Updated: Mar 16
By: Dr. Tomi Mitchell
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In this episode, I, your host, Dr. Tomi Mitchell, had the pleasure of interviewing the beautiful Amy Felix
About our Guest
Amy Felix is a Nurse Leader, Public Speaker, Thought Leader, and a Pediatric Nurse Practitioner. With over 17 years of nursing experience, Amy has worked in high paced pediatric critical care, emergency care, and ambulatory settings which have allowed her to work on projects to improve the quality of care of behavioral health patients in acute care settings, development of a treatment program for patients with chronic disorders, and increase patient access to their electronic health record. In her role as a nurse leader, she currently manages over 40 direct reports and leads enterprise workstreams on professional development and flexible staffing models. Her current passion lies in assessing burnout in Advanced Practice Providers and in developing a culture of wellness for health care providers in the hospital setting.
Amy Felix, Dr. Tomi Mitchell
Dr. Tomi Mitchell 00:08
Hello everyone, this is your host Dr. Tomi Mitchell from the Mental Health and Wellness Show. Today I have the pleasure of introducing Amy Felix. She is a nurse leader, public speaker, thought leader and a pediatric nurse practitioner. With over 17 years of nursing experience, Amy has worked in high pace pediatric critical care, emergency care and ambulatory settings, which has allowed her to work on projects to improve the quality of care of behavioral health patients in acute care settings development of a treatment program for patients with chronic disorders and increase patient access to the electronic health records. In her role as a nurse leader. She currently manages over 40 direct reports and leads enterprise workstreams on professional development and flexible staffing models. Her current passion lies in assessing burnout and advanced practice providers and to developing a culture of wellness for healthcare providers in the hospital setting. Amy, I suppose to say thank you, you know, a couple things about you that resonated with me that well, number one, you are a pediatric nurse practitioner, I love kids.
Amy Felix 01:18
Dr. Tomi Mitchell 01:19
I initially went to family practice and that's also part of the reason I diverse away from it. But anyway, long story. And I am a healthcare provider that is my first career.
Amy Felix 01:32
Dr. Tomi Mitchell 01:33
You know, started in early 2000s going into medical school.
Amy Felix 01:37
Oh, yeah. Oh, yeah.
Dr. Tomi Mitchell 01:39
You can take it lid into your grip.
Amy Felix 01:43
Dr. Tomi Mitchell 01:44
Uh huh. And then a hospital setting, which I'm all too familiar with. And you're a woman's too of those sisters. This is great.
Amy Felix 01:51
Dr. Tomi Mitchell 01:51
So, ah do you mind sharing a little bit about yourself to the reader so they can catch your essence?
Amy Felix 01:56
Oh, absolutely. So first of all, Dr. Tony, thank you so much for having me on this. As I was telling you earlier, it's my first podcast. But I'm super excited to be here to just kind of talk about my current passion. So as you're alluded to, I am a pediatric nurse practitioner by trade. I've been in the nursing field for over 17 years with just various interests, I can always say that I truly love being a nurse and kind of shared those passions that you or the sentiments you alluded to, by jumping into it in the 2000s and just riveting ready to go. And you know, over the course of my career, there have been moments where I'm like, Wow, I'm tired. Wow, I'm a little more exhausted. Wow, I think I want to do something different. And never really being able to quantify what that meant. Did it mean I just needed to find another job? Did I need to find another specialty that I need to work somewhere else? And have come to this point where now I realize wellness is super important for clinicians, as we are providers naturally, and we're always taking care of others. But how do we care for ourselves so that we can continue to do the work that we do.
Dr. Tomi Mitchell 02:59
Exactly? How do we take care of ourselves? I don't know about you, but I've noticed a lot of care providers, and I am one and I'm guilty. So I'm not pointing fingers and I'm not pointing like I'm pointing fingers like other than myself, I was not taking care of myself. Like I wasn't like, you know, doing drugs and getting wasted and doing all that stuff. But I wasn't doing I wasn't exercising. I wasn't meditating. I wasn't having quality time. I wasn't making my health my number one priority, because I was too busy, either studying, studying, studying. And then when I got into my residency, it's like seeing patients and patients and patients and patients and private practice. Well, let's see more patients. You got to run your business, you got to do paperwork.
