Physicians trying to cope with demands of their practice by working harder and longer may experience severe inefficiency, psychological impairment, and poor patient care (10).

It is often difficult for physicians to express they are having trouble in coping with stress. This frequently stems fromsense of entitlement (10).

Physicians own expectaitions are often their greatest source of stress. Few spend time in self-reflection or in attending their own needs. Medical training reinforces false beliefs in one’s immunity to difficulties and prevents self-recognition of serious psychological problems (3).