In this new post to the GotoTech.com blog Eric Burns talks about a way he's "tamed Doctrine's 2000 flushes" with a wrapper around the EntityManager to make controlling the database flushes simpler.

For my project I decided to use the Doctrine 2 ORM to manage my data layer. We also use this at work, so the biggest reason I chose this was to be able to learn more about Doctrine to help me in my job. But this decision also makes sense for my project because my entity relationships will likely be fairly straightforward for the most part and using an ORM will allow me to make a lot of progress very quickly without (I hope) causing me lots of trouble later on.

His handy wrapper (Data Manager) makes it simpler to perform the flush and still take transactions into consideration. His simple class includes "flush", "commit" and "startTransaction" methods that don't actually perform the flush until the commit is called.