Amy Felix 03:41
Dr. Tomi Mitchell 03:41
There's so many records you have to go through. Right?
Amy Felix 03:44
Dr. Tomi Mitchell 03:45
Amy Felix 03:45
It is overwhelming. And I don't think we bring it to attention and that I think people see it as the norm. And that's the piece that I feel like I'm ready to kind of shake up within the nursing field little by little because I don't think it's normal. When I worked in the ICU, my first job was in a pediatric ICU with 54 beds and took care of the sickest of the sickest patients. And our running joke was, we didn't use the bathroom all day. How is that funny, right? For that was a critical joke and so we have bladder scanners. And at the end of the shift, we would see who could hold the most urine. So yeah, it was nursing humor, but when I thought about it was like my poor bladder.
Dr. Tomi Mitchell 04:21
Amy Felix 04:21
I did not use that in 12 hours. That is not normal.
Dr. Tomi Mitchell 04:24
I did that too. Like I haven't thought about this in years. But yeah, that was a joke. That's like, you know, it was like, Oh, we have a bladder infection now, like, we're gonna explode like it was just the norm. Then we didn't know that for kids before I had kids was easy to hold my bladder. Oh, yeah.
Amy Felix 04:40
Right. So when I look at those things as we take us like health care providers, like Oh, that's okay. Like we didn't use a bathroom for a day or we didn't eat lunch.
Dr. Tomi Mitchell 04:49
Amy Felix 04:49
And I'm starving at the end of an overnight shift for a day shift. Wait a minute, but we're caring for people and we're telling them to practice optimal health but I'm not doing the same for ourselves. A little contradictory.
Dr. Tomi Mitchell 05:01
What do you mean? Like we're supposed to be like superheroes like, healthcare writers are not human? We are like, machines, robots need to be there when the patient needs us at 2 in the morning, at six in the morning, we don't have families. I mean, what are you talking about?
Amy Felix 05:16
Well, that's the piece and the conception that I want to break up. I mean, the idea that you know, and this healthcare system we live in, in the US, it truly is like, get access to care anytime you can reach a provider at any time. I've worked in different, oh, yeah. I've been, I've worked in roles where I've been on call at 2 am, or you know, 3pm or on a weekend or the holiday right. And so I think that's one of the good things when we think about the US healthcare system, but the downfall is its providers. And you know, we're seeing that now is headline after headline is talking about what is going on, post the pandemic and how be it's affecting healthcare providers.
Dr. Tomi Mitchell 05:55
100% And you know, what, if this pandemic I called the burnout pandemic, or mental health crisis started long before the pandemic, y'all anyone is listening. I'm like, No, I've been annoyed is, very annoyed. Felt very taking for granted, the system is crazy, like, it's not worth the pay on your body mentally, physically, something has to change, accountability needs to change what's happening. Hello, we read all these things, these principles that gold standards at work, why aren't applying what we know as a system? Hello? Anyone listening?
Amy Felix 06:31
Exactly. And I say, say hello again? Can you hear me?
Dr. Tomi Mitchell 06:36
Pilots can't fly for 24 hours, 36 hours, 72 hours. Why are we supposed to fly for weeks, months on end? Some of us just asking for a friend.
Amy Felix 06:45
Dr. Tomi Mitchell 06:48
Amy Felix 06:48
And I mean, I think you mentioned something that, this is been going on for decades and years, it's almost like this is the expectation.
Dr. Tomi Mitchell 06:55
Amy Felix 06:56
Is it brought it to light. It's not because of COVID.
Dr. Tomi Mitchell 06:58
Amy Felix 06:58
COVID just highlighted it more.
Dr. Tomi Mitchell 07:00
Thank you Amy, COVID brought this and a whole lot of other have some light. It's nothing. It's not COVID, it was there before.
Amy Felix 07:07
Dr. Tomi Mitchell 07:08
Uh huh. Because now they're running to the hospital because they now they really need us.
