The Lingering Impact of COVID-19 on Physician Burnout — Columbus Medical Association Blog

The COVID-19 pandemic has left a lasting mark on healthcare professionals, particularly those who bravely faced the front lines. The toll on physicians has been profound, with many experiencing symptoms akin to post-traumatic stress disorder (PTSD). Beyond the physical and interpersonal challenges, the pandemic has inflicted significant psychological pressure on physicians, amplifying anxiety, depression, somatization, and insomnia among healthcare professionals.

Columbus Medical Association Communication Specialist, Destiney Davis, sat down with Infectious Disease physician, Joseph Gastaldo, to talk about the challenges doctors face even years out from the Covid-19 pandemic.

“You know, as physicians, we don't have special powers, especially when it comes to resiliency, I think we are all wired to be overachievers and stoic.” Gastaldo said.

Even before the pandemic, burnout was a critical concern in the medical field. The 2021 Medscape National Physician Burnout Report revealed a burnout rate of approximately 42%, a figure that mirrors the rates reported in 2020 (43%) and 2015 (46%). These statistics underscore the longstanding prevalence of burnout among physicians, suggesting that the pandemic exacerbated an already pressing issue.

“We did see a lot of seasoned physicians and a lot of seasoned nurses seasoned pharmacists really say, hey, during COVID, this is really too much for me, and I want to resign. And we areseeing that now with a substantial number of seasoned nurses that have retired during the pandemic.” Gastaldo mentioned.

Impact of Misinformation on Physician Burnout

In the relentless battle against the COVID-19 pandemic, physicians worldwide have found themselves on the front lines not only combating the virus but also waging war against the rampant spread of misinformation. Over the past year, thousands of dedicated healthcare professionals have shouldered the responsibility of dispelling myths, correcting falsehoods, and educating the public on the ever-evolving nature of the virus and the importance of vaccination.

“It still happens today through the internet,” Gastaldo noted. “It's very easy for somebody to go online and come across something that looks very reputable, that challenges the mainstay recommendations of the Centers for Disease Control and Prevention.”

The constant need to counteract misinformation, coupled with the emotionally charged debates surrounding public health measures, has placed an additional burden on physicians, contributing significantly to the escalating issue of burnout within the medical community. As they navigate the complexities of a global health crisis, physicians grapple not only with the physical challenges of treating patients but also with the mental and emotional toll of tirelessly combating misinformation and advocating for evidence-based practices. The long-term effects of this battle may linger, underscoring the need for comprehensive support systems to address the mental health and well-being of healthcare professionals.

Fighting Against Physician Burnout

Recognizing the severity of the burnout crisis is the first step toward finding solutions. Healthcare institutions must prioritize the mental well-being of their staff, implementing support systems, counseling services, and initiatives that promote a healthy work-life balance. Additionally, fostering an environment that encourages open communication about mental health can destigmatize seeking help and reduce the barriers to accessing necessary resources.

“I remember in medical school and even in residency training, it was almost like a sign of weakness to call in sick and say you couldn't take care of your patients.” Said Gastaldo.

Since the pandemic began, several Ohio hospital systems and organizations have launched innovative programs aimed towards providing physicians with mental health support. Programs like those offered by Columbus Medical Association’s Doc-to Doc and OhioPHP are not merely a gesture of support. They are a crucial investment in sustaining a resilient healthcare workforce. Access to counseling services, peer support networks, and mental health education can serve as lifelines, helping physicians navigate the emotional complexities of their profession.

“I think for physicians,” Gastaldo explains. “We really need to get in a mindset of recognizing that our emotional well-being and resiliency should be very important to us.”

The aftermath of burnout reverberates in the lives of physicians, contributing to negative outcomes such as substance abuse and, tragically, suicide. The emotional toll can be particularly devastating, as physicians navigate the complexities of their profession while battling internal exhaustion and diminished job satisfaction. It is why fostering a culture that prioritizes mental well-being and providing resources that destigmatize seeking help, healthcare institutions can contribute significantly to mitigating burnout, enhancing overall job satisfaction, and ensuringthe sustained effectiveness of the healthcare system.

It is Not Just a Personal Battle

Physician burnout is not a personal struggle confined to the individual; it has far-reaching consequences for patient care. Studies have linked burnout to higher rates of medical errors and a decrease in the quality of care. As physicians grapple with emotional exhaustion, depersonalization, and a reduced sense of professional accomplishment—the core components of burnout—patient safety and treatment outcomes are put at risk.

Recognizing the severity of the burnout crisis is the first step toward finding solutions. Healthcare institutions must prioritize the mental well-being of their staff, implementing support systems, counseling services, and initiatives that promote a healthy work-life balance. It is imperative for healthcare organizations, policymakers, and the medical community to work collaboratively in implementing measures that address the root causes of burnout and provide the necessary support systems for physicians to navigate these challenging times.

Source: Alkhamees, Abdulmajeed A et al. “Physician's Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.” International journal of environmental research and public health vol. 20,5 4598. 5 Mar. 2023.

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