Episode 237: Health Care Provider Burnout with Bryan Sexton

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Jed Wolpaw

Health & Fitness

4.7 • 1.5K Ratings

🗓️ 11 September 2022

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this 237th episode I welcome Dr. Bryan Sexton to the show to discuss his work with characterizing, researching and trying to address healthcare provider burnout. We discuss what burnout is and how it differs from moral injury, how to prevent it, treat it, and what a better system might look like.

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Transcript

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0:00.0	Hello and welcome back to ACRAC. I'm Jed Wolfaw and I'm really excited. We have a fantastic
0:18.8	show for you today and an amazing guest. I have with me Dr. Brian Sexton who is the director
0:23.5	of the Duke Center for Healthcare Safety and Quality. He's an associate professor of
0:27.0	psychiatry at Duke University School of Medicine, one of the world leaders on research and thinking
0:32.6	about both the diagnosis and phenomenon of burnout in healthcare providers and of course also
0:39.7	what we can do about it. And I'm really excited to talk to him about that today, Brian. Welcome to
0:44.2	the show. Hey, thank you. Happy to be here. Thank you. So you have really made this your career and
0:50.7	have done incredible work on it. Tell me a bit about you and how you got interested in burnout
0:55.2	and wellness. It was a pretty circuitous route, a non-traditional one. I started off in flight
1:01.4	safety. So I was looking at why the planes crash and we got into a safety culture and looking at
1:07.1	what are the predictors of when we couldn't actually predict plane crashes because you'd have to
1:12.1	wait about 75 years to be able to predict them in a statistical model. So we'd look at things like
1:16.4	errors and error rates and how often people can miss things. And I decided rather than wait 75
1:21.9	years to see if I ever made an impact on a field, you can go hang out outside an ER for about 24 or
1:26.8	25 minutes. And one of the people admitted is probably going to encounter some kind of a misadventure
1:32.7	during their stay. So it was just a field that was more ripe with opportunity, less tenderization,
1:39.3	if you will. So started off looking at safety culture in healthcare, looking at these like
1:44.9	teamwork norms and patient safety norms. And we created metrics and tools to assess that and kind of
1:51.2	ran into this one metric that we started using called emotional exhaustion, which is actually a way
1:57.5	of looking at well-being, like to what extent are you kind of depleted from the demands that
2:02.6	are placed upon you. And it worked so much better than anything I had created. It was like such a
2:08.1	superior metric. It was kind of hard to ignore. So we started looking at that and curating that
	...

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