Amy Felix 07:12
Dr. Tomi Mitchell 07:13
Wow. So what's the solution? Like, where do we go? Because I think it's very clear that I get this burnout, this thing is real. And it's in our healthcare structures, whether physicians, nurses, PA, whatever, we glorify working hard, long hours, and being up all night and rounding on 20 patients at once. And intubating three people a month. So what do we do?
Amy Felix 07:41
So I honestly think the solution is multifaceted. And there are multiple components to it. The first one is it starts from a hospital practice area culture, a hospital can define the culture of its employees. They have the power.
Dr. Tomi Mitchell 07:55
BINGO! Sorry, I just I just couldn't help myself. It starts number one for all you leaders out there you define the culture. Yeah.
Amy Felix 08:05
You define the concern.
Dr. Tomi Mitchell 08:06
So, hey, sorry, it's my inside voice coming out. I'm excited. Okay, go ahead.
Amy Felix 08:11
Right. And so I think, you know, as part of my leadership, and when I started in my role, it was apparent to me my team was burned out. I did a survey, but I didn't need the survey results in order to see that. And so what were the changes that I could actually make to impact their wellness, right? Is it the way that we did our shift times, it's the expectations of responses from emails, just because I may be working at nine o'clock on a Friday night, do I need to send you that email for you to feel like you need to respond. It's those simple little things that can shift the mindset of how we work. And so I say from a hospital standpoint, if there's a cultural shift from hospital and leadership that can impact the well being of an entire team, a unit, a department,
Dr. Tomi Mitchell 08:51
Amy Felix 08:52
It's my primary reason.
Dr. Tomi Mitchell 08:54
Yeah, okay, so you're saying we should start from top, I'm assuming go down.
Amy Felix 08:58
We are starting from the top. So you talk about hospital. And then leaders have to determine how they function as leaders. I think COVID taught me a lot of things about my leadership and things that I had to learn about myself and how I wanted to take care of myself in order to effectively lead a team. And as leaders or managers or supervisors, again, we can affect that change by leading by example, right? Setting realistic expectations for team members. And then third, I think there is some individual accountability or component to it where you have to determine what does wellness look like for you, you may be watching me do yoga or meditating and say, that's crazy, that's not for me, but you enjoy doing hikes in the park or hanging out with your friends, whatever it is that makes you feel well, that brings you joy things and decide to actually do them rather than just saying I'm too busy because I'm always working.
Dr. Tomi Mitchell 09:46
Exactly. And I like how you put that bare of it. The individual accountability piece that we actually have to do something like we have to exercise do something we enjoy you mean have hobbies? Is that what you're saying? I mean like?
Amy Felix 09:59
No idea of like hobbies, like you can do something. Isn't that cool?
Dr. Tomi Mitchell 10:04
Does it mean, does that but it's running for our code count as a hobby. You know, there is a.
Amy Felix 10:07
Dr. Tomi Mitchell 10:08
No? Oh okay. Sassy to my friend.
Amy Felix 10:10
No, none. Running two codes do not count.
Dr. Tomi Mitchell 10:16
That was enough exercise.
Amy Felix 10:17
Yeah, it's only, I think as all as clinicians, we all get a lot of steps in so those some things don't come on hobby.
Dr. Tomi Mitchell 10:23
Yeah, and you know, we get we say we get lot of steps. But uh, how come it doesn't necessarily show in a lot of it? I'm just, you know again it was asking as a friend.
Amy Felix 10:33
Because we don't have healthy eating habits, of course. I mean, if you're, if you're not eating all day, and you're eating one meal, and it's probably everything you can find at whatever hour, I mean, you know it's postponed. It's right. You should know this because we're healthcare providers. But maybe it only applies to our patients and not to the actual people.
Dr. Tomi Mitchell 10:52
I thought, yeah, I thought it was just one way giving them their diabetic counts that we tell them to exercise and have a low salt diet.
Amy Felix 10:59
Dr. Tomi Mitchell 11:00
Ahh, so advise us to.
Amy Felix 11:01
Yes. It does.
Dr. Tomi Mitchell 11:02
Oh, why? Why is that important?
