I see and hear about more and more unhappy physicians, some of whom become happy former-physicians. It makes me reflect on my own circumstances.

Research suggests that the four major underlying contributors to physician dissatisfaction and burnout are

Under stress, including conditions of overload, systems degrade in a predictable manner.  

Teaching in our local family practice residency is one of the most enjoyable parts of my week. When a colleague recently asked why I liked it so much, it took some reflection to answer.

Slow down, you move too fast.  It will all be over far too soon. 

I talked to a friend recently about a serious health experience. He had became ill suddenly and was hospitalized for six days. No one from his community came to visit. Only one person from work stopped by. No one called. He described being frightened by his illness and feeling vulnerable and alone in the hospital. He was devastated by what felt like abandonment in his time of crisis.

Did you know that there is a whole branch of psychology devoted to the impact of interruptions and distractions on learning, memory, performance, productivity, and decision making?

Lisl was very good high school skier but seemed not to have the race results she was capable of and everyone expected.  

In practice, it was clear she had great technique and a good motor, and could stay at the front without difficulty. In races, however, she would set out looking fantastic but come in near the end of the pack, beaten by skiers with much less ability than she, and seemed happy with her race.  It never seemed to bother her.  In fact, she never complained and was always one of the happiest in the van on the way home.b