Ending Physician Overwhelm

Megan Melo, Physician and Life Coach

I'm Megan Melo, board-certified Family and Obesity Medicine Physician and Physician Coach. In this podcast we talk about the many ways that burnout shows up in our lives, and what we can do about it. I'm on a mission to help Physicians take steps towards to heal burnout by unlearning the habits of perfectionism, people-pleasing and limiting beliefs so that we can lead healthier, happier lives.  The healthcare system is broken; but you don't have to wait until it's fixed to feel better. I'm here to help. Thank you for tuning in! Don’t forget to subscribe, rate, and review. Until next time, take care. Connect with me: Website: www.healthierforgood.comInstagram: @MeganMeloMDEmail: megan@healthierforgood.comBookshop.org Book Shop: https://bookshop.org/shop/meganmelo

  1. 1D AGO

    The Three Words That Might Change Your Entire Week

    Send us Fan Mail Whole. Capable. Perfect. Just as you are. Go ahead and sit with that for a second. Because if you're anything like most of us in medicine, those three words probably don't come naturally when you think about yourself. We weren't trained that way. We were trained to find what's wrong, what's missing, what needs to be corrected. And that lens? It doesn't always stay at work. In this episode, we're trying something on together. What happens when you choose to see yourself as whole, capable, and perfect, right now, inside a broken system, with imperfect tools and an inbox that never fully empties? And then, what happens when you extend that same belief to your patients? To your staff and colleagues? To the people you love? We're walking through all three, and I think you might be surprised where this lands. A few things we get into: What it actually looks like to separate your worth from the dysfunction of the system you work in Why seeing your patients as capable adults might be one of the kindest things you can do for yourself How this framework quietly shifts the way you set limits and stop carrying what isn't yours The one-week experiment I want you to try, and why you don't have to believe any of this is true to benefit from it Note: we are making a deliberate carve-out for vulnerable adults, minors, and anyone who doesn't have full decision-making capacity. This conversation is about the capable adults who make up much of your practice, and the capable adults in your personal life too. Ready to try it on? Hit play. If this resonates and you want support actually living it, let's talk. Schedule a free discovery call here: https://calendly.com/healthierforgood/coaching-discovery-call Connect with Megan: Instagram: @MeganMeloMD Website: healthierforgood.com Email: megan@healthierforgood.com Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    26 min
  2. MAY 5

    When You Have Nothing Left for the People You Love (including you…)

    Send us Fan Mail You pull into the driveway after a full day. Patients, staff, meetings, inbox, all of it. You open the door and immediately there are more people who need something from you. And you have nothing left. If you have ever sat in your car in the driveway just a little longer than you needed to, you are not broken. You are not someone who doesn't love the people waiting for you inside. You are someone who has been on stage all day with no time off stage. And today we are going to fix that. What we cover in this episode: On Stage vs. Off Stage: What It Actually Means On stage is any time your energy is going outward. You are performing in some kind of role, whether that is physician, leader, parent, partner, or PTA secretary. It includes clinic, charting, inbox, staff interactions, and yes, family time counts too if you are managing emotions and playing a role. Off stage is genuine time where there is no performance element. You are just a human being allowed to exist. A solo walk, reading for pleasure, crafting, time with friends who know all your secrets and expect nothing from you. It is not scrolling social media while you tell yourself you are resting. It is actual restoration. The Gray Zone Some time feels like it should be off stage but is actually draining you. Social media is the big one. If you are reaching for your phone out of habit and putting it down feeling worse, that is gray zone time, not off stage time. We have to be honest about this or the audit will not work. Introversion, Extroversion, and What You Actually Need This is a spectrum, not a binary. More introverted physicians need quiet solo time to recharge. More extroverted physicians might actually need more time with people they genuinely choose, not just the people at work. Neither is better. Both require intention. And where you fall on that spectrum can shift depending on stress, illness, life season, and what you are carrying right now. The Audit This is a doing episode. Here is what we are walking through together: Step 1: Map one to two weeks of your actual schedule. One week if your schedule is fixed. Two or more if you are a hospitalist, nocturnist, or work variable hours. Include work time AND home time. Both matter. Step 2: Label everything. On stage, off stage, or gray zone. Be honest. Family time that feels like a performance goes in the on stage column even if you love your family deeply. Step 3: Look at the ratio. Where is your off stage time? Is there any? How does that balance feel? Step 4: Reflect. Does this match what you actually need given where you are on the introversion/extroversion spectrum? What would need to shift, even just slightly, to give you more of what you need? Making Changes Without Flipping the Table Small shifts create sustainable change. Before you decide you need to leave medicine, consider whether you have actually had any off stage time lately. Not as a reason to stay if you truly need to go, but because we do not make our best decisions from a completely depleted state. Protect one or two off stage blocks per week. Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    30 min
  3. APR 28

