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The Holiday Lists That Burn Doctors Out

by Ben Reinking
Dec 12, 2025
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You've heard the song lyrics. "He knows when you are sleeping. He knows when you're awake. He knows if you've been bad or good so be good for goodness sake."

 Every holiday season comes with lists.

The naughty list. The nice list. The grocery list. 

And for physicians? The most exhausting one of all: the should list.

  • I should pick up the extra shift.
  • I should host the office party
  • I should keep everyone happy.
  • I should be grateful and not feel this tired.

 

The problem isn’t that you care.

It’s that the “should list” quietly turns care into obligation, and obligation into burnout.

This season, the real work isn’t being nicer or doing more. It’s deciding what you care about.

Read More Here 


 

Burnout doesn’t come from working hard alone.

It comes from working hard without agency

 


 

Coach's Corner

  

The Holiday List Reset (5 minutes)

Grab a pen and spend some time answering the following questions:

  1. What’s one item currently on your “should list” that feels heavy rather than meaningful?
  2. Who put it there? You, or expectations you absorbed?
  3. If you removed it, what would you gain: rest, presence, relief, joy? What would it cost you?

 

Now ask yourself the question most physicians skip:

Is keeping this on my list actually aligned with who I want to be this season?

You don’t need permission to choose differently. You need practice remembering that you can.


If this resonates, it’s not accidental.

This is exactly the kind of pattern we unpack in Mastery & Wellness: How to Thrive as a Physician.

Not platitudes. Not toxic positivity. Simple, real tools to reclaim agency, set boundaries, and finding meaining, especially during high-pressure seasons.

 

Get the Course Here 

 

This holiday, you don’t need a better list.

You need fewer “shoulds” and more choice.

 

Ben

 

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The only holiday named after work
Tomorrow is Labor Day, and somebody I work with is spending it in the hospital. That is the part of a holiday also seem a little ironic. Most people get a Monday off. A hospital, and plenty of other service industries, get a coverage problem that was solved months ago in a spreadsheet by. The reason you have tomorrow off is that a colleague does not. I have worked plenty of holiday. Working the...
I've gotten good at overriding them
It is 7:30 on a Tuesday morning. Someone at home sick, or a pipe burst, or the tire is flat. It doesn't much matter which one it is. Each is one of modern life's inconveniences that cannot be ignored, and they arrive at 7:02 in morning when you have a full clinic ahead of you. You could cancel. You could ask for coverage. You already know there is no real backup system for that. Ignore the thin...
No one loses summer all at once
I love this time of year. Living in a college town, there's a hum of excitement as students return. On Friday I helped cloak the M1s at the white coat ceremony put their white coats on them. They start medical school on Monday. The garden is mature and cranking out cucumbers, peppers, and zucchini faster than we can eat them. The tomatoes, unfortunately, did not do well this year, so it looks l...

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