Noteworthy Resources

Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees

By Mark Linzer, MD; Cynthia D. Smith, MD; Susan Hingle, MD; et al

JAMA Network Open

Authors analyzed the Mini Z data from eight ACP chapters, as well as the 2018 and 2019 cohorts of Well-being Champions. Findings showed that surveyed ACP members reported high levels of career satisfaction, but also high levels of burnout. Female clinicians reported higher levels of burnout than male. Thank you to all our Champions who have surveyed their chapters using the Mini Z! Your hard work is helping move the needle toward a zero-burnout world.

Risk factors of burnout included documentation time pressure and lack of work control, whereas satisfaction was associated with alignment of professional values with those of the respondents' clinical leaders and efficient teamwork.

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Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being

By Christine A. Sinsky, Lee Daugherty Biddison, Aditi Mallick, Anna Legreid Dopp, Jessica Perlo, Lorna Lynn, and Cynthia D. Smith

NAM Perspectives

This NAM discussion paper, intended for leaders in health care, focuses on evidence-based and promising practices shown to increase clinician well-being at an organizational level, recognizing that burnout is a systems-level issue.

Now more than ever, health care institutions should become more resilient by committing to workforce well-being as an organizational priority, regularly assessing and reporting burnout and its drivers, sharing accountability for organizational outcomes across leadership roles, periodically evaluating and de-implementing non-evidenced based policies, intentionally measuring and improving the efficiency of the work environment, and creating a culture of connection and support for clinicians.

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Advancing Equity in Health Systems by Addressing Racial Justice

By Amy Reid, Santiago Nariño, Hema Magge, and Angelina Sassi

Stanford Social Innovation Review

Lessons on racial equity underscore the need to set explicit aims, build coalitions, and flatten hierarchies in order to strengthen health care's role in undoing systems of oppression. Includes frameworks and blueprints.

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COVID-19 Recovery: Team-Based Care Toolkit

Effective and efficient interprofessional teams contribute to higher levels of work satisfaction and less wasted time on unnecessary tasks. The COVID-19 pandemic has transformed the idea of the traditional health care team by creating new roles, new workflows, and new opportunities. This new toolkit from ACP provides a definition of team-based care, guidelines to safely resume in-person care, tips on promoting physical and psychological safety within the health care team, and real-life examples of successful team-based care during COVID-19.

If you know of a practice that has showcased successful team-based care during the pandemic, please reach out to us at acpwellbeing@acponline.org We would love to highlight more real-life examples!

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Professional coaching alleviates burnout symptoms in physicians

By Robert Nellis

Mayo Clinic News Network

A randomized study of 88 physicians published in JAMA Internal Medicine showed a significant decrease in symptoms of burnout among participants who had received professional coaching services. Use these findings to help make the case for coaching services in your own institution.

More research remains to be done on the efficacy of professional coaching when combined with other programs, but these results suggest it may be added to a growing list of evidence-based tools to support physicians and, by extension, the patients they serve.

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Back to the November 20, 2020 issue of ACP IM Thriving