I remember the day every computer in our ER went dark and the chaos that followed. The times violent patients attacked our staff. The day a gang member walked in with a machete. The colleague we found overdosed in the bathroom after diverting narcotics.
The Emmy Award-winning series offers a striking portrayal of life in high-pressure workplaces: relentless pace, constant decisions, and the consequences of professionals pushed beyond healthy limits.
Read more: America’s Moral Injury Pandemic
It’s no surprise that burnout rates in emergency departments are high. One study of ER staff found that over 60% of emergency physicians, roughly 72% of ER nurses, and 75% of paramedics report burnout. Research points to three drivers: culture of wellness, workplace efficiency, and individual well-being.
These systemic issues are real and problematic. They deserve to be fixed.
Recovery requires giving people the skills to heal from sustained stress, not just endure it.
Burnout is not a personal failure or weakness. It’s what happens when high performers adapt to prolonged stress in the only ways they know how. We harden, push through, and put up walls. We cope in ways that help us survive but harm us in the long run: disconnecting, overworking, or numbing with food or alcohol.
In medicine, we’re taught how to deliver devastating news to patients and families, but never how to handle that tragedy in a way that doesn't harm us. We train high performers across industries, how to perform under pressure. But we don’t teach them how to recover from it.
I've found that burnout recovery requires skills, not just rest or self-care slogans. Specifically, there are three skills that address the types of exhaustion burnout creates: self-stewardship, emotional processing, and a sense of purpose.
Self-stewardship
Sustainable success requires treating your energy as something to steward, not deplete.
High performers are taught to be objective, efficient, and unemotional. But emotions don’t disappear when they are ignored. They build. So we often buffer our emotions through stress eating, scrolling, or smoking.
When I’m washing my hands, I take 60 seconds to notice and name my emotions. It’s a small habit, but it changes everything. Emotions aren’t meant to be avoided; they’re meant to be processed.
Thinking on purpose
High performers are hardest on themselves. I should be able to handle this. I should be better. In medicine, that often means believing we should be able to save everyone.
For too long, high performers have treated burnout as a badge of honor, or the price of success. The Pitt shows us exactly where that leads.
The goal was never just to survive. It was always to thrive.
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