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Prevention with Marjan Bolouri · Lean Out Podcast

• 0:01
  Welcome to the lean out podcast.
• 0:03
  I'm your host, Dr.
• 0:04
  Don baker.
• 0:05
  Are you looking for a new approach to finding authentic and sustainable work-life balance?
• 0:10
  You've come to the right.
• 0:11
  Place.
• 0:11
  For inspiration.
• 0:12
  information.
• 0:13
  and a community.
• 0:14
  community.
• 0:14
  of like-minded.
• 0:15
  Professionals.
• 0:16
  Let's get to the show.
• 0:24
  Hello?
• 0:24
  Hello.
• 0:24
  Thanks for being here.
• 0:27
  As the second season of this podcast continues.
• 0:29
  I really want to express my gratitude to you all for being a part of the lean out community.
• 0:34
  I was just looking at podcast statistics and amazingly, there are over 50 episodes now over 5,000 downloads and listeners in over 700 cities worldwide.
• 0:46
  This is just amazing to me.
• 0:48
  I started a blog back in the early days of my transition from residency to attending hood.
• 0:54
  And I talked about things.
• 0:55
  I learned about stress management, self-care burnout prevention, personal development, and what it's like to be a patient as a physician.
• 1:04
  And honestly, the amount of people I get interacting and listening to these podcast episodes.
• 1:10
  Is orders of magnitude more than years of writing articles.
• 1:14
  It's such a wonderful medium, and I'm really glad you're enjoying the show.
• 1:19
  If you'd like to show support for the podcast, I'd love it.
• 1:22
  If you take a couple minutes to go to iTunes, which is where most people are listening to the show and leave a review.
• 1:28
  When you're on the show page, you scroll down to the end and you will find the leave a review section there.
• 1:35
  Thanks so much for doing that in advance because it helps more people find the show.
• 1:40
  Today, I'm speaking with Marshawn balloon.
• 1:42
  Lurie.
• 1:43
  She's a lovely woman with an exotic name.
• 1:46
  Marshawn contacted me about being on the show, but she said she wasn't sure her work-life balance story was dramatic enough for the podcast.
• 1:53
  There may not be a lot of drama, but I think our conversation will resonate with a lot of you because not everyone wants to have drama in their lives when they're trying to find a better work-life balance.
• 2:04
  Marshawn is a mother, a wife, and a board certified radiologist specializing in breast imaging in Denver.
• 2:11
  Outside of work.
• 2:12
  She enjoys traveling, spending time with her family outdoors and being an advocate for patients and physicians.
• 2:19
  Marjon transitioned from being a partner shareholder with leadership roles in her private practice to a part-time contractor for the same group.
• 2:28
  It was an amicable transition with no drama involved.
• 2:32
  I think you'll find her journey inspiring and interesting.
• 2:35
  On with the conversation.
• 2:40
  MB-Dawn: Marjan Baluri, welcome to the lean out podcast.
• 2:44
  MB-Dawn: Really great to have you here.
• 2:46
  MB-Dawn: Can you tell us a little bit about you, and talk about how your work life balance is unique to those in your profession?
• 2:55
  MB-Marjan: Definitely.
• 2:55
  MB-Marjan: Well, hi Dawn.
• 2:56
  MB-Marjan: Thank you so much for having me.
• 2:58
  MB-Marjan: It's a great podcast and wonderful community you've built here.
• 3:01
  MB-Marjan: I really appreciate you having me.
• 3:04
  MB-Marjan: So I am a radiologist specializing in breast imaging.
• 3:08
  MB-Marjan: I'm also a mom to a four year old and a one year old.
• 3:12
  MB-Marjan: And I'm married to a neuroradiologist who works full time as a partner in a different group in town.
• 3:20
  MB-Marjan: And I've been in my current practice since I finished fellowship about 10 years ago.
• 3:27
  MB-Marjan: I joined on the partner track and was a full time partner and shareholder for about 5 years.
• 3:35
  MB-Marjan: But now, however, I work part time, which for me is 3 days a week.
