Burn Bright, Not Out!

Recognizing Burnout in Physicians: What to Watch For and Why It Matters

In the demanding world of healthcare, burnout has become an increasingly urgent concern — especially for physicians. In Canada, recent data suggests that over half of physicians report high levels of burnout, with symptoms ranging from emotional exhaustion to a loss of meaning in their work. But burnout isn't just a personal issue — it affects patient care, team dynamics, and the long-term sustainability of our healthcare system. Physician burnout also increases adverse patient outcomes.

So how can physicians recognize the signs early, before burnout becomes a crisis?

Most physicians will deal with some level of burnout in their career. The key is to recognize it early on and make small changes to prevent further progression.

In my medical journey, I realized my biggest issue that might cause burnout was being too nice. I went into medicine to help others, so it was just natural for me to take on extra calls. I would push my limit so much, until I had no more to give. My first sign, is having negative thoughts about work and of course the feeling of exhaustion. As physician, we need to be careful of not getting too use to the feeling of exhaustion. We were trained to be efficient on very little sleep… It doesn’t mean we need to keep pushing. I had to learn to be nicer to myself and my body.

What Is Burnout?

Burnoutout was first described in 1974 by American psychologist, Herbert Freudenberger to describe the exhaustion observed in people of the healing profession.

Burnout is defined as a work-related syndrome involving:

  • Emotional exhaustion: Feeling depleted and drained, with nothing left to give.
  • Depersonalization: A sense of detachment or cynicism toward patients or colleagues.
  • Reduced personal accomplishment: Feeling ineffective or that your work no longer matters.

Early Warning Signs to Watch For:

Physician burnout rarely happens overnight. More often, it builds slowly over time. Here are some red flags to take seriously:

  1. You dread going to work — more than usual.

It’s normal to feel tired after a long week, but if you find yourself experiencing intense dread or anxiety at the thought of another shift, this may be more than just fatigue.

  1. You’ve become emotionally numb or irritable.

Have you noticed yourself being short with patients or colleagues? Feeling disconnected from the people you care about? Emotional numbing is a common defense mechanism — and a major warning sign.

  1. Your passion for medicine is fading.

If the sense of purpose that once drove you feels distant, or you question whether you’re making a difference, it may be a sign of burnout rather than failure.

I found this was very prevalent during the covid era, it presented as: What else can I do with my medical degree that is not medicine.

  1. Physical symptoms are increasing.

Chronic stress often shows up in the body: headaches, trouble sleeping, GI issues, heart palpitations, or a weakened immune system. If your body feels like it’s constantly on high alert, listen to it.

  1. Work is bleeding into everything

If you can’t stop thinking about work, feel constantly "on call" mentally, or feel guilty when you rest — that’s not sustainable.

Once you recognize the signs, what can you do about it?

Recognizing burnout is the first — and most crucial — step. Once identified, consider these next steps:

  • Stop the guilty feeling - We need to stop blaming individuals for burnout and recognize it’s a system issue
  • Try to exercise - Even if it’s just a 5 minute walk, it will make you feel better. Any kind of exercise helps. If you enjoy it, it’s even better.
  • Talk to someone: A peer, coach, therapist, or mentor can provide perspective and support.
  • Set boundaries: This might mean saying no to extra shifts, turning off notifications, or taking a real lunch break. Prioritize what’s important to you.
  • Create social connections: This could be spending time with family or friends. Joining a new group or volunteering.
  • Reclaim purpose: -Reflect on the values that brought you to medicine. Even small actions — like reconnecting with a patient — can help. What was different when things were going well?
  • Seek systemic solutions: Advocate for change within your team, practice, or association. Burnout is not an individual weakness — it’s often the result of systemic dysfunction.

You're Not Alone

Burnout is not a sign that you’re weak, broken, or unfit to practice. It's a sign that something needs to change — for you, and for the system around you. If you’re a physician in Canada struggling with burnout, know this: you're not alone, and help is available.

Resources for Canadian Physicians

Canadian Medical Association
https://www.cma.ca/physician-wellness-hub/topics/burnout

OMA burnout toolkit
https://www.oma.org/practice-professional-support/physician-health-and-wellness/could-you-be-burned-out/

CMA wellness services by provinces:
https://www.cma.ca/physician-wellness-support-services

CMPA wellness Hub
https://www.cmpa-acpm.ca/en/about/what-we-do/physician-support-and-wellness

Empowering physicians through expert coaching: optimize workflows, achieve work-life balance, and navigate career transitions with personalized guidance from Stephanie.
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