As high-achieving, goal-oriented healthcare pros, we are always looking toward improving ourselves—be it through journaling, keeping up with the medical literature, or honing our leadership skills.

Or are we?

To grow in your wellness as well as your role as a physician, we must always be moving. Avoid the siren song of stasis. For once we become comfortable with our current practice, or better said, once we accept our current circumstances, then the slow painful decline of burnout begins to occur.

Avoid stasis at all costs!

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How many of us show up fully to our innermost thoughts and feelings?  

Do we accept both the good and bad emotions as tools that help us in our growth, or do we resist or suppress them? 

As leaders, we are often taught that we need to stay strong and stay positive in times of stress. Many times this leads us to push negative feelings aside or suppress them in hopes of appearing that we are in control. In reality, this causes us to become stuck on those negative emotions causing us to repeat old patterns.

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Have you ever felt that you are not making the same decisions at the end of your shift compared to the beginning?

Do you feel mentally drained at the end of the shift and feel that you "can't make one more decision"?

Have you ever prescribed an antibiotic to a febrile child when you really felt it was a viral process?

You are not alone.

Decision fatigue centers around making deteriorating quality choices after a long session of decision-making. Sounds familiar? As physicians and nurses, this is an all too common scenario. Compound the fact that our choices carry a heavy burden as we are possibly making life-altering choices for our patients on every shift.

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We can end a stress cycle by applying daily habits and actions that allow our bodies to relax and let go of stored stress. This will bring our body and mind back into balance, allowing us to bring our best both at work and at home. 

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If you are looking to start your day prepared to tackle the enormous task of being a physician or a nurse, you must control the first hour of the day. Period. All day success begins with this first hour.

One of the most mentally draining aspects of being a physician or a nurse is the incredible number of decisions we make during a clinical shift. While we likely make 1-2 major decisions per patient encounter, the enormous amount of choices we make daily leads to burnout. By winning the first hour of the day, you will win the day.

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All of us feel that we are “too busy” to achieve our goals. In fact, some of us use the limiting phrase of “Oh, I’m so busy” as an excuse to put our goals on hold. Some of us say it so often that we not only convince those around us, but we convince ourselves that it is true!

Brothers and sisters in medicine, hear me clearly. You decide--One Day or Day One. Choose Today.

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Small things have a way of creeping into our daily routines and becoming just that part of our daily routine. Before you know it, your day is filled with small, inconsequential distractions that keep you from reaching your goals. 

"People are no longer human beings. We should be called human doings."- Richard Carlson, Ph.D., Don't Sweat the Small Stuff

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Consistency is the key. Focus on small incremental improvements daily. And it must be daily. Whatever it is, make sure you are constantly moving forward. 

While I love learning about different ways to achieve peak performance in all aspects of my life, the wisdom of Jerry Seinfeld’s Productivity Secret is perfect due to its simplicity.

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Do you have this nagging worry that you are not quite "good enough" at work? How about at home? Are you constantly criticizing yourself—perhaps more lately? Do you feel you are not smart enough or as competent as your physician colleagues? Do you feel like an imposter?

Consider this—are you suffering from Imposter Syndrome?

This constant concern of being judged is detrimental to your personal, professional, and emotional health. Your feelings of insecurity prevent you from achieving the life that you want for yourself and your family.

So let’s crush this feeling with 3 simple things.

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Caring for yourself is no more selfish than caring for others. Not caring for yourself makes living life unfulfilled and leads to your burnout--both personally and professionally. We have to rid of this notion of being everything to everyone at all times. This is exhausting, mentally and physically, and a barrier to living the life that you want for yourself and your family. 

Your wellness depends on putting yourself first. It's not selfish; it is a must. 

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