Stress vs. Burnout: Know The Differences!
(Part 2 of 2)
Perfectionism
The concept of perfectionism in dentistry can be divided into two categories: perfectionistic concerns and perfectionistic strivings.
Perfectionistic Concerns: Unhealthy perfectionism can be destructive and paralyzing. This is earmarked by a dentist setting unreachable or unreasonable goals, such as feeling like he or she must learn and offer all types of dentistry to patients. Another example would be setting unrealistic production goals in an effort to pay off debt. A key warning sign of an unhealthy practitioner is seeking and accepting only perfection in all cases. This can be a major stumbling block. The goal of good dental work is not “perfection” but excellence in care. When the dental work fails or does not turn out as expected, the dentist should see this as a learning experience to improve future care. Mistakes should not be seen as reflecting unworthiness or “not being good enough” but rather as testament to the practitioner’s humanity. This is a good way to improve who a dentist is as a clinician and a person. Remaining humble and teachable is key to improving the clinical drive toward excellence.
Perfectionistic Strivings: A dentist with a healthy view of perfectionism sets reasonable and reachable goals. This provider sees dentistry as a continual learning experience, views patient care as a journey, and is thankful for the opportunity to practice dentistry. When clinical outcomes are less than hoped for, the individual rebounds quickly after dealing with it and processing how to improve — and without catastrophizing. A well-balanced practitioner does not obsess on failure or mistakes but tries to remain humble and teachable, while being open to accepting constructive criticism in order to move forward.
Dentists exhibiting perfectionistic concerns are more prone to overall burnout, exhaustion (emotional/physical), depersonalization (including cynicism), sarcasm and compassion fatigue — all of which will hinder work performance. Ultimately, these actions are destructive and earmarked by poor coping skills. In comparison, dentists exhibiting perfectionistic strivings are less prone to these debilitating behaviors. Their actions are motivating and earmarked by good coping skills.
Perfectionists deal with many issues that can result in burnout, such as unrealistically high standards of performance, mistakes, doubts, expectations and criticism of self and others, and feelings of not being in control or not knowing everything. Perfectionism can be paralyzing, causing the clinician to stagnate and procrastinate in decision-making and action. A provider who sets perfection as the standard for dental care is not only unrealistic but is in denial about his or her humanity. No one is perfect. The goal in healthcare should reflect a standard of excellence in care, a continual evaluative process of how to improve care through education, and acceptance of imperfection.
MITIGATING BURNOUT
Other than the time tested and anecdotal results of eating healthy, getting plenty of sleep, and exercising, the emphasis currently is to focus on web-based solutions, such as addressing relaxation, breathing, mindfulness, meditation, online cognitive behavioral therapy, and suicide prevention. These are great tools to implement but should be used as adjuncts to address office issues, increase social interaction with the community and colleagues, minimize isolation, manage family/office time efficiently, and, for those inclined, practicing religious beliefs. Controlling the office appointment book through block scheduling is an immediate step practitioners can take to reduce stress.
CONCLUSION
Burnout has been described as “an inflammation that occurs when people and work don’t fit together properly.” In some ways, calling burnout an “inflammation” is exactly what living with burnout feels like: a constant irritation that is ever-present and doesn’t get better unless addressed. The good news is that burnout is preventable if recognized early and the individual asks for help.
Today’s environment for coping with stress-related work issues has never been better, as help and healing techniques are readily available for those who seek them. The goal of this article is to provide insights into the factors that contribute to professional burnout and encourage dental providers to be proactive in taking care of themselves and seeking help if necessary.
