Brain Training to Be More Positive

1. Write down 3 things you are grateful for each day for 21 days

2. Journal about one positive experience that happened in 24 hour period

3.  Exercise

4.  Meditate - Free yourself from our cultural ADHD

5.  Perform random acts of kindness

The Happy Secret To Better Work, By Shawn Anchor

Residency Should Be Limited to 40 hours Per Week

Residency should be set to a maximum of 40 hours per week.  The idea that a person can be productive, efficient, and offer their "best" selves for 80-100 hours per week is false.  By allowing a normal schedule for doctors in training, this will allow for balance in their lives and ultimately better care for patients. 

Residents will be happier and nicer to patients. The majority of residents who are apathetic, short with staff and patients, and visibly burnt out are in specialities where they work more hours per week.  One of the greatest gifts an MD can give to patients is truly listening and understanding their patients.  When you've only slept for 3 hours last night, this is impossible. 

"But we did it, so you have to do it too." I understand that before residency work hours were set to 80 per week, prior MDs' routinely worked 100-120 hours.  But times have changed.  We are busier than they were 20-30 years ago.  Before they probably got more sleep and had less patients in the hospital.  The number of patients seen in ED and hospitals has increased each year.  More hospitals are shutting down and the hospitals that are open continue to see more patients. 

"We won't get enough training."  During residency, I noted there was a lot of downtime and a lot of "non-clinical" activity.  For example, waiting for attendings in clinic to present, hunting down an old CT report that was done at an outside hospital, or faxing paperwork.  Residents spend time doing miscellaneous activities, not relevant to their clinical skills. Residency should be like an espresso of information. The rest should be delegated or deleted.

Less depression, anxiety, and alcohol/drug abuse.  Every year, 300-400 doctors commit suicide. That's almost an entire medical school.  I believe that one of the contributors to this is being overworked and burnout.  Since residency and medical school sets the foundation for our clinical careers, we need to get the right habits from the start. 

Doctors are human and need balance.  The way we treat and respect our residents will be the way they treat and respect their patients.  And sooner or later, we will all be patients.

On Rest and Balance

I finished emergency residency on June 31, 2011.  Some of my co-residents started their jobs the next day and accordingly began earning a salary immediately.   Even with the the looming student loan payments, I needed a rest.

I chose to go to San Marcos La Laguna in Guatemala.  My initial travel plan was to go to San Marcos for medical spanish lessons, then Antigua, then Copan Ruins in Honduras, and lastly spend four days getting scuba certified in Utila, Honduras.

Once I got into the small town by Lake Atitlan via shuttle & tuk-tuk, I realized that I could not leave San Marcos quite yet.  I decided to change my entire travel plans and stay in one spot.

San Marcos is special because there is a tranquil energy vortex here.  There are also a number of healers and wise people in this spot.   They use massage, Reiki energy healing, acupuncture, hypnotherapy, cranial-sacral massage, crystals, meditation, yoga, and the Mayan Calendar.

It was definitely a change of pace from allopathic medicine.  I used this time to rejuvenate myself from the twelve years of training to be an emergency physician.  It was a pleasure to interact with people of the San Marcos community and take time to slowly enjoy each moment.  Some days, I would simply lay in a hammock and stare into the clouds or watch the hummingbirds.

I learned many things about myself, my path in life, and the importance of balance in life.  When I came back to LAX a few days ago, I was saddened about what I had left behind.  But I also realized that I can create my own balanced life by planting the seed of tranquility.  As my friend says, "Creer es crear." Thank you, San Marcos La Laguna.