Better Physician Life coaching

Running on Fumes: Why Capable People Miss the Warning Signs of Burnout | Ep55

How do highly capable people become deeply depleted without realizing it?

In this episode of Better Physician Life, Dr. Michael Hersh welcomes back Dr. Kemia Sarraf for the third installment of their four-part leadership series. Together, they unpack one of Lodestar's most impactful teaching tools: the Reservoir Model.

Using the metaphor of a reservoir, Dr. Sarraf explains how capacity, resilience, energy, rest, and depletion interact in our daily lives. She challenges traditional approaches to resilience that focus solely on doing more and instead encourages listeners to examine what is draining them, what replenishes them, and how they can become more intentional about protecting their energy.

The conversation explores why rest is not a reward but a biological necessity, how spillways silently drain our capacity, the importance of identifying supportive “spotters” in our lives, and why striving for perfect balance often creates more frustration than fulfillment. Through practical examples and leadership insights, Dr. Sarraf offers a compassionate framework for helping physicians and other professionals show up fully for the people and work they care about most.

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About the Show:

Created for physicians who want more than clinical competence, Better Physician Life is a space for honest reflection, reinvention, and reclaiming purpose beyond the pager.

Hosted by Dr. Michael Hersh, each episode dives into the questions we didn’t learn to ask in training, offering tools and conversations to help you live and lead with intention.

Top 3 Takeaways: 

  1. Audit Your Spillways: Identify the activities, habits, and commitments that continually drain your energy. Rather than eliminating everything, experiment with turning down or closing spillways that no longer serve you.

  2. Treat Rest as a Requirement: Rest is not something to be earned after completing endless tasks. Like the heart's preload phase, rest is essential for restoring capacity and sustaining meaningful work.
  3. Listen to Your Spotters: Trusted family members, friends, and colleagues often notice depletion before we do. Learning to hear their feedback as helpful data rather than criticism can prevent burnout and preserve well-being.

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If you've found yourself saying, "I'll rest after I finish this," you're not alone.  

Many physicians have spent years treating rest like something they have to earn. The problem is that medicine rarely gives you a clean stopping point. There's almost always another chart, another message, another patient, or another responsibility waiting.

Sometimes it helps to talk through those patterns with another physician. Physician coaching gives you dedicated time to look at what's keeping you working longer than you want to, what's making it difficult to step away, and what small changes might make your work feel more sustainable over the long term. If you'd like to have that conversation, use the link below to schedule a call with me. 

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