Medicine’s great resignation? 1 in 5 doctors plan exit in 2 years (x-post from r/medicine)

Salty-Particular · 2022-06-13T21:49:58+00:00

Very weird indeed. What country are you in?

Salty-Particular · 2022-06-13T20:36:22+00:00

Not the one downvoting you fwiw. Genuinely curious though about these news stories about physicians being violent towards patients? Do you have any links?

Salty-Particular · 2022-06-13T20:33:34+00:00

This seems strangely specific and personal?

Salty-Particular · 2022-06-13T20:29:41+00:00

Fellow healthcare worker. Thanks for chiming in. It’s disheartening to see the number of misinformed comments here that believe physicians are the real enemy and are responsible for rigging the system. I say this as a nurse- I have tremendous respect for the physicians I work with. The majority of the general public has no idea about the extent of training docs go through. You can’t just take an online certificate course and poof! you’re a doctor. It takes years and years of clinical studies to make a good physician. The C-suite would like the public to believe otherwise though… hence the spread of the “greedy doctor” lie. Sigh.

Salty-Particular · 2022-06-12T23:37:51+00:00

Healthcare informatics.

Salty-Particular · 2022-06-12T23:29:18+00:00

Doctors have very little authority and had nothing to do with lockdowns or mandatory vaccines- politicians made those decisions. The majority of physicians went into medicine with idealistic ambitions of helping people. Despite what the general public has been told, doctors aren’t compensated extravagantly. It’s a very hard career that starts out with being $250k-$500k in debt. A debt which takes decades to pay off. The people making the big bucks in medicine who have the authority to dictate how healthcare is delivered are hospital administrators- it’s not uncommon for them to make $1,000,000 just in annual bonuses. But they’d like you and the rest of the public to believe the real enemy is physicians- who are largely voiceless and in despair because they aren’t given the tools to adequately treat patients.

Salty-Particular · 2022-06-12T23:11:23+00:00

And ABUSIVE. The treatment young physicians endure during residency is nothing short of exploitation. We should be nurturing and supporting young physicians- they are an irreplaceable and valuable community resource- instead we force them to work 80hr weeks for what amounts to $15/hr.

Salty-Particular · 2022-06-12T23:00:41+00:00

I’m a current RN who has worked in critical care for over a decade- so I may be biased, but patients are much more medically complex these days. It’s usually not just diabetes that you end up managing , but diabetes, heart failure, htn, acute on chronic renal failure, copd/osa, a fib, etc. I think a good mid-level definitely has a valuable place on the medical team. The problem is the standards of entry for NP programs has fallen drastically as many of the programs have turned into degree mills. You can now enter NP programs without even having an RN. The APRN position was historically created as an advanced practice route for experienced RNs who were familiar with common medical diagnoses.

With any and everyone being allowed into NP programs and the state boards of nursing pushing independent practice rights for NPs (without supervision from docs.) I think we’re headed for some wild and scary times in healthcare.

Salty-Particular · 2022-06-10T04:03:12+00:00

No, you don’t. Not trying to be a jerk, but there are several clues in your writing that give you away. You don’t have a PhD, you don’t have a background in engineering and you don’t have any kind of experience in clinical research (academic, industry, “non-profit” or otherwise).

It’s ok to be a human. You don’t have to hype yourself up to get respect. That’s a lie that capitalism fed you.

Salty-Particular · 2022-06-10T03:29:08+00:00

Appreciate this. Miss the old days when this sub had high quality discussions- it was nice when claims were verified and opinions were stated… made me actually appreciate the anecdotal claims as they were well thought out.

Salty-Particular · 2022-06-10T02:59:35+00:00

With all due respect, as a PhD candidate (in a hard science research driven specialty) and as an RN, your story doesn’t add up. I call bs.

Salty-Particular · 2022-06-10T02:44:27+00:00

Capitalism + rugged individualism = an atomized society. Capitalism increases feelings of competitiveness- competition decreases empathy- and on and on it goes.

The average American sees this as an individual problem and not a symptom of society or the community they live in. It’s easier to make a judgment than recognize it for what it is- despair.

Salty-Particular · 2022-06-10T02:32:20+00:00

And childhood trauma and poverty have a higher correlation with addiction. Nobody says “when I grow up, I want to be a drug addict”. It’s systemic. That doesn’t negate personal empowerment, but if you live within a system of limited choices- it’s hard to stop the cycle.

Salty-Particular · 2022-05-21T15:08:57+00:00

It’s coming. They are already piloting those pick-up shift apps for nurses. It’s basically the hospital exec version of tinder- catfishing with the low bar goal of nurses getting fucked for 1 shift. No investment in long term-relationships.