    Changing Seasons

    Send us Fan Mail Have you ever had something completely figured out — only to find yourself right back at square one a little while later? That's not failure. That's life moving through seasons. And today, we're going to talk about how to navigate those transitions with a lot more grace and a lot less self-judgment. I open this episode sharing a conversation I had with Sarah Smith, the Charting Champion Coach,  someone who has built her entire career helping physicians tame their inbox and their charts, who told me she found herself needing to start over and figure it out again. And instead of finding that discouraging, I found it humanizing. Because it's a reminder that none of us are done. We are always in a season. In this episode, we're walking through a practical framework for thinking about seasonal transitions; whether you're becoming a parent, becoming an empty nester, caring for an aging parent, switching jobs, leaving clinical medicine, or just noticing that the things that used to work… aren't anymore. What we cover: The Arrival Fallacy — Seasonal Edition We usually talk about the arrival fallacy in terms of goals ("once I make attending, I'll be happy"). But there's another version: the belief that once you figure out a habit or a system, it will work forever. It won't — and that's okay. The habits and routines that serve you right now are not the same ones that will serve you in three, five, or ten years. Mental flexibility is the skill. Sitting in Reality: What Do You Need Right Now? Not what worked last year. Not what will work someday. What do you need right now, given your current work environment, your home life, what's happening in the world, where you are in your career, and what your body needs? We walk through a few key categories: support, movement, sleep, creative expression, and collaboration. Anticipating the Other Side of This Season One of my favorite exercises: imagine yourself at the end of this season looking back. What do you want to have experienced? What would disappoint you? What would you regret not prioritizing? This is not morbid; it's proactive. It gives your current choices direction and meaning. Whether you're in a season you chose or one that chose you, this episode will help you get more intentional about the time you're in — and more honest about what you actually need. 🎧 Listen now and give yourself the gift of being thoughtful about this season. Connect with Megan: Instagram: @MeganMeloMD Website: healthierforgood.com Email: megan@healthierforgood.com Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    28 min
  4. APR 21

    3 Tools to Use NOW for Better Days

    Send us Fan Mail What if one sentence could pull you out of a spiral? What if a five-second pause could change the entire tone of your day? In this episode, I'm sharing three simple tools I actually use — the ones that have quietly transformed how I move through hard moments, difficult patients, chaotic travel, and the everyday grind of being a physician. No fluff. No toxic positivity. Just practical, repeatable ways to speak to yourself more kindly and show up more fully. This one is worth listening to twice. Maybe keep some notes nearby. What You'll Learn in This Episode Tool #1: Anchoring Sentences — pre-loaded phrases that interrupt the spiral before it takes holdTool #2: Mini-Celebrations — how to create positive reinforcement loops that actually stickTool #3: Quick Pep Talks — a three-part framework for walking into hard moments grounded and ready Tool #1: Anchoring Sentences These are short, pre-thought-out phrases you keep in your back pocket for when things get hard. Not affirmations — realistic reframes that stop the swirl and give your brain somewhere useful to land. My go-to during the Japan trip? "It's going to be hilarious." A patient suggested it and I latched right on. Every time the chaos ramped up, I'd return to that sentence — and it worked. I let go of needing to control the things I couldn't. I stayed in the adventure. Try these on: "It's going to be hilarious.""Future me will laugh about this.""I have survived 100% of my hard days so far.""We can do hard things."Find your sentence before you need it. Think about what your best friend would say to grab your attention when you're starting to spiral — that's your anchoring sentence. Tool #2: Mini-Celebrations We celebrate every tiny milestone when kids do it. Then we grow up and suddenly nothing is worth noticing unless it's a board exam or a publication. That ends now. Mini-celebrations are about pausing to say "yay me" — out loud or in your head — for the things that don't come with a trophy but absolutely deserve acknowledgment. Things worth celebrating this week: You packed and actually ate a healthy lunchYou closed half your notes before leavingYou got through a brutal day without losing your compassionYou replied to a seven-paragraph portal message with "That's an excellent point — let's schedule a visit"You said no without over-explainingYou put on matching socksThis isn't lowering the bar. This is noticing the bars you've already cleared — and there are a lot of them. Pause the episode right now and name one thing you did this week. Say it out loud: "I did that. That was real." That little hit of dopamine? That's not indulgence — that's how positive reinforcement works. Tool #3: Quick Pep Talks You're looking at your schedule and you see that patient. The one that makes your stomach drop a little. This is exactly when you pull out the three-part pep talk. It takes less than sixty s Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    22 min
  5. APR 14