• 3:41
  MB-Marjan: Currently,
• 3:43
  MB-Dawn: And in those three days, what does your typical work day look like?
• 3:48
  MB-Dawn: How many hours are you working?
• 3:50
  MB-Dawn: And, tell us a little bit about your other days too.
• 3:54
  MB-Marjan: sure.
• 3:54
  MB-Marjan: So my three work days are nine hour shifts, and they are in person because of the nature of breast imaging.
• 4:03
  MB-Marjan: I do procedures and talk to patients.
• 4:06
  MB-Marjan: So yeah, it's about 10 hours of time, including my commute.
• 4:10
  MB-Marjan: And the other two days are sort of my Catch up on life and be a mom days.
• 4:18
  MB-Marjan: As any working parent can relate, fortunately, we have a nanny who helps out with the kids and she works four days a week, which is full time for her.
• 4:30
  MB-Marjan: So one of those days that I'm off, she's working and I'm able to get, you know, all of the administrative stuff of the household done.
• 4:41
  MB-Marjan: And then that fifth day a week, I can sort of focus on my kids.
• 4:46
  MB-Dawn: This sounds like a great balance.
• 4:48
  MB-Dawn: you have these full days at work three days a week.
• 4:51
  MB-Dawn: So that is a nice sweet spot for a lot of people.
• 4:55
  MB-Dawn: And then for two days, You can be a mom and hold all of your other roles, except that you also have some personal time built in.
• 5:03
  MB-Dawn: That sounds really great.
• 5:05
  MB-Dawn: But tell me why it is that you changed to this from that full time, full partner, and leadership type situation that you had before.
• 5:15
  MB-Marjan: Yeah, that's a great question.
• 5:16
  MB-Marjan: So for me personally, it was really a series of smaller decisions over the course of my early career that led to this.
• 5:27
  MB-Marjan: I will say that when I came out of training, the concept of burnout was Already sort of top of mind.
• 5:37
  MB-Marjan: Um, fortunately, 10 years ago, I think consciousness about burnout was already, present and the literature was starting to reflect that.
• 5:51
  MB-Marjan: So I was aware of it.
• 5:52
  MB-Marjan: And I knew that as a radiologist and as a woman in medicine, those were two risk factors for burning out.
• 5:59
  MB-Marjan: But that being said, I still hadn't yet started a family of my own.
• 6:03
  MB-Marjan: So I did.
• 6:04
  MB-Marjan: I just feel like I had the time to commit to that partner track, and really worked hard as an associate the first few years out of training to make partner.
• 6:14
  MB-Marjan: And along the way, there were sort of some red flags that came up for me, tipped me off to not that I was experiencing out burnout, but definitely some of the early symptoms of it.
• 6:35
  MB-Marjan: In particular, there was one incident when I was coming off of a week of night shifts.
• 6:42
  MB-Marjan: So I had worked.
• 6:44
  MB-Marjan: 7 10 hour overnight shifts in a row.
• 6:48
  MB-Marjan: And then that following Monday morning, I was supposed to be at a site leading tumor board and reviewing all of the radiology and imaging for for several patients for an hour.
• 7:00
  MB-Marjan: And I was so exhausted from the night that I had accidentally set my alarm for 7 p.
• 7:07
  MB-Marjan: m.
• 7:08
  MB-Marjan: instead of 7 a.
• 7:08
  MB-Marjan: m.
• 7:09
  MB-Marjan: Completely slept through tumor board, which I'm sure your listeners will relate to being completely uncharacteristic of me as a female physician on the treadmill of success and was totally mortified.
• 7:25
  MB-Marjan: And to me, that was really, a wake up call that, Hey, you know, I might not be showing up in the way that I want to, to best serve my patients and other docs Bye.
• 7:40
  MB-Marjan: sticking to this crazy schedule.
• 7:43
  MB-Marjan: So that was just one example of something that I started to sort of turn the wheels of change in my mind.
• 7:50
  MB-Marjan: And luckily at the time, my practice allowed you to, we had sort of a buy sell market for shifts.