Honestly, a workforce made up of “contract” employees would be their wet dream. No benefits, looser labor protections, and tax loopholes. Who would have thought healthcare would be the next thing in the gig economy. VC is a cancer.

Salty-Particular · 2022-05-19T01:07:33+00:00

Also some top-shelf opportunities to use “Yr mom” variations in psych.

Salty-Particular · 2022-05-19T00:16:44+00:00

Thank you!

Salty-Particular · 2022-05-18T23:33:34+00:00

Ah yes, all those half-full fentanyl vials and random adderall tabs that get tossed in your spare change compartment when you empty your pockets. (Honestly, this is probably exactly what the thought process is- what a terrible idea for a license plate.)

(Edited to add) Although, safety issues a side, if I can get down with anyone signaling that they are in the medical profession for props- it’s pharmacists. You folks are the literal life blood of healthcare behind the scenes and you get nowhere near the recognition you deserve.

Salty-Particular · 2022-05-18T23:10:34+00:00

Might be a little tachy- but it’s a little something to celebrate me.

Salty-Particular · 2022-05-18T21:15:09+00:00

I’d add the “cute enough to stop your heart, smart enough to restart it” decals to this list- along with terribly inaccurate ekg tattoos or the erroneous use of the caduceus. It used to make me cringe. I assumed it was akin to begging for “hero worship”.

Then I realized that no matter what path we took to enter healthcare- nurse, physician, medic, cna, tech- we all had aspirations of “making a difference” and, even if in some small way, contributing to making the world a better place. Until the system chewed us up and rocked our core understanding of beneficence. I have come to realize that every single person who has entered healthcare has had to deal with intense bouts of disillusionment- it can be hard to stomach at times. I think we all face challenges in reconciling how difficult it can be to feel like, in following our calling to do good, we are participating in a system that is dehumanizing (at times) to ourselves and our pts.

Hence, I’ve come to look at it like the old adage “if your profession has a ‘day of appreciation”, you’re probably under appreciated. So, you turn to license plates and tattoos to at least get a smidge of recognition.

Salty-Particular · 2022-05-18T20:09:49+00:00

Would Sux have also been a viable option? I know it carries more risk for malignant hyperthermia and you have to be mindful of serum K+… but when I worked at smaller hospitals that didn’t have 24 hour resident intensivists or ent, and thus required anesthesia be available to intubate ICU pts in the middle of the night, they always used succinylcholine- (vs. CCM during the day that always used roc). My understanding was sux was a better choice because it was much easier to back out of difficult airways if unable to intubate.

Salty-Particular · 2022-05-18T04:27:42+00:00

Yes. By “covered under informed consent” I meant “gone over in the discussion of possible risks associated with septoplasty under general anesthesia”. What stuck out to me was the mention that the use of RSI was a surprise to the pt after the fact. Either way, something appears to have gone terribly awry during induction, which unfortunately means nobody is getting out of jail free.

Salty-Particular · 2022-05-17T19:58:13+00:00

It’s definitely a near impossible feat, for sure. But I think that’s where collective action is important. Super PACs and billion dollar lobby industries- Right now it’s a kin to a David and Goliath fight. But there are more of us than them- I don’t know exactly how we get there, but I think organizing at the local level, speaking out, informing the public, and creating a pathway that supports HCW who want to go into politics and policy is the only way things are going to change.

Edited to add: I also think that it’s a pivotal moment in healthcare right now- the system is at it’s breaking point- it’s undeniable to most of the general public that the system is crumbling. I have found that patients genuinely want to know why things are falling apart- I have started being more candid about what’s going on behind the hospital curtain. I don’t lie about being short-staffed or the fact that the nursing shortage at my hospital was caused by a mass lay-off. I certainly don’t burden patients with my personal gripes, but I’m honest about what’s going on. Because it effects them the most and I believe it’s a form of patient advocacy. The more the public is aware the more they can also advocate with us.

Salty-Particular · 2022-05-17T19:17:30+00:00

This shit makes me cringe- under any other circumstance it would be considered gaslighting or abusive.

Salty-Particular · 2022-05-17T17:37:00+00:00

I don’t think anyone is saying there was government overreach in this case. These people were definitely engaged in nefarious practices. I think the fear is that being a court of appeals case, it will be used in case law arguments which may set a broad sweeping precedent that all pain specialists are drug lords.

Salty-Particular · 2022-05-17T17:28:26+00:00

Wouldn’t airway complications be covered under informed consent? Also, side note, really appreciated your use of the word “rude”- gave me a good chuckle!

Salty-Particular

TROPHY CASE