TY - BOOK AU - Marchalik, Daniel TI - Organizational strategies to reduce physician burnout and improve professional fulfillment SN - 1538-3199 PY - 2019/// KW - *Burnout, Professional/pc [Prevention & Control] KW - *Humanism KW - *Job Satisfaction KW - *Motivation KW - *Physicians/px [Psychology] KW - Humans KW - Organizational Culture KW - MedStar Washington Hospital Center KW - Urology; Literature and Medicine KW - Journal Article N2 - Burnout is highly prevalent among physicians and has been associated with negative outcomes for physicians, patients, staff, and health-care organizations. Reducing physician burnout and increasing physician well-being is a priority. Systematic reviews suggest that organization-based interventions are more effective in reducing physician burnout than interventions targeted at individual physicians. This consensus review by leaders in the field across multiple institutions presents emerging trends and exemplary evidence-based strategies to improve professional fulfillment and reduce physician burnout using Stanford's tripartite model of physician professional fulfillment as an organizing framework: practice efficiency, culture, and personal resilience to support physician well-being. These strategies include leadership traits, latitude of control and autonomy, collegiality, diversity, teamwork, top-of-license workflows, electronic health record (EHR) usability, peer support, confidential mental health services, work-life integration and reducing barriers to practicing a healthy lifestyle. The review concludes with evidence-based recommendations on establishing an effective physician wellness program. Copyright (c) 2019 Elsevier Inc. All rights reserved UR - https://dx.doi.org/10.1016/j.cppeds.2019.100664 ER -