Burnout Prevention: How to Survive Residency

Burnout Prevention: How to Survive Residency

Residency Burnout Prevention: Sleep, Caffeine, Mindfulness & Getting Help: Wellness Talk for PGY-1 Internal Medicine and Psychiatry New ResidentsChief Psychiatry resident Dr. Stephanie Moss explains how burnout can progress over time into depression and suicidal ideation, noting 2009 data that 9–12% of residents met criteria for depression and 6% reported suicidal thoughts, with higher risk among those with prior mental health or substance issues and marginalized identities. She defines burnout (emotional exhaustion, depersonalization, reduced accomplishment), reviews symptoms and causes (stress, complexity, loss of control), and links burnout to medical errors and safety risks, especially with sleep deprivation and post-call driving. She shares practical prevention strategies focused on reclaiming control through sleep hygiene, strategic napping, shift-work adjustments (including PRN melatonin), and informed caffeine choices, plus mindfulness using a five-senses exercise and narrative writing. She also highlights institutional resources, duty-hour protections, counseling/EAP support, disability accommodations, key phone numbers including 988, and her podcast and narrative medicine work.Become Member for $1/month to get EARLY access to videos & exclusive videos:https://www.youtube.com/channel/UC_Ypzlapvju3XZ-8rgjF8Vw/joinVisit website at https://medpsycmoss.com for transcripts, blog posts, and resources for medical students, health care professionals, and patientsLet’s Connect: @stephmossmdInstagram: https://www.instagram.com/stephmossmd/Twitter/X: ⁠⁠⁠https://twitter.com/medpsycmoss⁠⁠⁠ TikTok: https://www.tiktok.com/@stephmossmdListen to Podcast “Life as a Patient-Doctor:Youtube: https://youtube.com/playlist?list=PLUfheMZYKjA8xJN3_tzjvvCWGn8HKh_Rt&si=erIIirgQyAsEkBR4 Spotify: https://open.spotify.com/show/685WDhQHXulbCmh2siIOp3Apple: https://podcasts.apple.com/us/podcast/life-as-a-patient-doctor/id1719637283Follow the Podcast: "Medical School with Dr. Moss"On YouTube: https://youtube.com/playlist?list=PLUfheMZYKjA-ip9NC0lTu0h-JXVfKkJgI&si=WYPDDc-Y6wGfuYrBOn Spotify: https://open.spotify.com/show/6B3TCtg2nDG5D0OA8myyMn?si=aee899be33c94c00On Apple: https://podcasts.apple.com/us/podcast/medical-school-with-dr-moss/id1867620163Email: medpsycmoss@gmail.com***This episode is for educational purposes only and is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All opinions voiced are the opinions of the speakers and not reflective of any institution. Please follow up with your health provider and therapist for any additional questions or support.*** #match2026 #residencymatch #residency #medicalschool #medicalresidency 00:00 Burnout To Suicide Path00:30 Meet The Wellness Chief01:12 What Burnout Really Means02:40 Symptoms And Warning Signs03:42 Why Residency Triggers Burnout04:37 How Common Is Burnout06:27 Depression And Suicide Risk07:44 Who Is Most At Risk09:14 Start Prevention Now09:37 Sleep Tools And Apps11:35 Fatigue And Safety After Call16:06 Shift Work Sleep Disorder17:42 Melatonin Naps And Modafinil21:00 Caffeine And Energy Drinks21:47 Tea Caffeine Basics23:31 Energy Drinks and Sugar24:27 Finding Balance in Residency27:12 Duty Hours and Scheduling31:11 Mindfulness and Narrative Medicine37:35 Wellness Resources and Support42:18 Insurance and Crisis Numbers43:52 Podcast and Closing Thanks