• 7:58
  MB-Marjan: So even though I hadn't yet made full partner, I decided.
• 8:02
  MB-Marjan: I need to do what's best for me.
• 8:06
  MB-Marjan: And I started getting rid of some of the overnight shifts and weekend shifts, by giving them to partners who wanted to take them for pay.
• 8:15
  MB-Marjan: And so that was one example of, a way I started to mitigate burnout early on.
• 8:23
  MB-Marjan: I made some similar decisions, like that regarding my schedule over the next few years until I had my first Child who was born at the height of the pandemic in May of 2020, and I came back to work that fall, trying to maintain a full partner schedule and realizing So, no amount of getting rid of onerous shifts was going to give me the work life balance that I needed to, to survive.
• 9:00
  MB-Marjan: So fortunately I was able to work with my practice and come up with, uh, this part time contract solution.
• 9:09
  MB-Dawn: I have so many people come to me, seeking coaching and just advice, and sometimes they just don't really know what they want.
• 9:18
  MB-Dawn: So at that time, when you have that happen, and your first kid is there, and you're leading this unsustainable, work lifestyle.
• 9:28
  MB-Dawn: What did you say to yourself, like, I need something?
• 9:32
  MB-Dawn: Like how did you decide what you needed to do?
• 9:36
  MB-Marjan: Yes, it was really the answer to that question was I need time.
• 9:40
  MB-Marjan: I need space in my life.
• 9:43
  MB-Marjan: I mean, we'd reach Friday evenings, especially as a two physician household, and we'd be out of groceries, out of formula, out of diapers.
• 9:54
  MB-Marjan: I mean, just, it was, you know, It was just not sustainable for me.
• 10:00
  MB-Marjan: Um, we don't have a lot of local, robust support.
• 10:06
  MB-Marjan: We live in a location where this is not where I'm from.
• 10:11
  MB-Marjan: So, so yeah, I really said I need some space.
• 10:16
  MB-Marjan: And at the time, my group didn't have a part time solution with the schedule that I have now.
• 10:25
  MB-Marjan: So, as much as it pained me, I had to start looking at other options.
• 10:33
  MB-Marjan: But fortunately, I had developed a good enough relationship with some of the other leaders in my group that once they heard I was in need of a change, they felt comfortable coming to me and working together with me to come up with this solution, which I'm really grateful for.
• 10:55
  MB-Dawn: Hmm.
• 10:56
  MB-Dawn: So how did this look?
• 10:57
  MB-Dawn: Did you basically, you said I, I needed to find some alternatives.
• 11:01
  MB-Dawn: So like, did you start looking for other jobs, like at other places or something?
• 11:06
  MB-Dawn: Okay.
• 11:07
  MB-Dawn: And then they got wind of this and they came to you and said, let's try to work something out.
• 11:13
  MB-Marjan: Yes.
• 11:14
  MB-Marjan: Yes.
• 11:14
  MB-Marjan: Yes.
• 11:15
  MB-Dawn: Oh, that's great.
• 11:16
  MB-Marjan: Which it, I think, really speaks to the value of Maintaining friendships with the people you work with to the extent that you can and staying on top of the symptoms of burnout so that you don't reach a point where you just say enough is enough and burn everything down to the ground.
• 11:38
  MB-Marjan: So I'm really glad that I was able to make these series of changes to prevent myself from getting to that position.
• 11:46
  MB-Dawn: Yeah, that's wonderful.
• 11:48
  MB-Dawn: So many people get to that point and, you know, a lot of the reasons that I do this podcast and have written the book that I do is that you don't have to get to a point where you got a full blown health crisis like I did, or you have something happening, you know, your, your intimate relationship or some sort of major life event that makes it so that you wake up and you say, okay, now I need to really make a change and it's imperative that I do it.
• 12:13
  MB-Dawn: in the moment.
• 12:14
  MB-Dawn: This sounds like was a little bit more gradual and it was pretty cordial within your group.
• 12:20
  MB-Dawn: Was there any sort of pushback at all or any sort of like obstacles that you came up against?
