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August 27, 2025 16 mins

Burnout isn’t just a buzzword in healthcare. It’s a lived reality that shows up as exhaustion, pressure, and a slow erosion of joy. 

In this episode, Denzil revisits her conversation with five practitioners from across North America — a chiropractor, a psychotherapist, a trauma psychologist, and two physiotherapists — to discuss their experiences with burnout.

Together, they reflect on the emotional and administrative toll of care, and how tools like AI can help bring us back to the work we believe in.

What You’ll Learn

  • The hidden weight of running a clinic — and how financial and administrative pressures compound stress
  • Why just taking time off isn’t enough to heal burnout
  • How AI tools can relieve clinic documentation and administrative burden without replacing human connection
  • The boundaries of AI in care, and why human presence will always matter most

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:05):
Welcome back to Radio Front Desk by GNAP.
I'm your host, denzel Ford.
Today's episode is a tender one.
We're talking about burnout.
It's something a lot of us havefelt, whether we've said it out
loud or not, and in thisepisode we wanted to name it and
talk honestly about what ittakes to move through it.

(00:25):
Earlier this year, we broughttogether five incredible
practitioners on a live panel apsychotherapist, a trauma
psychologist, a chiropractor andtwo physiotherapists.
In this episode, we'renarrowing in on their stories
about what it actually means tocarry the emotional, physical
and administrative weight ofcare.
They talk about the pressure,the exhaustion, the

(00:53):
disconnection, but also aboutthe small, powerful shift that
can help bring us back to thework we believe in, including
how new technology like AI tools, might help us make more space
for care.
Let's begin with a moment thatreally stayed with me.
Here's Josh Satterly, achiropractor and clinic owner,
sharing one of the hardest daysof his professional life.

Speaker 2 (01:19):
JOSH SATTERLY, chiropractor.
I can remember a distinct day.
I had again a different EHR andit was the early days of
electronic clearinghouses and Ipushed at the end of friday.
I had to stay late that daybecause I knew that if I didn't
collect the money from that weekI could not make payroll the
following wednesday.
And everybody else on my teamhad left and I was like, okay,
I'm gonna run these and it runs.

(01:39):
And I just want you to picturelike a bunch of visits for the
week, like say, 45 visits, andnext to every one of them is the
red error, error, error, error,error, just everything.
I was like, oh my God, so Icall their support.
They didn't have really support, so I literally had to carve

(02:00):
out.
I called two patients, canceledthem on Monday morning so I
could get on support with themto carve out.
I called two patients, canceledthem on Monday morning so I
could get on support with them.
And over the weekend this istough to say, the worst day of
my life I had to call my in-lawsand say like I'm not going to
make payroll.
Can I borrow a couple thousanddollars?
And so I had to put it in myaccount and just all weekend
long.
I'm like laying on my backstaring at the ceiling like this

(02:23):
is the worst day of my life.

Speaker 1 (02:25):
That story.
It's about more than just techtrouble.
It's about the sheer pressureof running a practice.
It's about the weight you carrywhen your business isn't just a
business.
It's your livelihood and yourteam's security and your
patient's care all rolled intoone.
And it doesn't take long forthat pressure to cross the line

(02:46):
into burnout.
Sometimes burnout is loud andacute, but often it's quiet, a
slow erosion of joy, apersistent feeling of dread.
For physiotherapists RonnieGlassman and Emma Jack, burnout
didn't come all at once.

Speaker 3 (03:07):
It built over time.
When I'm thinking from aprofessional perspective, as a
working person in an outpatientorthopedic clinic where you're
expected to see sometimes youget lucky and you're with one
patient that hour, but a lot oftimes it's two, three, a few
times it was four patients inone hour and as someone who
spent seven years getting thiseducation and working hard to
just touch lives, having thatrealization that this is not

(03:30):
what I'm supposed to be doingand I'm actually more so just a
cog in a wheel, on a number, ona spreadsheet, that sort of
instilled the sense of burnoutthat I was afraid was going to
happen.
And it didn't take very long.
So after a year, six monthseven, of working in the
outpatient environment, Istarted to feel that burnout.

Speaker 1 (03:50):
So what did it feel like?
What did you notice aboutyourself?

Speaker 3 (03:53):
Dread it felt like dread, like getting up in the
morning and being sad that I hadto go to this workplace where I
had envisioned myself workingfor so long, had worked so hard
to get there, and then when I'mthere, it's almost like I can't
be present because I have tofocus on all these other things
to get my day done.

Speaker 1 (04:11):
Ronnie's story reminds us how quickly the grind
can wear you down, especiallywhen your job is built around
caring for others.
And that's what makes burnoutin healthcare feel so personal,
because when your identity iswrapped in helping people, where
do you fit in?
Here's Josh again, on howeasily we can lose ourselves in

(04:33):
the process of caring for others.