Amy Felix 11:04
I mean, if we think about what we've learned in rowers, nutrition classes and anatomy, clearly, clearly, we need to make sure that we are providing the appropriate nutrients for a buyer to function at this highest level, my running joke in my seconds in my first running joke that, my running joke was that around noon, we'd be in the middle of clinic session, and they could see my energy start just drifting, and get really snappy. And my medical system would always come to me say, Do you want a piece of chocolate? I was like, No, I'm okay. She's like, No, you needed the chocolate right? Oh, I am I have definitely diagnosed myself that I get hungry I got allergy thats why I always have snack.
Dr. Tomi Mitchell 11:47
Amy Felix 11:47
But even so just the functioning level, right? Like, you must realize that when you're depleting your body, whether it's through hydration or nutrition, right, is your mind functioning at the best capacity? And if it's not, what does that translate to into how you provide patient care?
Dr. Tomi Mitchell 12:01
So probably wouldn't be a good idea to go on to a surgery when hungry, you know what I'm saying I'm making decision when hungry.
Amy Felix 12:07
Wouldn't be good. It wouldn't be good for me. But you know, I would individually credibility, you may want to reassess it. That's your norm.
Dr. Tomi Mitchell 12:15
Yeah. Hmm. That's something else. Hmm. So if the leaders change, change the culture makes wellness an expectation, not by guilt, but it's like everyone is participating. It's built in the scheduling. It's builts in the brakes. It's built in incentivization perhaps and then it trickles down and then those in that structure do their part and ask help. And they have a place where they can ask help and not feel judged. And catch us ties. You mean, that's gonna help Amy, like I'm used. I'm not. Where is this place you're talking about? Can you tell me.
Amy Felix 12:51
I don't, so I haven't discovered this place yet so i didn't have.
Dr. Tomi Mitchell 12:57
Okay, so it's utopia,so we're being hopeful.
Amy Felix 12:59
It's, it's utopia.
Dr. Tomi Mitchell 13:00
Amy Felix 13:00
But I think you aim high, right?
Dr. Tomi Mitchell 13:02
100% go big go home.
Amy Felix 13:03
Big go. We go big we go home.
Dr. Tomi Mitchell 13:06
Amy Felix 13:06
I think this whole idea that these principles can get us there one step at a time.
Dr. Tomi Mitchell 13:10
100% and you know, is joking as I am, it works because like I said, those of you know me for a long time, or since I've been on this podcast, I was burnt out I was a health care provider who after over a decade of clinical practice running my own practice and having two babies at my second was eight months old and I'm like, and I was working I didn't have a maternity leave or year off, I was burnt out and then the pandemic I was done and it was like something's gotta give right you're like I love my job but something needs to change and if we don't make changes it's not good like chronic illnesses, stress mental health challenges, join a weight gain relationships fall apart, problematic coping strategies, whatever many things that can happen but there's hope right?
Amy Felix 13:57
Dr. Tomi Mitchell 13:57
I know if I.
Amy Felix 13:58
There is hope.
Dr. Tomi Mitchell 13:59
Yeah, my patients just tell me I was a workaholic. And I'll be like, No, I'm not I just have work to do and you have lots of health concerns that you're asking me and it's my duty to help you and I got feels okay, but I denied it. But then I was like, Wow, maybe I'm putting this unrealistic expectation on myself. Maybe it's the same tricks that helped me get into medical school stay into medical school and get through residency have the same traits that's now kicking me in, their overdraft.
Amy Felix 14:29
Dr. Tomi Mitchell 14:29
The double edged sword.
Amy Felix 14:31
And so the light bulb went off.
Dr. Tomi Mitchell 14:32
Amy Felix 14:33
For you. Yeah.
Dr. Tomi Mitchell 14:34
Yeah. And I looked at my little kids because I went to in family medicine not because it was like you know rolling in the dough and it was easy. I didn't actually very hard, to be a good family doc, you have to know a whole lot of stuff and know them well. Okay. And I went into because I thought it will help my family which it had, helped my community etc, which it did, but I lost sight of what was most important, or myself sound selfish.