• 12:27
  MB-Dawn: Well, like any change in an employment status, there's a back and forth in terms of negotiations.
• 12:34
  MB-Dawn: Um, but yeah, those for the most part stayed very cordial.
• 12:38
  MB-Dawn: I made sure to educate myself a little bit on contract negotiation and things like that before I went into this.
• 12:45
  MB-Dawn: And so, yeah, we, we stay friendly and cordial, in terms of pushback, there are always going to be naysayers and, there were definitely people in the group and elsewhere in my life who thought this was going to be a bad idea, um, but most of them see now how it's actually made my life better.
• 13:09
  MB-Dawn: Mm hmm.
• 13:11
  MB-Dawn: When you get that kind of obstruction from people, how do you deal with it?
• 13:17
  MB-Marjan: By just staying true to myself, fortunately, I, my conviction was strong enough that I was able to just take that feedback and file it away.
• 13:35
  MB-Dawn: Yeah.
• 13:36
  MB-Dawn: So, it sounds like that's been a more difficult part of this process.
• 13:42
  MB-Dawn: Is there anything else that's been hard for you with this change in your identity as a radiologist?
• 13:52
  MB-Marjan: I definitely suffered from imposter syndrome when I made the change.
• 13:58
  MB-Marjan: I remember vividly the first day that I showed up to work.
• 14:02
  MB-Marjan: Officially as a part time radiologist and just just feeling like I was wearing a scarlet letter or, you know, had a target on my back and, and in retrospect, it's I can laugh about it now because it took a while, but now I see that it actually has made me a better physician and a better radiologist because I can show up to work more refreshed.
• 14:30
  MB-Marjan: And with.
• 14:32
  MB-Marjan: Everything else in my life, having been taken care of, but I definitely experienced that imposter syndrome, which is very common, I think, in that time.
• 14:45
  MB-Dawn: Yeah, it's interesting that you bring that up because I think that when there's a new or a change in roles, it doesn't matter if you're taking something on or something that is a brand new skill or if you're stepping back.
• 15:02
  MB-Dawn: It's still a change in role and so you can experience imposter syndrome in both situations.
• 15:07
  MB-Dawn: It doesn't have to be like, oh, all of a sudden I have this new role with a skill that I don't really know that much about or I'm taking on a new procedure that I'm learning or something like that.
• 15:17
  MB-Dawn: It can really be any sort of change.
• 15:19
  MB-Dawn: And so that's a really good example And I think a lot of us suffer from imposter syndrome with just changes.
• 15:27
  MB-Marjan: Yeah, I think just as a physician, it felt so heavy looking at the Q agenda schedule and seeing my, my label, my status change.
• 15:40
  MB-Marjan: It felt like such a big deal to me at the time.
• 15:44
  MB-Marjan: Like, oh, are the patients going to know that they're seeing a part time doctor today and not a full time doctor.
• 15:52
  MB-Marjan: But.
• 15:54
  MB-Marjan: I just stuck with it and over the course of the first several months to maybe a year or so, um, evolved to the point where I realized it was actually a good thing.
• 16:07
  MB-Dawn: Yeah.
• 16:08
  MB-Dawn: So you said that this change has made you a better person and a better radiologist, in your opinion.
• 16:14
  MB-Dawn: What do you really like about your work life balance?
• 16:18
  MB-Marjan: I really appreciate that I'm able to really show up to whatever I'm doing that day.
• 16:26
  MB-Marjan: So whether it's a work day, I can show up completely and I'm, not distracted by the other life stuff.
• 16:36
  MB-Marjan: And on my days when I'm not working as a radiologist, I can really show up for my family or for my friends and my other commitments.
• 16:46
  MB-Marjan: And it's also freed some time in my schedule to do other hobbies that I wouldn't otherwise have time to do.
• 16:58
  MB-Marjan: Like I, I have a social media presence now that really is a nice creative outlet and a way for me to do outreach and advocacy on a little bit larger scale than I could when I was working full time.
• 17:14
  MB-Dawn: Tell me a little bit more about that.
