We Are Killing Our Doctors | The Dark Truth of Healthcare

[@crislikesvideos]

I feel like a major issue is that once a resident becomes an attending they dont use their influence effectively to make it better for the next set of residents. They rather focus on their own work and life which is not a bad thing but not as helpful for the next gen.

[@Denoheatwave]

The problem is the people who want to make the system better don't tend to go into academia on average. This isn't universally true though, I have had some spectacular mentors, but by and large the people that are just kinda of done want to move on and start their lives leave the ivory towers where residents are trained

[@butterflies.and.sunshine]

@@Denoheatwave I personally know two physicians who did try to improve the system, faced resistance from administration, continued to advocate for physicians, and were then let go from their place of employment. The system does not want change.

[@tetedur377]

@@butterflies.and.sunshine No system does. I was in the military, and later, worked as a civilian supporting the war-fighter for 22 years. As we wags used to like to say "The US military: over 200 years of tradition, barely affected by progress."

[@pediatric_doctor_at_home]

I have seen many doctors with good intentions take up leadership roles in big hospitals, but then give in to the awful demands from administration. If they don't conform or 'play the game', they are kicked out.

[@hadi_177re]

This is not only the best video on Rachel’s channel but also the most important video in the medical section of KZbin. I wrote Rachel a comment back then, telling her that I worked as a resident doctor in two very different countries: Syria, a third world country, and Germany, a first world country. The miserable life of a resident doctor and the exploitation of resident doctors is the same. It’s the same everywhere but in different ways. I just don’t know what to say anymore. I’ve kind of lost hope that the situation may change somewhere, sometime.

[@modernkhajiit]

And all of them will tell you "that's what this job is like". No, sir, that's what the system is like. Doctors used to be exhausted because of the suffering they witnessed, not because they were overworked factory workers.

[@Always_Inquire]

Please help Korean doctors, the South Korean parliament is trying to remove legislations that forbid residents from working more than 36 consecutive hours. What are they trying to do? Make them work 168(=24*7) hours a week?

[@gdaymates431]

The schools don't care either. I'm repeating first year and no one had checked in on me or any of the other students repeating. Even fellow students. No one has bothered to say "how are you feeling about your exams in 3 weeks." Not my friends from last year and not my friends from this year. People are just consumed in their own stuff, which is understandable. But the school and the hospitals need to do better.

[@dtae7855]

I love her channel & how she is truly showing all sides of medicine & the real of how it is. Her videos will hopefully spark the change needed in the field of medicine.

[@ladyg9058]

It is amazing to hear that MDs and everyone in the healthcare industry are feeling the same way. I am a Sterile Processing Technician and felt that it was only my profession that was feeling the squeeze. This is crazy

[@MoM-o6i]

Internal med resident here. I relate to Rachel's video so much. It has been really tough for me

[@bfgfnfssgj]

wish you the best stranger!

[@lynettelewis86]

Sad. I just had a young dr in residency tell me she was leaving medicine. Mind you she was examining me but I asked if she was leaving to another hospital. She answered me honestly. After that conversation she seemed to feel better. I told her good for her and to take care of herself and good luck. I could feel her tension when she entered the room. Way too young to already be burnt out. 😢

[@BriW444]

Wow… I’m not a resident. I was in the med field in taking a break but it seems like they know we are young so they treat us however they want smh

[@twbishop]

@7:02 depression and negative emotions more generally are correlated with, if not directly caused by, a lack of sleep--a notorious condition for young residents and doctors. medical errors and lack of mental acuity are also caused by a lack of sleep. some compare lack of sleep to alcohol inebriation.

[@brennengodeen3796]

I appreciate the objectivity of your content that prioritizes the evidence and statistics surrounding various topics.

[@JIMKATSANIDIS]

Super helpful video, Dr. Kevin! Even I'm not a doctor, I interacted with doctors by taking my clients to their medical appointment, as Mental Health Support Worker and Drug Counselor. The underlying causes are deeply rooted in the structure and culture of the healthcare system. Some of the issues that Physicians facing are, long work hours, inadequate staffing, lack of work-life balance, insufficient support systems. Addressing the crisis of overwork and burnout among doctors and residents, will require a concerted effort by healthcare institutions, policymakers, medical education systems, and society as a whole to prioritize the well-being of these critical healthcare providers! 🙌❤

[@rachelkhoury6943]

thank you for this video, I hope to see change in the future because residents are not robots their humans just like their patients and when doctors advice on healthy Diets and sleep and lifestyle changes but they end up the victims of their systems, pushed to the edge, depressed and suicidal, I mean its time for a change!! and I think the more we bring awareness and understanding and empathy to the subject and to what the resident is going through the more we can try in any sort of way to help relieve the pressure off of them and bring the joy and the passion for the job back, and this change does not only affect the residents but also the patients and the care their getting. I truly hope that something would be done in the near future so instead of losing the lives of our young doctors , we'd be saving them and our patients.

[@kaleigary7026]

Wow I’ve been following her through her medical school journey. She was such an inspiration. I’m so glad that she posted this update.

