The Unrecognized Pathology of "Cumulative Grief"

Most medical training focuses on the patient’s physiology, but ignores the provider’s psychological injury. In this file, Dr. Galanos diagnoses a condition missing from the literature: Cumulative Grief. We dissect the long-term impact of suppressing sadness in high-acuity specialties (ER, ICU, Oncology) and why the "Healthcare Hero" label is actually a risk factor for burnout. Dr. Galanos presents his clinical intervention for the team—"The Pause"—and explains how to survive the "woulda, coulda, shoulda" spiral after a bad outcome. You will learn: Why attendings are at higher risk for grief-related burnout than residents. The "Pause" Protocol: A 60-second intervention to use after a patient death. Why "Resilience Training" fails without structural support.