In the field of medicine, the concept of self-sacrifice is frequently blended with commitment and fidelity; however, this perspective may result in fatigue and complicity within detrimental systems. Burnout gradually sets in, appearing through the neglect of personal relationships and self-care, and is occasionally viewed as noble perseverance through adversity. The ideal of self-neglect in medicine has roots tracing back to the Middle Ages, where doctors were compared to priests and martyrs, silently bearing suffering. The narrative transitioned with the introduction of military terminology, depicting healthcare professionals as being on the “front lines,” experiencing battle fatigue similar to that of soldiers. Icons like Florence Nightingale embodied resilience through illness, reinforcing the belief that authentic healers labor tirelessly.

Healthcare systems capitalize on this mentality, regarding burnout as a fundamental, recognized component of the business model. Physicians who sacrifice personal time are celebrated as team players, fostering a culture where exhaustion is equated with authenticity. An ICU attending came to realize that her valued dependability was akin to conscription, resulting in repeated illnesses. Burnout constricts perspective, leaving the most fatigued doctors incapable of contemplating a step back. The term “pathological altruism” refers to assisting others to one’s own detriment, a prevalent problem in medicine, where rest is underappreciated.

While physicians in certain countries are starting to perceive strikes as a form of care instead of abandonment, U.S. doctors grapple with this, heavily linked to individual heroism. The choice of how to respond to suffering imparts significance, yet neglecting systemic issues is viewed as cowardice. To tackle this, physicians must cease undermining themselves for systems that will not reciprocate. Strikes can reveal that personal sacrifice falls short against systemic neglect.

The initial step may be private resistances such as prioritizing rest over additional shifts, taking earned time off, or declining commitments that serve the institution. These refusals can prove difficult due to deeply rooted beliefs about loyalty and self-worth associated with overwork. Physicians ought to reassess if their existing practices align with a healthy and sustainable lifestyle. Suffering does not equate to respect; a true badge of honor lies in advocating for self-preservation and systemic reform without compromising personal or patient care. This shift in perspective begins with acknowledging burnout as a signal, not a testament to dedication. By doing so, doctors can protect their well-being and continue to make meaningful contributions to their field.