[@lori5946]

I am doing EMDR, IFS and DBT to help my mental health. I practice as an RN for 29 years. I also was a codependent and have childhood trauma. I also go to support groups for codependency and have a co sponsor. I struggled with depression, anxiety and panic attacks. I lived in survival mode most my life. I would just push myself through life. I am now building a life worth living. I am a burnt-out nurse. I get IBS-C. I have celiacs and hashimoto's. I have multiple chemical sensitivity. Since covid I am sicker. I am slowly getting better in therapy. I do yoga, QiGong and exercise.

[@Denoheatwave]

Unfortunately, rates of SI are also elevated for medical students as well... The system really beats you down at every stage, except residency definitely takes the cake as the worst time...

[@AznJsn82091]

Thank you for this video! If we cannot save our physicians, how can we expect them to save us?

[@globalpeace1684]

You said it so right " Rather than control my emotion, accepting my emotions and examine my emotion with curiosity" Buddhism talks about this technique.

[@bugsy2902]

As a nurse I was aware of the high rate of suicide among Dr's, only recently did I find out nurses too have a high rate of suicide. I've come to realize that the current nursing exodus since covid is simply due to hospitals using the same tactics they have got away with relatively unscathed for decades with residents of long hours, poor pay and deciding to do the same with nurses. Only difference is nurses don't have the same amount of student loan debt so it is easier for them to leave, and they don't have to stay at the hospital to complete a residency to practice. They can leave at any time, barring a TRAP which forces them to pay thousands back for the sake of the minimal job training they receive if they leave early in the first couple years and work for a greedy corp like HCA. Most nurses are told they need to get a year of bedside, but the truth is that isn't even necessary, and the younger nurses are going into clinics right away and the ones in the hospital are leaving after six months, sometimes less, planning their escape route. The time of nurses making a lifetime career in the hospital is over! If all residents and nurses were unionized maybe the conditions would improve. And with big corporate hospital systems, insurance companies and private equity taking over in health care, unions are needed more than everywhere for everyone even Dr's who are now more than ever working as employees!

[@beatyz2]

5:44 oh my god, that happens all the time! I don't know if I watched her actual video on this. Yeah I felt like this for a long chunk of time in medical school ❤ crying in the morning because you even opened your eyes 😐 it is, unfortunately, part of the bag And omg, after!!? When you look at your past self and think.... "I used to DREAM for this!" And just feel a little sad about it

[@abeeha115]

I'm currently in the process of applying for the match and am questioning everything. I feel as though I've never recovered from the burnout I had in med school and now I have to rush to get residency, where I'm being told I'll suffer the worst kind of burnout. I look at you Dr. Jubbal, and wonder if I should just make a switch for the better. But how does one even do that when they've been just working for one thing all their life?

[@mijmij8]

great comments Kevin!

[@jerrykelle5170]

This is absolutely true! Depression is REAL among physicians, even worse in residency. It's just a fine line between hanging on and sliding down hill.

[@kimhutchinson2759]

Spent good portion of my nursing career trying to bring awareness of suicide among doctors & nurses to attention which led to administration fuming! Also worked to get hc team to correctly complete legal paperwork-retired leaving these efforts unfulfilled. Oh & yeah, there’s never been a nursing shortage in my near 50 yrs of licensure - only shortage of nurses & other professionals, opting out due to focus on $ not well-being of pts or staff. I’m so sorry & scared for the future.

[@sunriselotus]

I have posted several times on medicine channel yes I forced to resign bc of my mental illness and was racially discriminated against and my career was sabotaged by nurses, residents, resident physicians and attendings. She has probably had a lot of therapy and may be on antidepressants.

[@danielnasr6840]

PSA: You aren’t alone. I’ll say it again, you are not alone. Please, please reach out. I was “SI” during my first year of Med school and I know how hard it is to speak up, but I know those feelings you’re having and that’s not you. Believe me when I say ppl want to help you. And remember suicide does not take the pain away, it just hands it off to someone else.

[@Denoheatwave]

One last thing I'd like to say. Productivity for the sake of productivity is not something that should necessarily be the goal for everyone. Not everyone should have to eat sleep lift every day and have that be normal, because it does not have to be. Hard work should be celebrated, but the western world has forced everyone to run around like hamsters on a wheel where you end up going nowhere anyways.

[@sunriselotus]

I have posted several times on medicine channel yes I forced to resign bc of my mental illness and was racially discriminated against and my career was sabotaged by nurses, residents, resident physicians and attendings.

[@seidyfigueroa3607]

Maybe one day you both can make changes to those residency programs.

[@Drolywa]

Though your work promoting mental health is critically important, it’s just as important to identify and address the underlying cause of widespread mental health decline in medical training and practice. It’s no secret that residents work far beyond the 80 hr max rule (as if 80 hrs weren’t in itself an abuse). Residency programs naturally attract staff with a bullying personality, just as law enforcement does. This is because all the power lies in their hands. The resident has absolutely everything to lose and the program has nothing to lose. Huge power differential. The resident is essentially an underpaid slave. This is the only case in which the government labor laws don’t apply. There are SO many changes that need to happen. One suggestion would be to make sure government money paid to hospital systems for their residency programs was actually attached to the resident themself. Not the program. Now the programs WANT you and would stand to lose you if you’re so mistreated that you chose to leave and take your resident $$ to another program.

