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            The first cause is poor communication.

            An imbalance between work and personal time can also foster burnout.

            A third cause of burnout is that medicine operates as a business, thereby inviting all the stresses of a business.

            Fear of malpractice suits, another cause of burnout, haunts many health care professionals.  Distrust pervades the doctor-patient relationship and wounds it.

Gesundheit, Patch Adams, M.D., page 32