Amy Felix 14:57
Dr. Tomi Mitchell 14:57
Yeah, you your listeners. You are the most important because you have a purpose on this earth. And if you're not in good shape, you're unhealthy. You're not. You're beside yourself how you supposed to achieve your purpose mission?
Amy Felix 15:09
Dr. Tomi Mitchell 15:10
Amy Felix 15:10
Dr. Tomi Mitchell 15:11
So kind of shifting gears a little.
Amy Felix 15:13
That's like I'm, sure.
Dr. Tomi Mitchell 15:14
So you know, this pandemic, you know, it's been around for a while now, what's new with us? Like to say the aliens?
Amy Felix 15:20
Trying to speak.
Dr. Tomi Mitchell 15:21
Yeah, it's here.
Amy Felix 15:23
That's a good analogy. Actually, I've never heard of it described that way.
Dr. Tomi Mitchell 15:26
I call it Megatron, the new variant. And they'll when this gets recorded, maybe there's gonna be like, another one thinking of a transformer, avenger, third eye, common, but face have burnout, do you think it's changed? You think it's the same? Like so deep question? I'll tell you my thoughts after you answer. Yeah, the makeup of burnout because it changed in healthcare providers floors and.
Amy Felix 15:50
I wonder, I wonder if the question is more has it changed? Or it's now more apparent?
Dr. Tomi Mitchell 15:53
It could, you could answer either way.
Amy Felix 15:54
The people actually acknowledging it, yeah. I think what we thought was normal. And we should just be doing this the way that we've been doing it for however long we've been doing it for because this is the way to do it is the idea where now people are taking a step back and saying, but why? Why am I doing it this way, which is what you just alluded to and describing, you know, your transition and you're moving through medical school in your own practice and whatnot, and then having that lightbulb moment, which then makes it seem like it doesn't look too different, right? Because people are like, Yeah, I am exhausted. And that's not a normal statement to say. We shouldn't be just always saying that. We're always exhausted all the time.
Dr. Tomi Mitchell 16:30
Yeah. And you know, you mentioned just not to digress. You mentioned lightbulb moment, there were actually many moments I just be what, alloted the wires and put involved in on the same breaker switch to explode it, so it wasn't just one.
Amy Felix 16:46
The light bulb moment, got it.
Dr. Tomi Mitchell 16:48
It was, I always stubborn. Okay. I taught going to school and survived. You know, having three brothers you have to be stubborn, you know, what do you mean? I can't.
Amy Felix 16:58
Dr. Tomi Mitchell 16:59
Yes I can, yes I can.
Amy Felix 17:01
Right, and I'm gonna show you.
Dr. Tomi Mitchell 17:04
Change has gonna come, yes, it can, I have a dream. Yes, I can do this. Yes, a lot of history went into that.
Amy Felix 17:13
I'm sure it did.
Dr. Tomi Mitchell 17:14
Mm hmm. So back to the question about burnout. Has it changed since the pandemic?
Amy Felix 17:19
I think it has?
Dr. Tomi Mitchell 17:20
Amy Felix 17:21
I honestly think it has, I think the recognition of it that people who are stating that their burndown has completely changed for the pandemic. And it'll be interesting to see how it continues, honestly.
Dr. Tomi Mitchell 17:30
Yeah, definitely. I agree. I do think it's changed. And I also think that things that were already there are more are intensified more. There's a term which many people use called moral injury, right. It was originally brought up after World War, the wars when soldiers witness horrendous and things hand rendus conditions, and they'll just be so delusioned and so frustrated, right? So comparing it to the pandemic, to me, this is like a war. It's like mass casualties, like in the US just had over a time of this 480,000 people that we know that died as a direct result of COVID.
Amy Felix 18:07
Dr. Tomi Mitchell 18:07
That is huge. And seeing working in conditions in states or provinces where we are in the world, and you know that had this not been a during a pandemic, this person would have received ABCDE treatment. And now they're lucky if they get a right?
Amy Felix 18:24
Some places. I mean, some places are recording high grade. So like, yeah.
