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Can Money Solve Physician Burnout?

Discussion in 'General Discussion' started by In Love With Medicine, Jan 27, 2020.

  1. In Love With Medicine

    In Love With Medicine Golden Member

    Jan 18, 2020
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    I previously published a post discussing the most recent Medscape burnout survey results for physicians. An interesting point of discussion was that many physicians felt that if they made more money, they would likely be happier. Today, we will discuss the implications of this thought process and if there is evidence to support the claim. Will more money make me happier?

    Let’s find out.

    Defining the problem

    In the aforementioned survey results, physicians felt that the number 1 solution that would decrease burnout rates was earning an increase in pay. Of course, this doesn’t solve any of the major causes of burnout (non-physician busy work, electronic medical records, bureaucracy, and lack of support from administrators).

    In the mind of the physicians filling out this survey, increased salary was chosen as it probably made the pain from the causes of burnout a little more palatable.

    While student loans and other debt burdens seem to be a major contributor to burnout and depression in physicians, getting more money might not equate with lessening this burden.

    In fact, physicians are notoriously bad spenders who rarely put money towards building wealth, and instead spend it on other things (cars, house, etc.). Is this problem unique to physicians?

    No. And we don’t have to look very far. It probably won’t take you any time at all to think of a famous athlete in the NFL or NBA who earned millions of dollars during their career and yet wound up broke. We even see this in Hollywood with The Greatest Showman being a great example of people who chased after more when what they had wasn’t “enough.”

    Remember, with the low financial literacy that exists among physicians, more money won’t solve any problems for two reasons. First, most doctors won’t know how to use money effectively. Second, more money doesn’t solve any of the actual causes of burnout.

    How much do we need?
    In 2010, Princeton University performed a now-famous study where they described how much money people needed. What was the point beyond which increasing salary no longer improved someone’s happiness?

    The answer is $75,000. Another study at Purdue produced similar findings where happiness and life satisfaction did not increase above $75,000 to $95,000.

    While the participants for this study likely were not highly debt-burdened families with hundreds of thousands of dollars in student loans, they were a broad cross-section of the country.

    Regardless of what you think about this number, what you think would make you happy and what actually will are likely very different numbers.

    Ultimately, happiness in life and life satisfaction comes from being able to do what we want with our time. Money is simply the tool that helps us do that … but at some point, once your basic needs are taken care of, more money doesn’t help.

    The answer
    The answer to all of this, of course, is to learn the art of contentment.

    Here are five ways that you might learn to be content:

    1. Learn to separate spending from happiness. A bigger house, faster car, and expensive designer clothes are unlikely to make you happier. And any happiness that you derive from expenses on new things quickly subsides.

    There is nothing wrong with buying these things once you are meeting your financial goals, but it is important to recognize that they are unlikely to make you truly happier.

    2. Contentment starts with yourself. This relates to the next point, but there is something to be said with simply knowing yourself. Don’t let your self-identity get trapped by your profession.

    While working in medicine is a calling for many, it should not define who we are. Spend some time reflecting on what makes you…you.

    3. Stop comparing yourself to others. Learn to set your own expectations. If you feel that part-time work or asking to focus on certain aspects of your job (i.e., research and education, if in academics) will make you happier, then set your own expectations and ask for what you want.
    Many doctors have found that cutting back helped sustain their careers.

    4. Learn to appreciate the life you have been given. In the end, contentment is not really possible if you aren’t appreciative of what you currently have.

    At the end of life, what will you remember the most? For me, this will certainly be my family and friends. It won’t be the extra shifts I worked or the amount of money I earned.

    5. Answer a question or two about your life’s purpose. Honesty is often the best policy.

    If you spend some time reflecting on what you want to accomplish in life, you’ll likely realize pretty quickly that money might be a tool to get there … but it won’t take as much as you think.

    It’ll also probably make you more intentional about how you spend your money, and produce contentment along the way.


    The earlier that we recognize that mo’ money simply causes mo’ problems, the better off we will be. Money is not the answer to most of life’s questions. In the end, all physicians likely earn an income that is high enough to produce life satisfaction and happiness.

    Increasing pay will not fix your burnout or depression. Finding contentment and designing a life that intentionally pursues the things that matter just might.

    Will money make me happier? Probably not. But making bad financial decisions with the money we earn can certainly make life much worse.

    The take-home is simple: Learn contentment and increase your financial literacy to make smart decisions with what you currently have.

    James Turner, also known as “The Physician Philosopher,” is an anesthesiologist who blogs at his self-titled site, The Physician Philosopher. He is the author of The Physician Philosopher’s Guide to Personal Finance: The 20% of Personal Finance Doctors Need to Know to Get 80% of the Results.


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