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Am J Med. 2018 Dec 13. pii: S0002-9343(18)31155-0. doi: 10.1016/j.amjmed.2018.11.028. [Epub ahead of print]

Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level.

Author information

1
Administrative Affairs, Humanities in Medicine, Penn State College of Medicine, Hershey. Electronic address: dshapiro@hmc.psu.edu.
2
Lifespan, Providence, RI.
3
Lifespan, Providence, RI; Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI.
4
Penn State Health, Hershey.

Abstract

Burnout has been implicated in higher physician turnover, reduced patient satisfaction, and worsened safety, but understanding the degree of burnout in a given physician or team does not direct leaders to solutions. The model proposed integrates a long list of variables that may ameliorate burnout into a prioritized, easy-to-understand hierarchy. Modified from Maslow's hierarchy, the model directs leaders to address physicians' basic physical and mental health needs first; patient and physician physical safety second; and then address higher-order needs, including respect from colleagues, patients, processes, and the electronic health record; appreciation and connection; and finally, time and resources to heal patients and contribute to the greater good. Assessments based on this model will help leaders prioritize interventions and improve physician wellness.

KEYWORDS:

Burnout; Physician wellness; Systems

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