We're closing out Mental Health Awareness Month with the 2nd part of our discussion of burnout. Join us as we learn from Dr. Anand Jagannath, a clinician educator hospitalist who experienced burnout as an early career physician, and then learned strategies that individuals and institutions can implement to better recognize and combat burnout.

Obtain CME/MOC credit here 

Show Notes
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Part 2 Learning Objectives:
  1. Learn and be able to recognize potential sources of burnout. 
  2. Learn various individual methods one can use to combat burnout.
  3. ​​Identify various methods institutions can implement to help mitigate burnout among their students, employees, and faculty.  

[00:00-00:53] Introduction of Co-Hosts and Episode Topic 
  • Introducing co-hosts, Dr. DJ Gaines and fourth-year medical student, Braden Barger

[00:54-02:14] Introduction of Dr. Anand Jagannath 
  • Dr. Anand Jagannath is an educator and hospitalist at the Portland VA in Oregon, affiliated with Oregon Health and Sciences University (OHSU). 
  • After finishing medical school at Tufts University, he completed an internal medicine residency at Montefiore Medical Center in the Bronx, New York. 
  • Dr. Jagannath transitioned from a career in medical device design to medicine, focusing on clinical education and reasoning. 

[02:15-9:00] Dr. Jagannath’s experience with burnout 
  • Dr. Jagannath reflects on experiences of burnout throughout various stages of his medical career, acknowledging its prevalence and impact across all levels of training and practice.
  • He highlights how the transition into becoming an attending, particularly as a teaching role, brought about a distinct form of burnout centered on feelings of inadequacy as an educator. 
  • Dr. Jagannath details his struggles with feeling uncertain in front of his learners, a feeling that persisted due to the constant and inevitable stream of unfamiliar situations in medicine. 

[9:01-16:54] How Dr. Jagannath managed burnout 
  • Dr. Jagannath sought support from his personal and professional networks to address burnout, but found conventional advice insufficient in addressing the root cause of his stress.
  • Introducing Growth Mindset principles and revisiting literature on effective teaching, Dr. Jagannath developed strategies to manage uncertainty, including embracing vulnerability and modeling adaptive behaviors for his learners.
  • Branden highlights how the pervasive culture of perfectionism and imposter syndrome within the medical profession has perpetuated feelings of burnout among healthcare workers.
  • As a teacher, Dr. Jagannath describes how seeing his trainees' achievements keeps him motivated and combats burnout.  

[16:55-21:46] How to prevent reciprocating the burnout cycle 
  • Dr. Jagannath emphasizes the importance of role modeling cognitive processes and sharing personal thought patterns as effective teaching tools.
  • Drawing from his recent work, Cognitive Apprenticeship and Intellectual Speaking, Dr. Jagannath highlights the value of openly discussing uncertainty and cognitive strategies as a means of mitigating feelings of inadequacy and combating burnout. 

[21:47-25:48] Systemic changes to avert burnout 
  • Dr. Jagannath advocates for managing expectations within medical education and practice environments to mitigate feelings of inadequacy and burnout among trainees and attendings.
  • He describes the notion of being "ready for independent practice" may sometimes be misleading, highlighting the need for a nuanced understanding of what it means to be on a learning journey.
  • Dr. Jagannath underscores the importance of clinical and academic institutional support.

[25:49-28:46] Focuses Outside of Work 
  • Dr. Jagannath highlights the importance of investing time in both a personal and professional community.
  • He emphasizes the value of seeking guidance from mentors with similar career trajectories, who can offer relatable insights and support tailored to specific challenges.
  • Dr. Jagannath expands the concept of mentorship beyond academics to encompass personal well-being and community.
  • In fostering reciprocal mentorship relationships, he underscores the responsibility of both mentors and mentees to share experiences and support one another in navigating the complexities of their respective career paths.

[28:47-29:28] Closing Remarks and Conclusion 
  • Dr. Jagannath expresses gratitude for the opportunity to share his experiences, noting the therapeutic value of discussing burnout openly and reflecting on personal growth.

[29:29-31:24] Outro

Link to the Mental Health and Burnout, Part 1 episode.

Credits:
Guest: Dr. Anand Jagannath
Co-Hosts: Dr. Dirk Gaines, Branden Barger
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Maggie Kozman
Senior Producer: Dr. Dirk Gaines
Production Assistants: Nilgoun Farhadi, Leyna Nguyen
Website/Art Design: Ann Truong
​Music: Chris Dingman https://www.chrisdingman.com

References and Resources:
  1. "Cognitive Apprenticeship" Jagannath AD, Dreicer JJ, Penner JC, Dhaliwal G. The cognitive apprenticeship: advancing reasoning education by thinking aloud. Diagnosis (Berl). 2022 Dec 1;10(1):9-12. doi: 10.1515/dx-2022-0043. PMID: 36450097.
  2. ACP Modules and Resources
    1. Resident Well-Being Learning Hub 
    2. Resources for Physician Well-Being and Professional Fulfillment
  3. Consequence of medical student and resident burnout
  4. Consequence of attending physician burnout
  5. Article on Medical Student Burnout 
  6. AMA Resources on Physician Burnout and Well-being


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The DEI Shift podcast is proudly sponsored by the American College of Physicians Southern California Region III Chapter.  

The DEI Shift theme music is by Chris Dingman. Learn more at www.chrisdingman.com. 

Disclaimer

.The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.