of medicine, with Dr. Valerie Gribben show art Following your heart down the winding road of medicine, with Dr. Valerie Gribben

The Spark

Chloe chats with Valerie Gribben, MD, Assistant Professor of Pediatrics, about embracing the unknown throughout training, adopting a growth mindset, and the power of storytelling in medicine. Music by Podington Bear, licensed under CC BY-NC 3.0.

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Nurturing the mentor within with Dr. Peter Ureste show art Nurturing the mentor within with Dr. Peter Ureste

The Spark

Paul chats with Dr. Peter Ureste, Assistant Clinical Professor in the Department of Psychiatry and Behavioral Sciences. Dr. Ureste has roles across campus that allow him to mentor the next generation of medical professionals, and he explains the journey that led him to that. Paul and Chloe also discuss what they look for in a mentor/mentee relationship.

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Bringing love into clinical settings with Dr. Shieva Khayam-Bashi show art Bringing love into clinical settings with Dr. Shieva Khayam-Bashi

The Spark

"You will not always know enough, but you will always be enough." These are the words of wisdom that Dr. Khayam-Bashi shares with each new class, encouraging them to tap into useful emotions when caring for patients. Paul and Chloe talk about the perspective this lesson has given them in their medical education.

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Dr. Justin Sewell show art Dr. Justin Sewell

The Spark

Dr. Justin Sewell, Professor of Medicine, joins Paul and Chloe to discuss getting into med school on the first try (or not), maintaining boundaries between professional and personal lives, and the dream of living in the moment even as you look to the future. 

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Burnout is part of the American vernacular. It refers to the emotional exhaustion brought on by chronic work-related stress, and can manifest as cynicism and feeling like your work lacks meaning. The term was coined in the 1970s by psychologist Herbert Freudenberger. He volunteered in a free clinic for patients with drug addiction and he used “burnout” to describe the exhaustion suffered by workers in helping professions, such as medicine, which carry rigorous demands and high ideals. While the term has been applied to other professions, burnout is particularly high in healthcare: a report released last month from the National Academy of Medicine describes rampant burnout, with up to half of doctors feeling it. There are many causes such as demanding work schedules and little autonomy. System changes have also created burdensome administrative tasks and new care models, leading some to feel the emphasis is on documentation billing and performance metrics instead of patient care. Like clinicians, trainees also suffer burnout – an estimated 60%. The path to medical school and then residency and fellowship is long and challenging, and it's becoming more competitive. The average test scores at most medical schools are rising, even while medical advances mean there's much more to learn now to be a competent physician. Host Tessnim Ahmad (MS4) is joined by Nikhil Rajapuram (MS4) and Dr. Lee Jones, Associate Dean for Students.

Get in touch with Nikhil: [email protected]

Burnout Survey: http://bit.ly/31U5qBj

Transcript: http://tiny.ucsf.edu/uYNXk2

Music: Sneaker Chase by Podington Bear. Licensed under CC BY-NC 3.0.