The math of losing docs and nurses is astounding... $900,000?

What would it cost to proactively educate folks entering medicine with a proven program? It costs 800,000 to replace a doc and 40,000 for nurses.

The math of professional well-being for docs and nurses is astounding... 900,000?

Replacing healthcare workers is costly to an institution. Replacing a physician is quite costly, one study suggested it cost 900,000 to replace one doc! Another study suggested it costs 40,000 to replace each nurse. The cost varies by specialty and area of the country. Nurses and physician burnout rates are quite alarming and seem to feed off each other. A recent study showed when nurses are not doing well, docs and nurse turnover rates are higher. It makes sense that we are all connected at work, in the joy and the pain. The study mentions that both docs and nurses rate the management’s solutions to care delivery as their priority. Both docs and nurses stated < 10 % have a joyful environment at work (Aiken, JAMA Forum 2023 Jul 7;4(7): e231809.) Becker states hospitals have turned over 86% of their staff since 2016, which is also quite surprising to me. The 2020 rate for RN turnover was 18.7% at approximately the cost of $40,038.00 per nurse. The hospitals could possibly lose 3.6 million in a year as the percent change in RN turnover could cost or save a hospital 270,800 per year. Do we wait and spend the money on replacing the docs and nurses or do something to support them now? The well-being of our healthcare workers is vital and has a cost. Shall we be preventative or reactive?

The American Medical Association, AMA, in 2017, estimated it costs 800,000 or more to replace a doc due to lost wages. Turnover of physicians is also disruptive to patients, families, staff and organizational culture. The American Medical Association has been prioritizing burnout prevention since before COVID. Multiple times a week I hear from my patients that their docs have left and they cannot get into a medical appointment for months and months. How do we support the healthcare workers that are supporting our communities?

“To help physicians succeed in their life's work of caring for patients”, the AMA has made the prevention of burnout a core priority. Working with partners across health care, the AMA is leading a necessary change in medicine that embraces physician well-being as a critical factor in the long-term clinical and economic success of our nation’s health care system.” The American Medical Association made this statement prior to COVID. We are all still wondering what is the optimal solution for docs and nurses?

What does it cost to support a physician and keep them in the workforce?

Wellness practices vary as do their costs.

The solution to burnout is not apparent at this time as the numbers of docs and nurses leaving or considering leaving is rising in 2023.

We went into medicine to serve, learn, innovate, challenge ourselves and support our communities. Yet so many are walking away as they do not see an option for well-being and staying in medicine. How do we help folks see more options?

We, in medicine, need to look at other industries that may have solutions that we can use or fit to our needs. The military was involved in a huge multimillion dollar study, in 2011 during the heat of the active war in Afghanistan, looking at ways to prevent burnout and post traumatic stress. They tested resiliency education, online courses and training the trainer with a large team working on well-being and positive psychology lead by Dr. Martin Seligman. Dr. Martin Seligman is referred to as the “father of positive psychology”, he pioneered the focus of using psychology to keep folks well rather than only studying the things that went “wrong” with the mind. Interesting results were seen, less post traumatic depression, anxiety and substance abuse was decreased by 50% post deployment when the soldiers had resiliency training. The General at the time said let’s put everyone through this as soldiers were serving multiple tours in Iran and Afghanistan, he was ready for preventative care of his soldiers. What lessons can we take from this? The military had the foresight to put money and attention toward a problem preventatively and saw positive results. It was not that they did have a war to fight, they still had very tough work. They prepared their teams and leaders with new training that showed it helped their teams on the other side of the horribly stressful work. It seems to me that there are parallels with medicine here. We are waiting for the admin to solve the challenges in medicine yet we are still in the “trenches” day to day. What if we were preventative, similar to the military, and trained our leaders and teams on simple positive techniques that could help us with tough work?

In medicine, we do not have one program we put everyone through at the start of medicine or after so many years of practice. We have innovators and large national associations working on decreasing burnout yet it has been reported since 1974. Could we look at other industries that seem to be helping their workers rebalance and learn from other’s tests and successes?

What would it cost to proactively educate folks entering medicine with a proven program? Since it costs 800,000 at least to replace one doc, it seems like the math would make sense to figure this out.

I have been involved, with an amazing team of OB/Gyns, in an IRB approved study looking at resiliency and self efficacy rate of OB/Gyn residents after access to an app based Resiliency Well-Being Program that I designed with Ali Hively. We united our talents and passions and brought new education and tools and mixed it with compassion and grace. We did not have a control group yet we did see a correlation with a boost in resiliency and self efficacy after compassionate science based education. Those involved were working hard and supporting Moms and new lives in Ob/Gyn. The program gave them a few new tools to fortify them to keep them able to use all their skills to thrive in medicine. We need docs that are well prepared to thrive in medicine. We also need research studies more to know the best steps to support our healthcare workforce. Please let me know if you have seen a healthcare worker support program work well, I would love to keep learning from others.

Let’s do this, the time is now.

The math makes sense.

Lives are at stake.

I tried to book my primary doc and was canceled x 2 and now I booked an advanced practice nurse visit so I can be seen this year. I also recently saw a nurse for my Dermatology screen as no doc was available, she was awesome by the way!

Docs and nurses are harder to find… What will it look like 10 years from now?

What is working on your team, in your institution?

Reach out with ideas, questions and observations.

Mary

Brain Fresh LLC

Resources from the AMA:

https://www.ama-assn.org/topics/physician-burnout

Nurse leaders, feel free to join our list for our next Ohio CEU webinar for Nurse Well-Being Workshop, we also have an app based support program to honor the neuroscience of learning, it does take time!

https://brainops.newzenler.com/f/nurse-rn-and-lpn-well-being-webinar-for-ceu

Women Doc Side Hustle Accelerator

Instructor:

Mary R Rensel, MD FAAN

CEO, Brain Fresh LLC

Looking for more FLEXIBILITY and first 3 steps in building a side hustle towards something that is meaningful to you?