Dr. Tomi Mitchell 18:28
Yeah, they're waiting in the waiting room in the hallway, sucking on room air at 72%. Oh, tap those two sets and delusional, yeah, like it's bad.
Amy Felix 18:37
Dr. Tomi Mitchell 18:38
That's demoralizing. Because I don't know about you. I'm like an empath. I feel people's pain. And it's a good thing. But it's also a hard thing when wars around you, but you can't avoid it. There's so much hurt and.
Amy Felix 18:49
Well I think they're, sorry, go ahead.
Dr. Tomi Mitchell 18:51
No, go ahead.
Amy Felix 18:51
No, I think there's so much hurt. But I think it's also this idea. As clinicians, we want to be able to provide the best care, we were trained to give care to make you better. So when you feel like you can't give the best care as we think about health care providers throughout the last 2021 months, great, being in situations where they feel like they can't and that patient might be in the hallway for a while because they just can't get to them. Because there's so many other. That in itself is exhausting. And definitely speak to that idea that you're describing is more injury.
Dr. Tomi Mitchell 19:21
Amy Felix 19:22
That's a difficult term to use.
Dr. Tomi Mitchell 19:23
Thank you. So that's the main thing for those of you who are not physicians listening because I've I've heard people post about physician burnout. And I've seen very supportive comments from psychologists saying, this is LinkedIn. They're like, You guys asked for this. You guys are fine. Why do you want me and this is like a site girl. And I'm just like, oh, I don't pick up but I was like, really? We're fine. We asked for this. Oh, I don't know. In my years of practice, this was never what I was born for.
Amy Felix 19:53
No, this wasn't what you aspire to. You know.
Dr. Tomi Mitchell 19:56
No, no, ground zero. No, we didn't ask for this and it's exhausted, and not only that it has put strings there ready strain system has been strained even more like look, man, woman power. Okay, let's look ICU nursing people okay, despite hike make more nurses, do you know how many year it takes to properly train an ICU nurse much just like properly, okay.
Amy Felix 20:21
Dr. Tomi Mitchell 20:21
Like fully bake. You can't do a fast turnaround during the, even if you started they want to pandemic till now, you will still not have a thouroughly, properly bedded ICU nurse.
Amy Felix 20:32
Who is capable of providing the best care possible, who has that knowledge base and that skill set?
Dr. Tomi Mitchell 20:37
Amy Felix 20:38
I mean, having been an ICU nurse, I can honestly tell you in the first year, you know, we were still learning the bits and pieces and it takes a while for you to feel like in that moment, I know exactly what to do for this patient.
Dr. Tomi Mitchell 20:48
Yeah, exactly. And if you trained in a place where your rotations are limited because of lockdown, and because your learning on Zoom, I'm sorry, leaders. Please help these individuals.
Amy Felix 21:00
Dr. Tomi Mitchell 21:01
That to be creative because they're gonna feel, I know this is why we're talking they're gonna feel inakward. Like I was thankful to have learned pre pre pandemic like me, are you like dinosaurs, even though I look like that?
Amy Felix 21:12
Crusify, in other way.
Dr. Tomi Mitchell 21:14
Yes crusify we're just walking the hospitals. I'm walking into Emory or gravy, whatever just to let go and seeing a patient and touching people and not partly however wearing a mask. Yeah, washing my hands. But I didn't, my piece, hands on free touching, practicing procedural skills.
Amy Felix 21:33
Dr. Tomi Mitchell 21:33
Or where if even if you're an ICU rotation? Yeah, you could be in the worst, the high acuity side, but every patient wasn't like on death's door.
Amy Felix 21:42
Dr. Tomi Mitchell 21:43
Atleast that was my memory. Was that your memory too?
Amy Felix 21:45
Oh, it was it was nothing my memory. I mean, we just think about in the hospital systems. Now the acuity is so much higher. It's so much higher, and some of it may be COVID related, but it's not. It's just evolution, the patient's progression of their disease. And that's a lot of burden on a clinician anyday, especially if you were trained, let's say in the pandemic with limited access to hands on training.
