When I speak of burn out, I don't explicitly mean I'm tired of rendering psychiatric care. Left to my own devices, I'm ok. Working *with* the healthcare system is what I'm tired of. I work a lot of jobs on top of a full-time position because it's easy to make money doing what I do. That certainly reduces ones innate drive to jump out of bed and rush to work to see another patient. However, if I could practice in whatever way I wanted I'd be ok. I loathe the bureaucracy because it fills the day with things that don't matter.
I like business. I like administration, but I don't think I want to be a healthcare administrator charged forced to swallow the pill and act fancy for TJC (when accreditation doesn't mean anything intellectually) and bargain for increased quality through processes that fail to improve outcomes and only wear out employees.
And to put it this way, I don't know what I want to do when I grow up (but I'm grown) so following Victor Frankl my purpose is to merely live and do that next thing that any thing that lies before me.