Breaking Free from the Trap of Thought Errors and Your Inbox

As we approach the end of the year, it’s natural to start reflecting. For many of us, that reflection can trigger a desire to “get it all together.” We imagine the new year as a magical reset, a time when everything will somehow be better. But without addressing the underlying patterns and beliefs that keep us stuck, nothing really changes.

One of the biggest challenges I see among women physicians is the thought errors we hold about our inboxes, especially in this era of electronic medical records (EMRs). Patient portals have created the illusion of 24/7 availability—both for our patients and for ourselves.

The Common Thought Errors Keeping Us Stuck

Here are a few thought errors I see over and over:

1. "If I don’t check my inbox constantly, something terrible might happen."
   Many of us feel responsible for every patient message, even when it’s clearly stated that the portal is not for emergencies. We carry the guilt when patients misuse the system, thinking we should have prevented it.
2. "My patients need me to be available 24/7."
   It’s easy to believe that we’re the only ones who can provide the care our patients need. But this belief is not only untrue—it’s unsustainable.
3. "If I don’t respond immediately, I’m failing."
   Responding to messages at all hours teaches our patients to expect constant availability. Breaking this cycle starts with us setting boundaries.

Reclaiming Boundaries and Letting Go of Guilt

We cannot provide excellent, compassionate care if we’re burned out. That means we need to challenge these thought errors and reclaim our time and energy.

• Recognize what is and isn’t your responsibility. You didn’t create the emergency by not responding immediately. You’re not responsible for outcomes when patients misuse the portal.
• Set boundaries and stick to them. By modeling healthy boundaries, we not only protect ourselves but also teach our patients what to expect.
• Allow yourself to rest. Rest is not a luxury; it’s a necessity. When we’re well-rested, we can provide better care during the hours we’re on.

A Sustainable Way Forward

As we move into the new year, reflect on the thought patterns that may be keeping you stuck. What beliefs about your inbox or your role as a physician are no longer serving you?

This is the work we do every day in Unbound, my coaching group for women physicians. It’s brave and challenging, but it’s also deeply rewarding. Together, we can create a life and career that feels sustainable, fulfilling, and joyful.

Here’s to setting boundaries, finding balance, and moving into 2025 with intention.