Speaker 2 (04:36):
I would say it's important when you look at
health care, we're people people, right?
We all committed years of ourlives and hundreds of thousands
of dollars of debt to learn howto take care of people better,
right?
And I think that the fault insometimes in burnout is we give
of ourselves and give ofourselves and give of ourselves

(04:57):
and forget that we are a persontoo, that we need to be taken
care of, and that's inherent inall of healthcare.
So when you know somebody needssomething I mean in the US
healthcare system, in hisinsurance I will treat that
person long, long, long before Iever expect repayment.
Right, and I would never do itany other way.
Well, I shouldn't say that Iwould prefer to do it another

(05:18):
way, but if, given the choice oftreat the person, get paid
later or wait till payment totreat them, I will always treat
them first.
And I think everybody I knowhas shown up early to take care
of a patient who needs somethingbefore vacation or before
competition and stayed late, andwe will do that to our end.
But you forget somewhere alongthe way.
You often lose yourself.

Speaker 1 (05:39):
That last line you often lose yourself is the one I
keep circling back to, Becausefor some people, burnout looks
less like a total breakdown andmore like slowly losing track of
your own reflection.
And that's exactly wherephysiotherapist Emma Jack found
herself trying to remember whyshe started doing it in the

(06:00):
first place.

Speaker 4 (06:02):
My solo practice was built out of burnout.
I started my practice becausethere was a point where I didn't
want to be a PT anymore.
I remember literally beingjealous of the Starbucks barista
going to Starbucks and beinglike, oh, I just wish I could do
this all day.
They have health benefits.
And you know, I really thinkfor me it came down to I had

(06:28):
spent spent so much time, energyand money becoming a PT and
then to realize I sort of hadthis expectation hangover of, oh
, this isn't what I thought itwas going to be.
And I really had to get back tomyself and remember that, like
I'm a human first, a therapistsecond, and you know, really

(06:49):
making sure I was doing thingsoutside of clinic that nourished
me as just that human, as Emma,and not spending all of my
waking hours thinking aboutclients, which can be hard,
because you really, I reallycare about what I do and how I
do it.
But, yeah, really getting clearon what are the things that
bring me energy, what fills mycup and what are the things that

(07:11):
bring me energy, what fills mycup and what are the things that
take that energy away and howcan I kind of mitigate those.

Speaker 1 (07:18):
Emma focused on getting clear about what gave
her energy and what took it away.
But that kind of claritydoesn't always come easy.
Sometimes it takes a littleunraveling before we really see
what needs to shift.
For psychotherapist RoxanneFrancis, the unraveling actually
came twice, but the second timeshe faced a deeper question.
That helped change how sheapproached managing burnout.

Speaker 6 (07:41):
I just want to tell you a little story.
So before I started my privatepractice, I worked for a
community agency as a therapistright, and I was getting really
burnt out.
We were seeing a lot of clientsa day and management you know,
they weren't like Jane, theyweren't very compassionate
towards the staff.
And so I got to a place where Iknew I needed a break,

(08:06):
otherwise I was not heading inthe right direction.
Went to my doctor, we had asolid talk and she said okay,
I'm gonna write you a note soyou can get three weeks off as a
stress leave.
And I said oh, thank goodness,I went home, I slept, I played
with my kids, I put my feet inthe grass, I felt better.
I went back to work.
Six months later I was back inher office and she looked me

(08:27):
directly in the eyes and saidRoxanne, I I'm going to write
you this note again.
But when you go back to work,what is going to change?
Right, and that's somethingthat we need to think about with
burnout, a lot of people take abreak, or they go on vacation
or they take time off from work.
But what you don't?
You don't necessarily need abreak.
You need change, but you don'tnecessarily need a break, you

(08:49):
need change.
So you have to ask yourselfwhat needs to change in order
for me to be in a better place.

Speaker 1 (08:56):
Roxanne's story reminds us that burnout doesn't
just resolve with time off.
It asks something more from us,a real shift.
And that shift won't look thesame for everyone.
For some it means setting newboundaries.
For others it means finding newways to work more efficiently.
For Emma and Josh, part of thatshift came with the use of

(09:18):
technology, specifically AI.

Speaker 5 (09:24):
AI scribe.

Speaker 4 (09:30):
Right, right, when I think about AI in my practice,
there is an element of safetyfor our jobs in terms of
physical touch is just such ahealing property, and the human
connection and that therapeuticalliance that we build can't be
built the same way, but I thinkthere are so many ways that AI
can support us, especially inthe stuff we're not particularly

(09:52):
good at you know things likedocumentation, reminders.
I think there's lots of waysthat it can leave us to do the
work that we have trained forand the work that's really
impactful and that a computercan't necessarily replace.

Speaker 2 (10:09):
I think there's this interesting aspect because, as a
, I mean, I'm sure everybody onthe stage would tell you at 8 AM
with your first patient of theday, you're fresh, you're clear
and everything.
And at 4 45, when your patientshows up without having done
their online paperwork andthey're a few minutes late and
you're thinking I got to get tomy kids' soccer practice at six.
You're just not as sharp as youknow you were, and so in that

(10:31):
case AI makes you better,because as I'm examining a
patient, they might say, hey,you haven't addressed anything
about her right knee that shealso talked about in the intake,
and that's a really great useof it.
But to Emma's point, one of thethings that you see in all the
research around healthcare isany profession that actually
physically puts hands on theirpatients chiro, physio massage,

(10:53):
acu will always score higher inpatient satisfaction scores, and
I think the reason for that iswe all crave human connection.
There's something in our DNAthat needs to be around people
and have a hug, a consolationfrom a person, and that aspect
is not a great use of AI.
One of my mentors had a greatline where he says you can't

(11:14):
automate a hug.

