Organizational strategies to reduce physician burnout and improve professional fulfillment.

MedStar author(s):
Citation: Current Problems in Pediatric & Adolescent Health Care. 49(12):100664, 2019 Dec.PMID: 31588019Institution: MedStar Washington Hospital CenterDepartment: Urology; Literature and MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Burnout, Professional/pc [Prevention & Control] | *Humanism | *Job Satisfaction | *Motivation | *Physicians/px [Psychology] | Humans | Organizational CultureYear: 2019ISSN:
  • 1538-3199
Name of journal: Current problems in pediatric and adolescent health careAbstract: 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.All authors: Dean SM, Farley H, Hamidi MS, Lawrence EC, Marchalik D, McCool JM, Micek MA, O'Donovan CA, Olson K, Rowe S, Stewart MTOriginally published: Current Problems in Pediatric & Adolescent Health Care. :100664, 2019 Oct 04Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2019-10-14
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Journal Article MedStar Authors Catalog Article 31588019 Available 31588019

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.

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