Click on this link; https://brain-fresh.newzenler.... soon as this is limited to the first 20 Brave (and scared) folks ready for a new 2024.
Check out all the goods that are included in this Side Hustle Accelerator
Enroll in Course, wait for more info in your Email, we will then set up 4- 1:1 Coaching sessions in 10 weeks, you will be invited to the weekly group coaching, you will be enrolled in the 10 weekly lessons to get personalized plan t for a side hustle.
PS If you are interested in talking about how to start a side hustle or possible side hustle ideas and are agreeable with giving coaching feedback meaning filling out one form after each of the 4 the 1:1 coaching sessions, you will use the coupon “Founder”, this will give you 50% off the cost as you are helping me finish my Hello 7 Business coach training. This is limited to the first 5 that use this coupon. Thanks for considering. I believe in you and your many talents. You GOT THIS!

Women Docs;

Were you looking for new detailed instructions on setting up a side hustle in 2024?

You keep hearing about docs starting side hustles and you want to know what that entails?

You are not sure you have it in you to start something?

Were you hoping for something new growth that is fun and meaningful in 2024?

Wondering about new opportunities, meeting new like minded folks and a new side hustle in 2024?

You have a strong urge to leave and you are not sure where you are headed?

Imagine feeling:

Excited

Creative

Valued

Courageous

Bold

Enthused

Vital

Informed

Insightful

Flexible

Calm

Peaceful

Energetic

Who is this for?

Women docs, if your end goal is to find flexibility through new income possibilities in 2024, including learning about business formation and growth, I am here to help you with a clear simple framework of the first few side hustle steps and to share what worked for me.

Thinking of starting a business or something else interesting in 2024 and have no idea where to start?

Not sure what to offer, how much to charge and how to get things going when your schedule is so busy?

You wonder how folks gain insight and an action plan to meet the brain’s need to focus, feel meaning and belonging?

You wish coaches knew more about neuroscience when they talk about “mindset”?

You are too afraid to share with anyone that you are hoping for more life flexibility and want to learn about business as an option to support you and your loved ones?

You wish medical school taught us something about business, you feel like learning about business is another language.

You wish you knew more very new business owners to share stories and struggles with. You wonder if you can “fit it all in” without losing your focus and attention to your family, energy and friends.

Check out my Brain Fresh ™

Side Hustle Accelerator for 2024

We will work together, virtually. You will have prep work to do ahead of time so that we can focus during our 4 - 1:1 coaching sessions over 10 weeks and nail your 2024 side hustle plans. You can show up clear, ready and focused on designing a 2024 full of growth, meaning and smiles. You will also have full access to all the Brain Fresh LLC Neuroscience based Time Management and Productivity Courses and the weekly group coaching to help share tricks and tips with other biz builders. You will have access to the group coaching as a place to share accountability, struggles and wins.

By the end of our 4- 1:1 coaching sessions together, you will have new neuroscience insights into meaningful unique professional growth opportunities, business planning, mindset and money moves.

You will understand how the principles stressed in medical training can cause hesitation in personal growth.

You will understand that folks are after your attention, we will learn how to focus and value our attention so we can get done what is important to us today and not wait until “ the time is right”.

You will have clear action steps to get started to build a personalized side hustle to give yourself more flexibility.

You will clarify your core values that are driving your decisions. You will complete a life purpose exercise.

You will start to build your network that will support your personal and side hustle growth.

You will take action, action builds courage. You will understand how your anger could help focus your business plans.

I will share books, podcasts and other resources that supported my growth.

My plan is a kind compassionate neuroscience based growth plan, the point is to NOT sacrifice your time, energy, family or integrity while one is reaching and stretching into new areas.

I intertwined neuroscience strategies that help explain how to prep the brain for change and creativity, how to align with your values and purpose and then how to design support and courageous actions to move forward with new clarity.

Cheers to your future as an intentional entrepreneur who is driving your own growth with purpose.

_______________________

Looking for more FLEXIBILITY?

Click on this link; https://brain-fresh.newzenler.... soon as this is limited to the first 20 Brave (and scared) folks ready for a new 2024.
Check out all the goods that are included in this Side Hustle Accelerator
Enroll in Course, wait for more info in your Email, we will then set up 4- 1:1 Coaching sessions in 10 weeks, you will be invited to the weekly group coaching, you will be enrolled in the 10 weekly lessons to get personalized plan t for a side hustle.
PS If you are interested in talking about how to start a side hustle or possible side hustle ideas and are agreeable with giving coaching feedback meaning filling out one form after each of the 4 the 1:1 coaching sessions, you will use the coupon “Founder”, this will give you 50% off the cost as you are helping me finish my Hello 7 Business coach training. This is limited to the first 5 that use this coupon. Thanks for considering. I believe in you and your many talents. You GOT THIS!

Email with questions:

Mary

thebrainfresh@gmail.com

Free Brain based Productivity Tips for all- enjoy!

Disclaimer

By participating in/reading my blog/email series, you acknowledge that my services do not replace the care of psychologists or other healthcare professionals. Coaching is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. I will at all times exercise my best professional efforts, skills and care. However, I cannot guarantee the outcome of coaching efforts and/or recommendations on my website/blog/email series and my comments about the outcome are expressions of opinion only. I cannot make any guarantees other than to deliver the references as described.

https://brain-fresh.newzenler....

Categories: : burnout, doc, medicine, nurses, nurses burnout, retention