    Traveling With Kids — A Recovering Perfectionist Story

    Send us Fan Mail You know that feeling when you're in the middle of something completely outside your comfort zone and you realize — wait, I'm actually handling this? That's exactly where I'm recording from today: a hotel room in Osaka, Japan, chaperoning my son's eighth-grade school trip with a group of middle schoolers, their parents, and approximately infinite drama. And instead of talking about the middle school gossip (though, trust — there's plenty), I'm bringing you something better: what happens when a recovering perfectionist takes a real vacation, in a country where she doesn't speak the language, and decides to actually let go. We come back to these themes over and over together — perfectionism, people pleasing, boundaries — because they don't just show up at work. They show up everywhere. On vacation. On a train platform in Osaka. When a kid's laundry gets left behind in a hotel two cities away. Here's what we're unpacking in this episode: 1. Asking for Help We were trained to be the expert in the room. Asking for help can feel like failure — like we should be able to figure it out ourselves. But what if asking is actually the smartest, most powerful thing we can do? I share what it felt like to navigate Japanese train apps, lost laundry, and a language I don't speak — and what I learned about letting other people in. 2. Being Present Before I left, I made a bold decision: I paid a trusted colleague to run my inbox while I was away. No checking in. No "just a quick peek." I share what it took to set that up, why I almost talked myself out of it, and what it's felt like to actually be here — fully, completely present — for the first time in years of travel. 3. Knowing What You Need We're all wired differently. I didn't plan this trip — which for a planner like me was its own practice in letting go. But I did show up as the first aid person, fully stocked and ready. Is that a little perfectionist? Maybe. But it's also knowing myself well enough to honor what helps me feel grounded — so I can actually enjoy everything else. Sit with these this week: Where are we refusing to ask for help — and what is that costing us?What would it actually take for us to be truly present, not just physically there?What do we each need to feel like ourselves — and are we giving ourselves that?Perfectionism got us here. But presence is what makes the life we've worked so hard for actually worth living. Connect with Megan: Instagram: @MeganMeloMD Website: healthierforgood.com Email: megan@healthierforgood.com Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    16 min
  6. APR 7

    Why Your Brain Turns a Bad Tech Day Into an Identity Crisis

    Send us Fan Mail Has your AI scribe ever produced garbage notes for days on end? Has Epic ever crashed mid-clinic and sent you into a spiral? And did a little voice in your head whisper, "Maybe I shouldn't have been relying on that in the first place"? Yeah. We need to talk about that voice. In this episode, we're getting honest about our relationship with the tools we use — technology, AI scribes, in-person scribes, and the systems that are supposed to make our lives easier. Because when those tools fail, a lot of us don't just get frustrated. We turn it inward. And that's costing us way more than a bad day of notes. Here's what we cover: 1. What it really means when the tools fail: When a tool stops working, it's easy to spiral into "I never should have depended on this." But that thought is a trap. A physician client hit a 10-day stretch where her AI scribe was producing unusable notes — and instead of just getting through it, she found herself arguing with the tool and feeling like she'd forgotten how to do notes at all. Sound familiar? We dig into why this happens and how to stop letting tool failures become a referendum on your judgment. 2. Tools are here to serve you: Not the other way around. When Epic came on the scene, it wasn't built just to help you document. It was built to capture revenue — and suddenly doctors were spending more time serving the system than serving their patients. The same creep can happen with AI. We talk about recognizing when you've crossed from "this tool helps me" to "I'm working for the tool" — and how to course-correct fast. 3. Tools will not replace you: Patients are feeding their MRI reports into ChatGPT… and then showing up in your office anyway. Because they need a human. We explore what AI can and can't do — and why your expertise, your judgment, and your ability to catch what the tool got wrong is exactly what makes you irreplaceable. The bottom line: You deserve help. You deserve tools that make your life easier. And when those tools fail, the answer isn't shame — it's a Plan B. Connect with Megan: Instagram: @MeganMeloMDEmail: megan@healthierforgood.comCoaching discovery call: Schedule here Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    30 min
  7. MAR 31