• 17:16
  MB-Dawn: What kind of outreach and advocacy are you doing?
• 17:20
  MB-Marjan: Well, it's a small presence on Instagram.
• 17:23
  MB-Marjan: My account is The mammo doc, and I'm able to use it as a creative outlet to put out videos and content to try to educate women about the importance of breast cancer screening also, a little bit of burnout awareness, talking about work life balance, things like that.
• 17:46
  MB-Marjan: But it's been terrific because I'm able to answer questions from women from all over the world.
• 17:53
  MB-Marjan: And it's.
• 17:55
  MB-Marjan: It's just really met a personal desire that I've had
• 18:02
  MB-Dawn: If it's bringing you fulfillment and it's filling something in your life that wasn't there before, that's adding to your work life balance in a beneficial way, then I think it's great.
• 18:14
  MB-Dawn: So, thank you for telling us about that and for doing it.
• 18:18
  MB-Dawn: How have you navigated any sort of periods of uncertainty with this change?
• 18:24
  MB-Dawn: Has this made any sort of an impact on your relationship, family finances, or anything like that, that has been difficult to deal with?
• 18:34
  MB-Marjan: I haven't had to deal with too much financial uncertainty and I will say, coming from a two physician household.
• 18:45
  MB-Marjan: I'm fortunate in that case.
• 18:47
  MB-Marjan: Also, early on as an attending, a colleague had turned me on to the white coat investor.
• 18:55
  MB-Marjan: And I know, you know, Dr.
• 18:57
  MB-Marjan: Dolly as well.
• 18:59
  MB-Marjan: And so I had sort of espoused his advice and when it comes to personal finance and not allowed my lifestyle to expand too much to fit traditional expectations of an attending physician, which is in and of itself, an example of leaning out, um, maintaining
• 19:22
  MB-Dawn: Absolutely.
• 19:24
  MB-Marjan: modest lifestyle when, when you have the alternative available to you.
• 19:29
  MB-Marjan: So that financial piece really helped give me that buffer to give me the confidence.
• 19:36
  MB-Marjan: to make that change that I needed to.
• 19:40
  MB-Marjan: In terms of my husband, it did take him a little bit more time to come around to the idea of me working less than full time, just because he knew how important my career is to me.
• 19:54
  MB-Marjan: But after seeing me in that role for the first few weeks, once I went part time, he he came around completely because he saw what a difference it made.
• 20:06
  MB-Dawn: I'm really happy to hear that.
• 20:08
  MB-Dawn: Is there anything that you know now that you wish you knew when you were starting out in radiology and going for that partnership track, doing everything you could to get there as fast as you could?
• 20:22
  MB-Dawn: It sounds like you had some awareness from the get go, as you mentioned, of the potential for burnout, but is there anything else that.
• 20:30
  MB-Dawn: You know, now that you wish you knew
• 20:33
  MB-Marjan: Honestly, I don't regret taking the partnership track position and becoming a partner.
• 20:40
  MB-Marjan: Those first few years really did make me a very strong radiologist and built my confidence in terms of knowing that I could really do anything when it came to being a radiologist.
• 20:53
  MB-Marjan: And I also formed some very valuable friendships with some of my colleagues along that way that have served me well in this transition to part time.
• 21:04
  MB-Marjan: But I do wish that somewhere along the way there were more education about there's no one right way to Live out your career.
• 21:16
  MB-Marjan: You know, I think being on this treadmill of success since the time we were teenagers, there's this this well laid out map of get into the best college you can go to medical school.
• 21:31
  MB-Marjan: Rank your top residency programs, you know, excel, excel, excel.
• 21:36
  MB-Marjan: And then once you come out as an attending, it's just not so cut and dry.
• 21:42
  MB-Marjan: And I think we can easily just automatically assume we need to just keep doing whatever it takes, but, it would be nice to be exposed to ways of balancing work and life along the way.
• 21:58
  MB-Dawn: early on.
• 21:59
  MB-Dawn: Yeah.
• 22:00
  MB-Dawn: Yeah, I agree.
