The digital leash: Why doctors cannot disconnect
For most people, vacation is a time to relax, unwind, and escape from the daily grind. But for physicians, truly disconnecting from work—even temporarily—is a daunting challenge. The medical profession is built on responsibility, continuity of care, and an ever-present sense of duty. Stepping away, even for a well-earned break, often feels impossible.
Physicians dedicate their lives to patient care, often developing a deep sense of personal responsibility. Leaving work behind, even for a short period, can trigger guilt and anxiety. Many doctors worry about their patients' well-being, pending test results, or the possibility of an emergency requiring their expertise. Even when colleagues cover for them, the fear of something going wrong lingers. The "what if?" mentality can make it difficult to relax and be fully present on vacation.
Unlike in many other professions, where colleagues can seamlessly pick up the slack, physicians have specialized knowledge and patient relationships that aren't easily transferable. Coordinating vacation requires months of advanced planning, arranging coverage, and ensuring a smooth handoff. For those in private practice or entrepreneurial roles, time off often translates to lost income, making vacations financially stressful.
Additionally, the U.S. healthcare system’s culture doesn't always encourage physicians to take breaks. Many institutions provide limited vacation time, and even when time off is technically available, the workload upon returning can be overwhelming. As a result, many doctors forego vacations altogether or take only brief, work-connected getaways.
Even when physically away from the hospital or clinic, physicians often remain tethered to their work through electronic medical records (EMRs), emails, and patient messages. The expectation to be accessible at all times has grown with advancements in telehealth and digital communication. A simple check of an inbox can spiral into full-blown work mode, turning a relaxing beachside morning into an impromptu consultation session.
While challenging, it is possible for physicians to take meaningful vacations with the right strategies:
Plan Ahead and Delegate – Ensure thorough handoffs, communicate with colleagues in advance, and set clear expectations for coverage.
Set Boundaries – Establish strict guidelines for digital access, such as checking messages only once a day or designating an emergency-only contact person.
Choose the Right Environment – Opt for destinations with limited connectivity, like remote areas where Wi-Fi is spotty, forcing true disconnection.
Practice Mindfulness and Self-Care – Engage in activities that promote relaxation and presence, such as meditation, outdoor adventures, or spa treatments.
Reframe the Mindset – Recognize that rest and recovery are essential for longevity in medicine. A refreshed physician provides better care in the long run.
The reluctance of physicians to take real vacations is symptomatic of a larger issue in medicine: a culture that undervalues rest. To prevent burnout and promote well-being, the medical community must embrace a more sustainable work-life balance. Healthcare institutions should encourage and facilitate time off, ensuring that physicians feel supported in taking breaks without fear of negative repercussions.
Vacations should not be viewed as indulgences but as necessities. Only by prioritizing self-care can physicians continue to provide high-quality care to their patients. Stepping away isn’t a sign of neglect—it’s an investment in both personal and professional longevity.