This is Your Friendly Reminder Ā ā¤ļøš Youāre allowed to have a life!
By Michael Tetreault, Editor-in-Chief, Concierge Medicine Today
Okay, if youāre still dictating notes at 4:47 p.m. on February 14, the only thing waiting for you at home tonight may be a cold dinner, a confused spouse, and a dog who has already emotionally moved on.
Letās fix that!
Today, please leave on time. Yes, really.
Every year around Valentineās Day, our team here at Concierge Medicine Today sends out an email every year as a friendly reminder to Physicians (and their care teams!) to just leave on time. And, it’s more difficult than we all realize right?!
Healthcare has normalized heroic overwork for so long now that leaving the practice on time can feel rebellious — if not with it’s own weight of guilt. But thereās growing evidence that the culture of endless hours isnāt just hard on you ā itās unsustainable for your team, their family, and your patient care.
And if there were ever a day to practice leaving on time, itās today, Valentineās Day.
Not because you’re rewarding your partner with chocolate.
Because of perspective.
The long-hours problem isnāt imaginary
I know you like evidence, so here’s a little in case you need some.
Physicians, nurses, and your care teams continue to work some of the longest and most demanding schedules in any profession.
Let me be the first today (but hopefully not!) to say, ‘THANK YOU!’
Your hard work does not go unnoticed, at least by one person out there.
A 2024 Medscape Physician Burnout & Depression Report found that nearly half of physicians (49%) report burnout, with workload and long hours among the top contributing factors. Many physicians reported working 50ā60+ hours per week, not including after-hours charting and administrative work.¹
Nurses and clinical teams face similar demands. Research published in Health Affairs shows that extended shifts and longer work hours for nurses are associated with higher burnout, fatigue, and job dissatisfaction, as well as increased risk for errors and turnover.²
Globally, the World Health Organization and International Labour Organization have warned that working 55 hours or more per week is associated with significantly higher risks of cardiovascular disease and stroke, highlighting the health consequences of chronic overwork.³
Despite all this data, the culture of medicine often still quietly rewards the person who stays the latest.
That needs to change, especially today, Valentine’s Day.
The hidden cost of ājust one more patientā today
Most clinicians didnāt enter medicine to stare at an EHR after dinner.
You entered medicine to care for people ā including the people waiting at home FOR YOU!
Our family often gives us a long leash when it comes to work. But, long hours donāt just affect your individual well-being. They influence:
- Decision fatigue
- Communication quality
- Team morale in your practice
- Retention and turnover in your practice
- Marital and family relationships and your own personal health
The American Medical Association has repeatedly emphasized that reducing administrative burden and improving work-life integration are central to addressing physician burnout and sustaining the workforce.ā“
Translation: this isnāt about personal weakness.
Itās about structural reality.
Valentineās Day is simply an ‘exercise in your leadership’
Leaving on time isnāt just one personal act. Itās a leadership move.
When physicians and medical practice leaders model healthy boundaries ā even occasionally ā it sends a signal to the entire team:
Youāre allowed to have a life!
Let me repeat that again in case you missed it, ‘You’re allowed to have a life!’
Youāre allowed to go home.
Youāre allowed to be human.
You’re allowed to be off-the-clock.
Research consistently shows that organizational culture and leadership behavior play a major role in clinician well-being and retention.āµ When leaders model sustainable work habits, teams are more likely to adopt them.
So, if the physician never leaves, the team assumes they shouldnāt either.
And, if the physician leaves with intention and clarity, the team learns that excellence doesnāt require exhaustion.
Today of all days, donāt forget the people waiting at home
Healthcare culture has historically overlooked the role of physician spouses and partners ā and families ā who absorb the emotional weight and mismanagement of your schedule spillover of long clinical days and important occasions.
Yet strong personal support systems are consistently associated with physician resilience, career satisfaction, and longevity.ā¶ The stability and encouragement provided by loved ones often serve as the quiet infrastructure behind a sustainable medical career.
Translation: the people waiting at home arenāt peripheral to your career.
Theyāre central to sustaining it.
So this is your friendly reminder (because maybe no one’s told you this today!) leaving on time ā even symbolically on a day like Valentineās ā acknowledges that your life is bigger than your inbox.
In the event you ignore this advice: Here are five practical ways to leave on time (for once!)
You donāt need a retreat or a task force.
You need a plan for your day!
1. Time block the last 30 minutes.
Stop pretending the last patient of the day is the last task of the day. Protect a short buffer for wrap-up and departure.
2. Set expectations early.
Tell patients and staff: āWeāre finishing on time today.ā Most people respect clarity more than silent martyrdom.
3. Delegate the non-essential.
Not everything must be finished before dinner. Truly.
4. Close the EHR with courage.
Perfection is not the goal. Completion is.
5. Go home like it matters ā because it does.
Whether itās a spouse, partner, kids, friends, or simply a quiet evening, your life outside medicine deserves equal professionalism.
A cultural reset worth practicing, today!
No one is suggesting that medicine becomes a 9-to-5 job overnight. Emergencies happen. Patients need care. Some days run long.
But when every day runs long, itās no longer a necessity.
Itās a habit.
And habits can change.
So this Valentineās Day, try something unusual:
Finish your last note. Close the laptop. Turn off the exam room lights like you actually mean it. Then go home ā to the people whoāve been quietly supporting your calling long before the first patient checked in this morning.
Medicine will still be here tomorrow.
Your inbox will still be full.
But Valentineās Day only comes once a year ā and unlike your EHR, it doesnāt send reminders.
Besides, nothing says āhealthy work-life integrationā quite like showing up on time⦠and not having to explain to your dinner date why you smell faintly of hand sanitizer, printer toner, and cafeteria coffee.
And if you do manage to leave on time?
Donāt document it.
Just enjoy it!
~Michael
Editor-in-Chief
Concierge Medicine Today
References & Sources
- Medscape. Physician Burnout & Depression Report 2024.
https://www.medscape.com/slideshow/2024-lifestyle-burnout-6016865 - Stimpfel AW, Sloane DM, Aiken LH. The Longer The Shifts For Hospital Nurses, The Higher The Levels Of Burnout And Patient Dissatisfaction. Health Affairs. 2012;31(11):2501ā2509.
https://www.healthaffairs.org/doi/10.1377/hlthaff.2011.1377 - World Health Organization & International Labour Organization. Long working hours and health. 2021.
https://www.who.int/publications/i/item/9789240031084 - American Medical Association. Physician burnout and wellness resources.
https://www.ama-assn.org/practice-management/physician-health - Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings. 2017;92(1):129ā146.
https://www.mayoclinicproceedings.org/article/S0025-6196(16)30625-0/fulltext - Sotile WM, Sotile MO. The Medical Marriage: Sustaining Healthy Relationships for Physicians and Their Families. AMA Press; supported by physician wellness and resilience literature cited by AMA and Medscape.
All content is educational and informational only and should not be considered medical, legal, or professional advice.
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