We talk with Dr. Jason Knight about what burnout really looks like in medicine and why a hard day is not the same thing as a broken relationship with the work. We push past buzzwords to name root causes, moral injury, and the practical steps clinicians and leaders can take to rebuild a sustainable healthcare workforce.
• distinguishing clinical exhaustion from burnout using emotional exhaustion, efficacy, and depersonalization
• why generic wellness programs fail when they are not matched to the real driver
• the limits of resilience and why burnout is a shared workplace problem
• the six-domain mismatch model: workload, control, reward, community, fairness, values
• how rural care, maternity deserts, and legal constraints amplify workload and control gaps
• moral injury in healthcare and how it differs from second victim syndrome
• building better measurement than once-a-year engagement surveys
• having productive leadership conversations by pairing data with real stories
• creating psychological safety for learners and addressing power dynamics
• returning to center through presence, journaling, and community
• using the Maslach Burnout Inventory to name what is mismatched
• normalizing “I need help” and reducing isolation as a risk factor
• Dr. Knight’s 78-Day Spiritual Reset and why reflection can support recovery
Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram
0:00 Welcome And Guest Setup
1:28 Wellness Without Root Cause
3:10 Burnout Versus Exhaustion Defined
6:56 Resilience And System Failures
12:34 Six Burnout Mismatch Domains
19:37 Moral Injury And Second Victim
27:13 Track Wellness Beyond Annual Surveys
29:21 How To Talk With Leadership
38:17 Returning To Center Through Presence
44:34 Practical Tools To Get Help
53:20 Reasons For Hope And Farewell
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