Physician Well-being 2.0: Where Are We and Where Are We Going?Although awareness of the importance of physician well-being has increased in recent years, the research that defined this issue, identified the contributing factors, and provided evidence on effective individual and system-level solutions has been maturing for several decades. During this interval, the field has evolved through several phases, each influenced not only by an expanding research base but also by changes in the demographic characteristics of the physician workforce and the evolution of the health care delivery system.
Foster Well-being Throughout the Career Trajectory: A Developmental Model of Physician Resilience TrainingPhysician burnout is common across specialties and largely driven by demands of the current health care industry. However, the obvious need for systems change does not address the unavoidable impact of providing care to those who suffer. An intentional, developmental, longitudinal approach to resiliency training would not distract from fixing a broken system or blame physicians for their distress. Existing models and approaches to resilience training are promising but limited in duration, scope, and depth.
Healing the Professional Culture of MedicineThe past decade has been a time of great change for US physicians. Many physicians feel that the care delivery system has become a barrier to providing high-quality care rather than facilitating it. Although physician distress and some of the contributing factors are now widely recognized, much of the distress physicians are experiencing is related to insidious issues affecting the cultures of our profession, our health care organizations, and the health care delivery system. Culture refers to the shared and fundamental beliefs of a group that are so widely accepted that they are implicit and often no longer recognized.
Decreasing Patient Stress and Physician/Medical Workforce Burnout Through Health Care Environments: Uncovering the Serious Leisure Perspective at Mayo Clinic's Campus in Rochester, MinnesotaHealth care environments are places of high stress for both patients and medical professionals. Although organizational efforts of workload and efficiency are often implemented to decrease both patient and physician/medical workforce stress, what is often overlooked is how leisure opportunities and programs located in day-to-day experiences and in physically built environments can increase both patient and medical staff enjoyment and pleasure, thus lowering patient stress and physician/medical staff burnout.
Stress Among Medical Oncologists: The Phenomenon of Burnout and a Call to ActionThe concept of “burnout” typically generates a vision of a scorched earth with no meaningful vegetation and a lack of life. When people experience burnout in their professional lives, they seem to lack interest and enthusiasm. The “fire in the belly” that was once a roaring inferno diminishes to a dimly lit and quickly fading ember. Usually, the concept of “brownout” is more germane to a decrease in joy-filled experiences than to a complete lack of enthusiasm.