• 22:01
  MB-Dawn: And that's why I hope that people who are in medical training are listening to this podcast and reading articles and reading things like my book because they show that you have options.
• 22:13
  MB-Dawn: And yeah, you're right.
• 22:14
  MB-Dawn: You don't have to.
• 22:16
  MB-Dawn: Go straight from the get go into something unusual.
• 22:20
  MB-Dawn: You can start out in the traditional path, but just know that their traditional path is not the end point.
• 22:27
  MB-Dawn: And a lot of people get to that place where they get their attending job and they think it's the job that they always should have been wanting.
• 22:32
  MB-Dawn: And then they're like, wait a minute.
• 22:34
  MB-Dawn: I'm not so sure that this is right for me.
• 22:37
  MB-Dawn: And then they feel stuck.
• 22:39
  MB-Dawn: And so I think that's the big message, is like, you aren't stuck.
• 22:43
  MB-Dawn: And knowing something earlier, yeah, it would be great.
• 22:46
  MB-Dawn: I love that you said you have no regrets, though.
• 22:48
  MB-Dawn: I think that, uh, there's a time and a place to hustle.
• 22:53
  MB-Dawn: And to do the hard work to gain the confidence, gain the skills and also the network that you had and it sounds like it really did pay off for you in this group so that's really great.
• 23:06
  MB-Marjan: The other piece to that, that I will say is you never know what you're going to want in the future too.
• 23:12
  MB-Marjan: I mean, there may come a point in my life.
• 23:15
  MB-Marjan: five, 10, 15 years down the road when I want to work more and go back.
• 23:22
  MB-Marjan: So I think it's important to remember that life is long, your career can potentially be long.
• 23:30
  MB-Marjan: And we put a lot of time into training to do what we do.
• 23:36
  MB-Marjan: And for most of us, it's the highest yield way we can spend our time.
• 23:43
  MB-Marjan: So again, not to burn any bridges and to just Keep that in mind.
• 23:48
  MB-Marjan: No decision is irreversible and you don't know what you might want in the future.
• 23:54
  MB-Dawn: absolutely.
• 23:55
  MB-Dawn: I totally agree with that.
• 23:58
  MB-Dawn: This has been a really great conversation.
• 24:01
  MB-Dawn: Um, is there any last advice that you'd like to give women who are feeling burnt out, overwhelmed and stuck on the treadmill of achievement?
• 24:11
  MB-Marjan: First of all, I would say, don't make any rash decisions, um, recognize that you might be burned out and start to educate yourself.
• 24:22
  MB-Marjan: And then secondly, a piece of advice that I got early on an exercise that I did that was really valuable is.
• 24:33
  MB-Marjan: Make a Venn diagram of your current job or situation and your ideal job and see where they overlap.
• 24:44
  MB-Marjan: And you might actually surprise yourself with how much overlap there is between your current situation and your ideal one.
• 24:53
  MB-Marjan: And I think that can be a helpful practice for just knowing whether you need to make a complete change or whether you can actually work with what you're dealing with.
• 25:03
  MB-Marjan: And in my case, it was the latter.
• 25:06
  MB-Dawn: That is super helpful.
• 25:08
  MB-Dawn: I am definitely going to steal that because I often have my coaching clients do a visualization of their ideal workday.
• 25:16
  MB-Dawn: And also maybe a day that they're not working, and it can be a weekend or a weekday.
• 25:20
  MB-Dawn: But I really like this idea of a Venn diagram because sometimes what you have is very close to what you want, but you just don't really realize it, and that's an easy way to figure out what to fix, so thank you for that.
• 25:35
  MB-Dawn: So where can people find you?
• 25:37
  MB-Dawn: You mentioned the Mamo doc.
• 25:38
  MB-Dawn: Is there anywhere else that you'd like to point people to?
• 25:43
  MB-Marjan: No, that's my only social presence and I'm happy to connect with fellow professionals there.
• 25:51
  MB-Marjan: So please don't hesitate to reach out to me.
• 25:54
  MB-Dawn: Wonderful.
• 25:55
  MB-Dawn: Marjan, thank you so much for being on the podcast.
