一位从业13年的澳洲外科医生近日以布里斯班消化科医生Dr Andrew Bryant的自杀事件为切入点，深入探讨了医学职业中日益严重的心理健康危机1。该医生通过自身经历揭示了导致行业内绝望情绪的三大根本因素：工作失控、支持缺失和职业意义丧失1。
工作强度已达到难以维系的程度1。这位医生曾在一家医院进行24小时值班，在连续14天中有12天被安排值班，仅每两周休息一个周末1。他还曾在覆盖4个院区的医院网络工作，每周需驾车500公里进行值班覆盖1。在备考外科考试期间，他每日从早上6时30分工作到晚上10点，只能在周末与家人相聚1。一次24小时值班期间，他接听了约70通电话1。医疗系统的压力甚至影响到了他的个人生活——他曾在自己第三个孩子出生时用自己的双手接生，因为产科医生堵在交通中，而他次日仍然前往工作1。
对于自身处境，这位医生表达了深刻的困顿感，称"我不是外科医生。我只是一名员工。过度劳累、精疲力尽、可被替代"1。他进一步指出，"医学的崇高使命已被医疗产业所代表的官僚力量窒息"1。
An Australian surgeon with thirteen years of clinical experience has drawn attention to the severe mental health crisis afflicting physicians, prompted by the recent suicide of Dr. Andrew Bryant, a gastroenterologist in Brisbane.1 The physician author identifies three critical factors driving doctors toward despair: loss of control over their work and schedules, absence of meaningful support due to time constraints that isolate them from social connections and help-seeking pathways, and erosion of purpose as administrative burden displaces the original calling to medicine.1
The author illustrates the extreme working conditions many surgeons endure through personal experience. During one period, he worked 24-hour shifts on twelve of fourteen consecutive days, with only alternating weekends off.1 While preparing for surgical board examinations, he worked from 6:30 a.m. until 10 p.m. daily, seeing his family only on weekends.1 At another hospital covering four separate facilities, he drove five hundred kilometers weekly to maintain on-call coverage.1 During a single 24-hour shift, he fielded approximately seventy phone calls.1 On one occasion, he delivered his third child with his own hands because the obstetric physician was delayed in traffic; despite this exhausting delivery, he reported to work the next day.1
The physician captures his sense of professional disillusionment in stark terms: "I'm not a Surgeon. I'm just an employee. Overworked, burned out, replaceable."1 He further reflects that "The noble call to Medicine has been suffocated by the bureaucratic force exerting itself as the medical industry."1
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