Thank you steph for the apt topic and moderating! Get well soon helen. #Healthxph

T3. I should have known myself better. Do frequent, life asset audits. Maybe you re in a burnout situation simply because it was handed down to you by society or someone else. Make, better, honest choices. Takes time, errors on the way, but you'll reap dividends, and restful sleep. #Healthxph

Because systems has a life of its own. You can build and optimize one, but no one single person has control over it. I don't intend to anyway so I just go to my next project that interest me. #Healthxph

T2. I realized now that I am this- Builds/innovates>implement/optimizes> teach>handover>leave for next interest. If I'm stuck there, thats burnout for me. #Healthxph

I'll take that compliment. haha. But yes- i do think in systems and work on optimizing it, since HS I think. I'm not intellectually gifted, but I can connect dots, learn and harvest new and parallel skills and apply to my current niche. This is were burnout happen to me. #healthxph

T1. My general guides navigating burnout- 1. Get out of that environ 2. Reflect on the situation by seeking consults - personal advisers, and yourself. 3. Try to find a way of testing if you coming back on such situations will make a realistic impact 4. Back vs. walk away #Healthxph

Next week-tuesday PM to sat PM. Let's meet #Healthxph

T1. I did almost all imaginable but still "sane" efforts to cope with burnout. It's that feeling of "helplessness" that is hard to cope. Fighting a persistently inefficient HC system. #Healthxph

T1. In my last post here remomd.com/the-question... I explained the difference between burnout and moral injury. TBH, differentiation one over the other is quite difficult in our HC system. I think thats the first thing I want to do-differentiate the two first. #Healthxph

Get well Helen! I hope this bug leaves cebu by our MY convention next week! #Healthxph

Hi Steph! Still getting the paywalled link. Anyway, happy to join! What's up #Healthxph

T3. Start with field testing a Minimum Executable/Viable Package, not the whole pack. Reduce intake friction for the use case scenario. Ex, instead of a ten point checklist reduce it to shorter 3 item checklist. get feedback particularly on constraints. #Healthxph

Beta test a Min Executable package first. See how it works and then revise test iterate next. Key is reduce friction for the intake. #Healthxph

Agree. Although needs a lot of HCP training of course. #Healthxph

si BP na nag adapt haha #Healthxph

T2. I don’t know what are current integrated screening protocols are for women but I’m sure since its implementation, feedback monitoring data should be helpful in designing the next step or adress issues. #Healthxph

Yes, something we all have to struggle with in all subspecs of medicine. #Healthxph

That's bad business I suppose. Why would you have the patient comeback paying PFs every time for what could have been a single visit PF? #Healthxph

T1. Clinical- Not all MDs are well oriented to this. Admin- Financial cost and structure/procedural/operations integration. #Healthxph

forever yes. haha. Currently revising my blogs for a more in depth content. #Healthxph

All for everybody's good then. Let's enjoy this! #Healthxph

Real quick yup. Just handed over another leadership post to a new better leader than me hehe. My happy explore rest and recreation season will be starting. #Healthxph

Hi Helen! Happy women's month to all #Healthxph

Thank you @helenvmadamba.bsky.social @jkatzaman.bsky.social @stephaniemiaco.bsky.social #healthxph

One hour up! Appreciate the perspectives here. What stands out is how often system constraints and clinical reasoning are intertwined—not separate. Maybe the challenge isn’t removing constraints entirely, but staying aware of how they shape our thinking. #Healthxph

That’s a useful observation Steph. Do you think that happens more from training, or from repeated exposure to the same constraints? #healthxph

This is a useful way of putting it—especially the part about accountability. It seems like the challenge isn’t just the constraint, but how it shapes our certainty. #healthxph

Well said. In academic training institutions, we have pre and post procedure conference which tackles decision before and after they are made. In private practice however, this is not often required. #Healthxph

Aptly explained Jim. I agree. In healthcare sometimes, due to complexities of constraints, call revisits are relegated acceptance of practicalities. But we have post op, case discussions as venues for revisiting such calls. #Healthxph

T3. This is hard for me. I look forward to your thoughts. I personally think this is worth examining. That's why I think we have M&M in medicine, not blame for the outcomes, but really learn the process, so mistakes can be minimized or avoided. #Healthxph