• 25:58
  MB-Dawn: Really appreciated our conversation.
• 26:01
  MB-Marjan: It was my pleasure.
• 26:01
  MB-Marjan: Thank you for having me Dawn.
• 26:04
  Thanks for listening to the lean out podcast.
• 26:07
  If you find these conversations inspiring and useful, please forward them to a friend and also leave a review on iTunes or Spotify so that other people can find them easier.
• 26:19
  If you want to get in touch with me, you can find me at my website, practice balanced.com, where you can subscribe to my newsletter and get updates regularly about new podcast episodes, blog posts, speaking, engagements, and coaching services.
• 26:36
  You can also support my work by buying my book, lean out a professional woman's guide to finding authentic work-life balance for yourself, a friend, family member, or coworker.
• 26:48
  Have a great day and we'll see you Do you see why I titled this episode prevention.
• 26:56
  Marjon exercise prevention of burnout by demonstrating self-awareness to notice and catch her budding burnout symptoms before it was too late.
• 27:04
  She also prevented the burning of bridges within her workplace by continuing to foster relationships in the early part of her career.
• 27:11
  And now, after leaning out, she's added a fulfilling role to her work-life balance.
• 27:16
  Educating patients on cancer prevention and other health issues.
• 27:21
  Here are my takeaways from our conversation.
• 27:24
  Number one.
• 27:26
  There is a time and a place for the hustle.
• 27:28
  For instance, when you're at the height of training in your profession, like during residency or fellowship, you do need to put in quite a bit of work, say yes to everything you're asked to do and spend as much time as you can learning.
• 27:41
  But continue to be mindful.
• 27:43
  This is where building a solid base of self knowledge is so important.
• 27:47
  Know yourself and watch for signs of burnout.
• 27:50
  Burnout is a triad of exhaustion, depersonalization, and cynicism, and a feeling of reduced efficacy.
• 27:59
  So the kind of things that you might be feeling, if you're on the continuum of burnout is physically and mentally drained, lacking energy, struggling to complete daily tasks, feeling cynical about your work detached from your tasks at work colleagues and maybe having a sense of hopelessness.
• 28:21
  You also may feel like you're lacking confidence in your ability and a sense of decreased productivity and performance.
• 28:28
  Marshawn set a great example of this by catching early signs in herself and setting in motion, a change in her work-life balance.
• 28:38
  Number two.
• 28:39
  Fostering your relationships at work will benefit you.
• 28:42
  Well, if you choose to lean out.
• 28:44
  This goes for relationships with coworkers, but also with staff, patients, clients, trainees, or anyone you might work with.
• 28:53
  Having a reputation of integrity and doing good work goes very far.
• 28:57
  Marshawn had the full support of her group when she decided she wanted a different work schedule, but she didn't even know she had that support at first and she looked elsewhere for other jobs, number three.
• 29:10
  When you're not overwhelmed and spread so thin.
• 29:13
  You're a better parent, spouse and professional.
• 29:16
  Marsha knows this because she now has time for a creative calling to educate patients on breast health, cancer prevention, burnout, and other medical issues.
• 29:26
  She and her family know that she's more effective in all her roles.
• 29:30
  Now that she's adjusted her work-life balance.
• 29:33
  I hope you enjoyed this conversation today.
• 29:36
  My parting question to you is where are you right now on the continuum of burnout.
• 29:42
  What single step can you take to start reversing your symptoms?
• 29:47
  Thanks for listening to the lean out podcast.
• 29:50
  If you find these conversations inspiring and useful, please forward them to a friend and also leave a review on iTunes or Spotify so that other people can find them easier.
• 30:02
  If you want to get in touch with me, you can find me at my website, practice balanced.com, where you can subscribe to my newsletter and get updates regularly about new podcast episodes, blog posts, speaking, engagements, and coaching services.
• 30:18
  You can also support my work by buying my book, lean out a professional woman's guide to finding authentic work-life balance for yourself, a friend, family member, or coworker.
• 30:31
  Have a great day and we'll see you