A Cahya Legawa's Les pèlerins au-dessus des nuages

In Indonesia, I believe there will be no such question as, “Do you love your job, Doc?” Since we have a culture view, almost like the past view from the Western Countries, that those who practice and work in medical fields would be blessed with great fulfillment. They are hailed as the savior of humanity in a particular context. There is no poor doctor, isn’t there? So every doctor must love their job, aren’t they?

The short answer if you don’t wish to read till the end of this nonsense post is a “Yes,” when they work their duty as a doctor. At least it is what I see in Indonesia.

But, did you know, doctors are also human. They are not entirely resistant to pressure and harms.

On the cognitive side, it has been long known that almost a fifth of medical staff may troubled depression or anxiety1, and when physicians work on limited resources environment, they may be suffered from burnout2, and this is a global issue among the physicians3. Surviving this perhaps would build a physician’s personal resilience.

But I believe, lack of resources is not the issue faced only by physicians, but also by many other professions in developing countries. So we physicians were not alone.

How about reciprocal domains of physician well-being4?

Well, I must say it is a mess, a big mess.

First of all, health facilities in Indonesia are yet to implement a ‘full course’ of quality management. How many studies we can find about quality achievement or improvement in healthcare facilities in Indonesia?

The good news is, we learn to implement it. Like how to design a lean-hospital, how to give special concern to patient safety issues, and many more. Physicians in Indonesia should make a contribution to these efforts.

The other thing is that we now have a kind of hate and love relationship with our universal health coverage system. I would not write about that here, even thinking about it make me tired.

A burnout environment, a messy system, a low pay grade5? Are you still happy?

My friend, there is no way happiness can only be measured by your workload, work environment, and your wallet. The thing is, there is no way to measure happiness at all since it doesn’t come from outside.

As a bullshitting closing statement, I would say, if you are happy with your job even when it comes by the worst, perhaps you are in love with your job.


  1. Ahmed, I., Banu, H., Al-Fageer, R., & Al-Suwaidi, R. (2009). Cognitive emotions: depression and anxiety in medical students and staff. Journal of critical care24(3), e1-e7. 
  2. Al-Hashemi, T., Al-Huseini, S., Al-Alawi, M., Al-Balushi, N., Al-Senawi, H., Al-Balushi, M., … & Al-Adawi, S. (2019). Burnout Syndrome Among Primary Care Physicians in Oman. Oman medical journal34(3), 205. 
  3. Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018). Prevalence of burnout among physicians: a systematic review. Jama320(11), 1131-1150. 
  4. Bohman, B., Dyrbye, L., Sinsky, C., Linzer, M., Olson, K., Babbott, S., & Trockel, M. (2017). Physician well-being: the reciprocity of practice efficiency, culture of wellness, and personal resilience. NEJM Catalyst
  5. Makhyan Jibril. (2019). Ternyata 83% Gaji Dokter Umum di Bawah Standar IDI, Pilih Jadi Dokter atau Tukang Parkir? Kompasiana. 

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Commenting 101: “Be kind, and respect each other” // Bersikaplah baik, dan saling menghormati (Indonesian) // Soyez gentils et respectez-vous les uns les autres (French) // Sean amables y respétense mutuamente (Spanish) // 待人友善,互相尊重 (Chinese) // كونوا لطفاء واحترموا بعضكم البعض (Arabic) // Будьте добры и уважайте друг друга (Russian) // Seid freundlich und respektiert einander (German) // 親切にし、お互いを尊重し合いましょう (Japanese) // दयालु बनें, और एक दूसरे का सम्मान करें (Hindi) // Siate gentili e rispettatevi a vicenda (Italian)

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