Speaker 1 (11:15):
You can't automate a hug.
I love that line from Joshbecause it outlines this tension
that so many of us areexperiencing with AI these days.
But the thing is, when it'sused thoughtfully, ai doesn't
take over the work.
It takes off the work.
It catches what we miss.

(11:36):
When we're tired, it helps usshow up sharper, clearer and,
according to Ronnie, morepresent.

Speaker 3 (11:44):
I mean patients, from what I've seen, view it as an
opportunity for you as atherapist to be more present.
And I mean, since it'sone-on-one nowadays, like rarely
am I on my computer anyways,but sometimes in the off chance,
like maybe I get a free minute,I'm writing things down and
having the knowledge that it'sjust being transcribed and I

(12:05):
don't have to worry about it.
I'm not looking at my laptopfor six hours a day and they
remember that and they go homeand they tell their family,
their friends, like yeah, shewas totally there, she was
totally present.
Like you've heard the horrorstories of you went to PT and
they were just facing a laptopthe whole time.
So yeah, it's an opportunity tojust give the quality care that

(12:28):
we want to give so badly andjust be with the person in front
of us treating them as apatient and worrying about all
the other stuff later.

Speaker 1 (12:37):
There's something so grounding about the way Ronnie
puts it.
She was totally there.
That's what patients rememberNot perfect notes, not the data
entry, but your presence.
And even though the use of AIcan make room for more presence
and less paperwork, it alsoopens the door to something new,
Because while practitioners areusing AI to offload the tasks

(13:01):
that drain them, patients arestarting to use AI too.
They're walking through thedoor more informed than ever.
Sometimes they're even turningto AI instead of therapy.
So we asked our panel can AI behelpful for patients too, and
where do we draw the linebetween helpful support and
human substitution?

(13:21):
Roxanne and trauma therapistAmanda Budaris shared some
thoughts that were clear,passionate and refreshingly
human.

Speaker 6 (13:30):
All right, all right.
Did I mention I'm a Jamaicanwoman?
It's about to come out, so Ijust made a post about this
recently on social media.
Ai cannot be your therapist.
Repeat after me, ai is not mytherapist.
You can definitely check inwith AI around trying to find

(13:54):
some facts, trying to find somestatistics.
You know what are somestrategies for helping to reduce
my anxiety, what are somethings that I would need to do
in order to ground myself if I'mfeeling really flustered.
That's helpful.
Ai, on the other hand, cannotassess you thoroughly.
Ai cannot detect if you are adanger to yourself or someone

(14:19):
else.
Ai cannot tell you that youneed to go to the emergency room
.
Ai will not be able to consoleyou if you start to cry, and
those things might seem reallysimple to cry and those things
might seem really simple.
But the interesting thing whenI made that post is I actually

(14:39):
went to ai and I said what arethe top 10 reasons that I should
not come to you for therapy?
And that thing spit out theanswers so quickly.
So even ai agrees don't come tome with your trauma right now
if you are trying to book anappointment with your therapist
and they're not available forthe next two weeks three weeks
and you need something rightaway.
You can definitely go to ai forstrategies, right?

(15:02):
Just the way that if your backhurts, you're going to go to
google and see what you can find.
But be careful about what youlook for, because AI is not your
therapist exactly.

Speaker 5 (15:19):
I think for me especially again as a trauma
therapist and someone who viewsso much pain that happens in the
world as relational trauma youcan't heal that with an AI robot
.
That kind of healing happensthrough connection, real human
connection, which is onlysomething that safe people can

(15:40):
offer, and AI is not a safepeople it's, you know, codes and
stuff like that.
So there are obvious safetyconcerns to it, as well as this
very missing piece of humanconnection.

Speaker 1 (15:52):
Roxanne and Amanda brought us back to something
essential that real care comesfrom human connection.
Ai can support us in meaningfulways, but it can't listen with
compassion or hold space whensomeone starts to cry.
It can't help someone feel safeor truly seen.
But it can help lighten theload, and that matters, Because

(16:16):
when the weight just keepspiling up, it's easy to miss the
signs that something needs tochange until you're already
bogged down.
And, as we heard today, burnoutdoesn't always arrive with a
bang.
But if AI can take on even asmall part of that load the
notes, the documentation, thosetasks that pull you away from

(16:38):
being present, then maybe it'snot just helping you work faster
, Maybe it's helping youremember why you chose this work
in the first place, and forsomething that can't even give a
hug.
That's not nothing.
As always, thank you forspending this time with us here
on Radio Front Desk and thankyou to our panelists for showing

(17:00):
up with so much clarity, careand courage.
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