    Why You Suck at Sick Days (And What to Do About It)

    Send us Fan Mail Let's be honest — have you ever fantasized about calling in sick? Not because you're actually sick, but because it feels like the only way to justify taking a break? Maybe you picture finally cleaning out that closet, taking a nap in the middle of the day, or just... breathing. If that fantasy has ever crossed your mind, this episode is for you. Because here's the thing: most of us are terrible at sick days — whether we're fantasizing about them or actually having one. In this episode, I'm coming to you with a slightly squeaky voice (yes, I got sick too) and some real talk about what we do wrong when illness forces us to slow down — and what we need to do differently. What we cover: The Don'ts — things we need to stop doing when we're sick: Stop misreading your capacity. We already run at 150% on a normal day, operating on less sleep, less fuel, and less self-care than we should. When we get sick and drop down to 80%, we think that's practically normal. It's not. When you're sick, you are genuinely depleted — and pushing through makes it worse and longer.Stop expecting a hall pass without asking for one. If you show up to work or to your household looking "mostly fine," people will expect everything from you that they always do. You have to be explicit about what you can and can't do — or better yet, take yourself offline entirely.Stop confusing appropriate rest with laziness. Lying on the couch watching TV when you're sick is not a moral failing. It is literally the correct treatment. Your brain will tell you otherwise. Don't listen to it.The Do's — what we should actually do: Delegate. Ask for help. Whether that's your partner, your kids, your staff, or your neighbors — people can and will step up, but you have to ask and be clear.Rest. For real. Sleep more. Nap in the middle of the morning if you need to. Stop pushing.Knock off the low-lift, naggy tasks you can do horizontally — the overdue multiple-choice CME questions, that one thing on your to-do list with a soft deadline. Keep it low-stress and low-brain.Get cozy. Fuzzy socks. Warm tea. A blanket. You've spent enough time in cold operating rooms and stiff scrubs. Lean into comfort.Let go of the guilt. You can be sick with guilt, or you can be sick without guilt. Either way, you're sick. Choose without.The systems we work in were not designed with our humanity in mind — but that doesn't mean we have to internalize that. We have human bodies. We get sick. We are allowed to rest. If you've been fantasizing about a sick day, that's a sign you need a real break — and that's something we can work on together. Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    32 min
  8. MAR 24

    The One Where I Quit My "Dream" Job

    Send us Fan Mail What's your number one work fantasy? For so many of us, it's walking out the door and never looking back. But what does it actually look like to quit — not in the dramatic, table-flipping way we imagine, but in the real, messy, meaningful way? This week, we're getting into it, because it's my five-year quitversary, and I'm taking you behind the scenes of how I left the job I thought I always wanted. In this episode, we explore: Why I stayed in a job I wanted to leave for nearly five years — and what finally broke me openThe moment a stranger's "how are you?" made me burst into tears and changed everythingThe very deliberate steps I took before I ever sent that resignation letter (including a $20,000 reason to wait one more week)What "quiet quitting" can actually mean in a healthy, empowering way — even if you're not ready to leaveWhy our employers benefit when we keep believing we're not good enoughWhat life has looked like on the other side: the coaching certification, this podcast, the expert witness work, the poorly-paid sabbatical — all of itThe real thing we're leaving behind when we quit: not just a job, but a set of thoughts and beliefs we've been carrying way too longThis isn't a "burn it down" episode. It's an honest look at what it takes to choose yourself — and what's waiting for you when you do. Next week: We're continuing the conversation with lessons learned from the other side of quitting. You don't want to miss it. Support the show To learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me. Want to contact me directly? Email: megan@healthierforgood.com Follow me on Instagram! @MeganMeloMD

    31 min
4.3
out of 5
3 Ratings

About

I'm Megan Melo, board-certified Family and Obesity Medicine Physician and Physician Coach. In this podcast we talk about the many ways that burnout shows up in our lives, and what we can do about it. I'm on a mission to help Physicians take steps towards to heal burnout by unlearning the habits of perfectionism, people-pleasing and limiting beliefs so that we can lead healthier, happier lives.  The healthcare system is broken; but you don't have to wait until it's fixed to feel better. I'm here to help. Thank you for tuning in! Don’t forget to subscribe, rate, and review. Until next time, take care. Connect with me: Website: www.healthierforgood.comInstagram: @MeganMeloMDEmail: megan@healthierforgood.comBookshop.org Book Shop: https://bookshop.org/shop/meganmelo

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