Lived Experience Panel: APA 2026

The American Psychiatric Association's 2026 conference sheds light on a critical issue affecting the medical and psychiatric community: doctor's have mental health conditions too! In this video, psychiatrists open up about their personal struggles with bipolar, PTSD, LGBT stigma, and burnout, sharing their experiences and insights gained from their residency and medical training. The discussion delves into the challenges of med school stress, residency life, and the impact of burnout symptoms on mental health doctors. By speaking candidly about their own diagnosis and burnout recovery, these psychiatrists aim to raise awareness about the importance of physician mental health and the need for support systems within the medical field. The conversation highlights the unique demands of psychiatry residency and the ways in which medical professionals can prioritize their well-being amidst the pressures of their work. By exploring the intersection of medicine, mental health, and personal resilience, this video offers a nuanced look at the complexities of burnout in the medical community and the paths toward recovery and healing.Become Member for $1/month to get EARLY access to videos & exclusive videos:https://www.youtube.com/channel/UC_Ypzlapvju3XZ-8rgjF8Vw/joinVisit website at https://medpsycmoss.com for transcripts, blog posts, and resources for medical students, health care professionals, and patientsLet’s Connect: @stephmossmdInstagram: https://www.instagram.com/stephmossmd/Twitter/X: ⁠⁠⁠https://twitter.com/medpsymoss⁠⁠⁠ TikTok: https://www.tiktok.com/@stephmossmd?_t=8kS9kVfKjUc&_r=1Listen to Podcast “Life as a Patient-Doctor:Youtube: https://youtube.com/playlist?list=PLUfheMZYKjA8xJN3_tzjvvCWGn8HKh_Rt&si=erIIirgQyAsEkBR4 Spotify: https://open.spotify.com/show/685WDhQHXulbCmh2siIOp3Apple: https://podcasts.apple.com/us/podcast/life-as-a-patient-doctor/id1719637283***This episode is for educational purposes only and is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All opinions voiced are the opinions of the speakers and not reflective of any institution. Please follow up with your health provider and therapist for any additional questions or support.*** 00:00 Panel Introductions01:57 Case Study Setup02:19 Psychiatrist Patient Story05:56 Disclosure and Stigma09:25 Dr Moss Early Therapy13:42 Step One and Accommodations16:30 Institutional Blowback17:38 Residency Disclosure Advocacy21:44 Dr Mutie Eating Disorder27:14 Finding Safety to Share31:51 Dr Myers Hidden Identity35:45 Coming Out and Healing38:05 Closeted Yet Advocating39:27 AIDS Frontline Support40:10 New Book and Guidance42:03 Cruise Stories on Belonging45:12 Panel Wrap and Call to Act46:31 Building an APA Caucus47:58 Q&A: Disclosure With Purpose50:01 Language and Person-First Care52:08 Intersectionality and Lived Expertise56:19 Clinical Self-Disclosure in Practice01:00:52 ADHD and Accommodation Barriers01:03:06 Wellness Talk vs Real Stigma01:04:09 Going Public Safely01:06:19 Closing Example of Disclosure

Medical Student with Lupus & Bipolar I

On Life as a Patient Doctor, Dr. Stephanie Moss interviews “MS,” a Quebec medical student and first in her family to pursue medicine, who describes navigating medical school while living with lupus cerebritis and later being diagnosed with bipolar I disorder. MS recounts repeated depressive episodes, course cancellations, accommodations, a neurologist-guided medication change that improved memory, and a psychotic manic hospitalization over Christmas break, followed by challenges from antipsychotic side effects. She shares the emotional toll of watching classmates graduate while she remained in pre-clerkship, including a six-week hospitalization, and how studying in advance helped her complete remaining classes and prepare to start clerkship in the fall. The conversation emphasizes reducing the gap between patients and providers, focusing on patients’ context and daily hospital life, and finding community through the Canadian Association of Physicians with Disabilities.00:00 Mania Hospitalization01:19 Podcast Introduction01:55 Path Into Medicine02:49 Lupus And Early Depression04:13 Medical School Setbacks06:52 Memory Help And Recovery08:37 Manic Episode Diagnosis10:40 Depression And Time Off16:06 Motivation To Continue17:57 Patient Perspective In Care20:42 Breaking Stereotypes21:54 Advice And Community24:05 Closing Summary And Resources

