I'm writing to add some further considerations about burnout and COVID-19 as discussed in the article, “Caring for the Provider Who Cares,” which was published in the May ASA Monitor. The article describes how physician burnout is a condition that develops as a result of frustrations with and personal response to the culture of medicine in which the physician is working. This is a well-known definition... but two things led me to wonder how the pandemic was affecting burnout more than just increasing its rates.

First, our culture of medicine during this pandemic, especially in anesthesiology, is rapidly changing. And second, the clinical challenges we have been facing remind me more of the third world, rather than a first-world health care system. Little is known about burnout presentation in the third-world setting; but having lived and worked in...

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