Summary of Burn Out Lecture 

Freundenberger described the characteristics of burn out as:
- Chronically over-extended, cannot cope  with work limit
- Negativity, indifference, and callousneess towards patients whom you are meant to be helping
- Feeling of insignificance - "No matter  what I do, it wont help"
Acronym: CNF (i.e.: CNS without the S)

Maslach described "burn out" as below:
- Physical and emotional exhaustion
- Cynicism - less concerned about career
- Inefficacy - feeling of incompetence
Acronym: PC Intel

Is Burnout a separate disorder?
- Burnout is related to work, whilst deprression is related to every aspect of my life

Who is Vulnerable?
- Some people "hardy" at work - others tooo soft to cope (H)
- Most dedicated workers at most risk (D))
- People in 'helping' professions - emotiionally taxing (H)
- Different reactions of men vs women - mmen - cynical (I dont care), women - emotionally exhausted (MW)
- Young more at risk compared to old (duee to idealism, greater pressures, and survival bias) (Y)
- Detachment is a coping mechanism - moree space between me and client means less chances of burnout (D)
Acronym = PMSDDY (Post Menopausal Stress Did Do You)

Relationship between exhaustion, inefficacy & cynicism
1 - exhaustion - then cynicism. Inefficacy may come in between somewhere

Corporate outcomes of burnout
- Group of burnt out employees spells dissaster for corporation (imagine hospital full of burnt out doctors - what happens to patient care)

Situational factors --> burn out
- Overload: tight budget, employees physiically overworked (e.g.: interns)
- Role Conflict & Ambiguity: you are forcced in two directions due to situation (i.e.: too many patients, not enough time, forced to turn them away)
- Severity of Client's Problems: O&G is mmore stressful than dermatology for example
- Lack of social support: junior doctors  burnt out because they dont get adequate support from senior doctors
- Control, information & autonomy: if youu have control, you wont burn out, if you have complete autonomy - wont burn out
- Recognition and reward: promotion meanss burn out less likely. 
Acronym: ROLSCR (Pronounced: "Rolls Car")