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Is Self-care the Answer to Physician Burnout?

Veronika
March 28, 2024
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Among physicians, self-care is booming. This week on Twitter I pick this up from Esko Kilpi, Helsinki-based management guru: Our moral structures have been based on individualism emphasizing self-fulfillment, self-actualization and “fixing yourself.” What we would really need is a relational mindset emphasizing interdependence and connectivity. Maybe there are takeaways for medicine here. One popular antidote to the burnout epidemic is laser-focused, unapologetic self-care. Approaching buzz word status, this mindset suggests that you shut out the world around you and look out for number one. No one, it seems, is as quite precious as you and your spa slippers. But as Kilpi suggests, the solution to our burnout problem as physicians may be with our broader community rather than the inward-facing self-care now promoted by so many. Perhaps we need to start to think about the healing that comes from ‘us’ rather than ‘me.’ He may be on to something. And medicine’s future may be in we care rather than self-care.
 
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Among physicians, there’s a noticeable surge in the practice of self-care. This week, a thought-provoking insight from Esko Kilpi, a management guru based in Helsinki, caught my attention on Twitter:

“Our moral structures have been built upon individualism, emphasizing self-fulfillment, self-actualization, and the notion of ‘fixing oneself.’ What we truly need is a relational mindset that highlights interdependence and connectivity.”

Could there be implications for the field of medicine in this perspective? One prevalent response to the burnout crisis is a fervent embrace of self-care. This concept, nearing buzzword status, advocates for a laser-focused approach where one prioritizes their own needs, shutting out external pressures. It suggests that nothing is more valuable than your own well-being and indulgence in personal comforts, epitomized by spa slippers and similar luxuries.

However, Kilpi’s insights prompt us to reconsider whether the solution to physician burnout lies within ourselves or within a broader community context. Perhaps, instead of focusing inwardly on self-care, we should explore the healing potential of collective care. Kilpi’s proposition challenges the prevailing narrative and urges us to shift our perspective from ‘me’ to ‘us’.

There’s merit in Kilpi’s perspective, suggesting that the future of medicine might be in embracing a “we care” ethos rather than solely relying on self-care.

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