[@Rainbowofthefallen]

Just commenting for the algorithm 💛💚

[@tetedur377]

I should have been a physician, having lived with (and I quote) "clinically significant levels of depression" all my life. Basically, I had PTSD before I went into the military and to SE Asia. Well, what are you gonna do? Sobriety helps (35 years), but as someone knocking on 68's door, I fell, and have felt for a long time that I'm also knocking on death's door as well. Sometimes I think I only hang around to see what f*cked up sh*t I'm gonna see next in my lifetime.

[@DudePsychMD]

Answer: unionize at more locations involving multiple programs. Challenge is convincing enough residents/fellows willing to risk possible repercussions in the beginning by a group generally not inclined to take risks and foot costs to run a union w/ their own limited salaries through a temporary period in their medical career. Most US residency programs outside large cities in the US will be more set culturally in these historically toxic ways and will be more inclined to bite back if pushed too far. If we don't figure out practical ways to address aforementioned barriers to address these issues collectively, all this talk about wellness will frankly get nowhere. I think individuals who have platforms and find these topics to be an issue should focus on how to strategically address those barriers (e.g. if program and institutions won't cover for costs they require for resident/fellows by a certain date, coordinate collectively a day where NO resident/fellows will show-up to the hospital that we all can adhere to). Just a thought I'm tossing out here to spin ideas off of.

[@christian-gu5oq]

How toxic is Loma Linda’s residency program. Ik they’ve heard some bad press about the suicides. My gf is considering doing residency there

[@seb1990s]

It’s bad yea but medical school is way worse than residency. Plus once you’re done with it you can tell the administrators to f*** off and do locums tenens/per diem/PRN/shift work etc and make your schedule. Theres always a need for bodies at short staffed overburdened health care facilities (hospital, ER, urgent care, clinic etc)

[@Cookies205]

Healthcare is anything but health focused. Medical School and Residency are blatant examples of this

[@yusufabulouz7525]

This is not just a doctor issue its all of healthcare from the lowest ER tech, to the highest physician. Its all trash, stress from many things.

[@maghen2972]

she's a drama queen, not because this video but most her videos

[@xan8123]

🧢

[@Rescorner]

Definitely. Someone had to say it.

[@aaas6348]

Really? I only started watching her videos but obs +Gynecology is very difficult specialty

[@kahlihns]

She has made numerous videos showcasing both the pros & cons of med school + residency, and regularly discusses how much she loves what she does. Ob gyn is also known for being one of the most stressful & rigorous physician specialties with one of the highest burnout rates in the field of medicine. I guess it is arguable whether or not she is purposely making her vids more "dramatic" for views since no one except her could truly know for certain, but that is pretty pointless bc vids showcasing medicine as all magic & rainbows tend to be received better than vids that showcase the darker aspects of the industry. I haven't seen too many of her vids, but I feel as though they are a pretty fair representation of working in the medical industry, and they genuinely display the lifestyle in a more positive light compared to what many doctors go through on a daily basis. Honestly, this kinda just sounds like the typical sexist mentality that women in medicine/stem deal with constantly, rather than an analytical dissection of her individual depiction of medicine

[@starlight200816]

She isn't a drama queen. Medical training especially OBGYN is tough.

[@tetedur377]

There is no such thing as "emotional intelligence." That phrase is a contradiction in terms when forced together like that. One is either emotional, or one is intelligent. That's not to say that people (and I think most of us know which people are the subject) who live primarily in their emotions can't be intelligent. Conversely, people who live in their intelligent state - by which I mean logic and reason - cannot also be emotional. But let's face it: one subset of the population lives in their emotions (at least until a certain age-related life event), and the other lives primarily in their logic and reason. To say "I have emotional intelligence" is a way of self-absolution of responsibility for ones actions, or lack thereof; for making bad decisions based almost exclusively on one's emotions.

[@zohalarbabzada9654]

I am pretty sure emotional intelligence just means being able to understand why you feel a certain way and having an awareness of other's emotional states and it's very important to have, otherwise you can increase your risk of mental health conditions developing if you aren't aware of the trajectory you are going down. It's not about whether you make decisions based on logic versus emotion but rather can you identify your emotions, the nuance of your emotions, why you feel the way you do. You can do all that and still make decisions based on logic and reason if you wanted to.

[@joaquinvazquez43]

You did a lot of yapping when you could’ve just said “I don’t know what emotional intelligence is”

[@tonyconiglio6941]

How do you prove that you have this? If you can't, the analogy to intelligence is not valid. Once can prove that you understand Koch's Postulates or the scales on the saxophone. One cannot prove that you understand "why you feel a certain way" or other people's emotional states. It's just a pat on the back people give themselves, generally people who are constantly crying.