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Episode Summary:

In this episode, we explore the role thought errors play in shaping how we interact with our inboxes, particularly through electronic medical records (EMRs). These common patterns of thinking contribute to moral injury, burnout, and the overwhelming sense of always needing to be “on.”

See how these beliefs keep us tethered to our inboxes after hours, why patient portals create unrealistic expectations, and how these challenges impact our ability to provide compassionate care. We'll also talk about strategies to set boundaries, challenge perfectionism, and take back control of our time and energy.

What We Cover in This Episode:

• Thought Errors That Keep Us Stuck:
  • Believing we are responsible for patient emergencies/outcomes at all times.
  • Feeling like it’s our job to accommodate patients who refuse other options for care.
  • Thinking that checking the inbox constantly can prevent bad outcomes.
• How EMRs Have Changed the Landscape:
  • The unintended consequences of patient portals and 24/7 messaging.
  • How responding to messages after hours reinforces unhealthy expectations.
• Strategies for Change:
  • Reframing our responsibility for patient outcomes.
  • Recognizing the inherent imperfections in any healthcare system.
  • The importance of protecting boundaries to maintain longevity in medicine.

Key Takeaways:

1. We Cannot Be On-Call 24/7: While technology has revolutionized patient communication, it has also created unhealthy pressures. It’s essential to reestablish clear boundaries.
2. Patient Outcomes Are Not Solely on Us: Moral injury often stems from systemic challenges, not personal shortcomings. Understanding this can lighten the emotional burden we carry.
3. Boundaries Are the Foundation of Great Care: When we prioritize our own rest and well-being, we’re better equipped to care for our patients during working hours.

Reflective Questions for Our Community:

• What thought errors keep us tethered to our inboxes after hours?
• How can we challenge the belief that constant availability equals better care?
• What’s one small step we can take this week to establish healthier boundaries?

Let’s Keep the Conversation Going:

Ready to take the next step in this work?

• Join our Unbound coaching group for women physicians to find a supportive community dedicated to breaking free from burnout and rediscovering joy in medicine. The next round starts March 2025
• Explore one-on-one coaching opportunities to develop personalized strategies for thriving in your career and personal life.

Connect with Us:

• Website: www.healthierforgood.com
• Instagram: @MeganMeloMD

Final Thoughts:

As 2024 comes to a close, let’s lean into the courage it takes to challenge ingrained beliefs and embrace self-compassion. Together, we can rewrite the narrative, letting go of unsustainable expect

Support the show

To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.

Want to contact me directly?
Email: [email protected]

Follow me on Instagram!
@MeganMeloMD