Social Media HIPPA Mistake

In this video, I share a personal experience of making a HIPAA mistake in medicine and the valuable lessons I learned from it. As a doctor who is active online, I understand the importance of maintaining medical ethics and upholding the standards of the medical profession, especially when it comes to digital doctor-patient interactions. I discuss how medical content creators, including med students and future doctors, can navigate the complexities of medical ethics and avoid common pitfalls, such as spreading misinformation and disinformation. Whether you're a physician online, part of a hospital's honor council, or simply a medical enthusiast, this video aims to provide a comprehensive guide on how to balance online presence with the responsibilities of being a medical professional, all while adhering to HIPAA guidelines and promoting a positive online presence for Futuremd professionals. By sharing my own experiences and insights, I hope to contribute to the ongoing conversation about ethics in medicine and provide a valuable resource for medical professionals looking to establish themselves online as a digital doctor or doctor guide.00:00 Social Media in Medicine00:05 The X-Ray Mistake00:50 Talk Overview01:44 Disclosures And Sponsorships02:41 Objectives And Stakes03:59 The Case Story06:11 Honor Council Fallout07:52 Strategy One HIPAA Basics10:29 Strategy Two Consent Forms13:25 Strategy Three Education First16:39 Where To Share Content20:01 Why Social Media Matters22:03 Misinformation And Ethics23:57 Institutional Guidelines27:53 Personal Accounts And VA Rules29:35 Dr G Social Media Guide32:45 Handling Trolls34:46 Build Better Guidelines36:23 Q And A Closing Thoughts37:47 Collaboration Across Professions39:38 Final Thanks

Pathology & Crohn's Disease with Dr. Bortoletto

Dr. Moss interviews Dr. Angelina “Gina” Bortoletto, a new PGY1 pathology resident at Mass General Brigham who earned her MD-PhD at Baylor and was diagnosed with Crohn’s disease after about a decade of worsening GI symptoms and medical gaslighting, often being told it was anxiety. Join Dr. Bortoletto as she shares her personal journey to residency, offering valuable insights and advice to medical students, premeds, and future doctors. As a resident in pathology, Dr. Bortoletto has navigated the challenges of medical school, residency interviews, and match day, while also living with Crohn's disease. In this medical podcast, she discusses her experiences, from the highs of residency match to the lows of dealing with a chronic illness, and how it has impacted his mental health and overall well-being. With her unique perspective as a physician, Dr. Bortoletto provides mentorship and guidance to those pursuing a career in medicine, including tips for medical students, premed advice, and reflections on doctor life. Whether you're a med student, resident, or simply interested in the medical field, this video offers a candid look at the medical journey, including intern year, resident life, and the importance of prioritizing health and seeking medical advice when needed. Dr. Bortoletto's story is a testament to the power of perseverance and determination, and serves as a reminder that even in the face of adversity, it's possible to achieve your goals and become a successful doctor. Tune in for an inspiring conversation about medicine, medical college, and the realities of a career in healthcare.Visit website at https://medpsycmoss.com for transcripts, blog posts, and resources for medical students, health care professionals, and patientsLet’s Connect: @stephmossmdInstagram: https://www.instagram.com/stephmossmd/Twitter/X: ⁠⁠⁠https://twitter.com/medpsymoss⁠⁠⁠ TikTok: https://www.tiktok.com/@stephmossmd?_t=8kS9kVfKjUc&_r=1Listen to Podcast “Life as a Patient-Doctor:Youtube: https://youtube.com/playlist?list=PLUfheMZYKjA8xJN3_tzjvvCWGn8HKh_Rt&si=erIIirgQyAsEkBR4 Spotify: https://open.spotify.com/show/685WDhQHXulbCmh2siIOp3Apple: https://podcasts.apple.com/us/podcast/life-as-a-patient-doctor/id1719637283Email: medpsycmoss@gmail.com***This episode is for educational purposes only and is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All opinions voiced are the opinions of the speakers and not reflective of any institution. Please follow up with your health provider and therapist for any additional questions or support.***00:00 Anxiety Or Something Else00:55 Meet Dr Angelina Bortoletto01:58 Ten Year Diagnosis Journey04:50 Medical School And Gaslighting07:17 Listening To Patients Matters09:16 Why Pathology Felt Like Home11:47 Notes That Change Diagnoses13:56 Biologics And Accommodations18:59 Disclosing In Residency Apps24:05 Moving And Building Routines26:47 Pearls For Trainees28:45 Wrap Up And Where To Connect