Dr. Tomi Mitchell 22:07
Yeah, those are the ones I really worry for the most, because I don't know for me, I'm older school. It's when I heard it first at facebook.com, I call it the corona pocalypse, December 2029. I was like, Okay, it's coming is just gonna tear up this world. Because I spent flashback to my microbiology class, like.
Amy Felix 22:27
Oh my god.
Dr. Tomi Mitchell 22:29
Behavior, psychology, the fact that we have modern era plants. I was like, okay, coop, is about to hit the fan things gonna get real people like, What are you talking about? It's just in Wuhan. Like me worried.
Amy Felix 22:31
It's not a big deal right.
Dr. Tomi Mitchell 22:42
I'm like, yeah, I didn't pay attention to past. I read that book. That's a reason why I had to write and study and study and study. I knew it. I was, like I told you.
Amy Felix 22:55
Dr. Tomi Mitchell 22:57
The writing's is on the wall.
Amy Felix 22:58
Dr. Tomi Mitchell 22:59
It really is. And, you know, it's like, this is not going to go away like that. It's just not. That it's not. It's not at all, we know how, we went to school, I know how viruses mutate, this is normal. This happened is normal for viruses
Amy Felix 23:15
For viruses, right? And we have that knowledge to understand that piece. So I get those who may not have had that, you know, microbiology training, those years of experience, which makes us realize that if this is now going to continue this essence, we have to shift.
Dr. Tomi Mitchell 23:29
Amy Felix 23:30
We as hospitals and leaders and how, it does.
Dr. Tomi Mitchell 23:33
Amy Felix 23:33
We have to shift what was did before, what was expectable and it's not going to work.
Dr. Tomi Mitchell 23:38
How world is over? The world is over.
Amy Felix 23:43
Dr. Tomi Mitchell 23:43
Like how long are the dog gonna chase it's tail?
Amy Felix 23:45
There still a lot of people just chasing their tails.
Dr. Tomi Mitchell 23:49
Or they, you know, with now we docked the ears and tight what they do the tail like caff into the key heart. Right?
Amy Felix 23:57
Dr. Tomi Mitchell 23:58
We need like a complete shift in mentality.
Amy Felix 24:02
Dr. Tomi Mitchell 24:03
Right? There's not enough healthcare workers to do the job. Right? Even if you're Superwoman and superheroes and your sole efficient and your high speed, you can't stay high speed forever.
Amy Felix 24:14
Dr. Tomi Mitchell 24:16
You burned out.
Amy Felix 24:16
And so how do we support you burn out and you know, there's been some talk about just creating more nurses well great right? But there are more positions but look at the systems that are in place, is that feasible for everybody? Is that possible when we think about other challenges you may face to just get in school whether it be school loans right so it's an overall systematic piece we we're saying just turn more people out? Not possible, not feasible. We need to fix the system.
Dr. Tomi Mitchell 24:41
Yeah. Yes, exactly. Starts from the foundation. You don't just like wake up and like in medical school. I've got a quarter million dollars of loans. Whoa.
Amy Felix 24:55
Excited for me, yes, do this.
Dr. Tomi Mitchell 25:00
Yeah, you got to repay those student loans come in, you know.
Amy Felix 25:03
At some point, yeah. Then you finish. Or you gonna just keep going and if you know, you know.
Dr. Tomi Mitchell 25:07
The 10 Plus club like me? I'm in the 10 Plus club. I have a little bit left. Yeah, it's huge. And you know, for those of you who are like non healthcare workers, you're like, Oh, my goodness, is this the real? Yeah, this is the real.
Amy Felix 25:21
Dr. Tomi Mitchell 25:21
This is a.
Amy Felix 25:22
Dr. Tomi Mitchell 25:23
You don't fluff. That's why we have this podcast grand title flaw like, you think this is the pandemic? No, this is the honeymoon phase. Okay, this is the honeymoon phase. Who hasn't hit the fan yet?
Amy Felix 25:33
Agreed. And you know, what, someone also described it as you know, the pandemic, and the beginning of it was the earthquake, we are feeling the aftershocks.
Dr. Tomi Mitchell 25:39
Amy Felix 25:40