Redesigning Clinical Workflows to Return Joy to Patient Care

Breakdown of Community Driving Physician Burnout

Breakdown of Community Driving Physician Burnout

When I chose to pursue medicine, I was never concerned about the potential for Breakdown of Community being a challenge later in my career. One of the big draws of practicing medicine back in the “good old days” was the opportunity to join a group of colleagues who could I could count on to collaborate… Continue Reading

Insufficient Reward Driving Burnout

Insufficient Reward Driving Burnout

Have you thought much about insufficient reward driving burnout? I didn’t think so. Most people think burnout is primarily emotional exhaustion, brought on by work overload. Emotional exhaustion is the first of three manifestations of burnout. The other two are depersonalization (cynicism) and a low sense of efficacy, as though what you are doing is… Continue Reading

Lack of Control as a Driver of Physician Burnout

Lack of Control as a Driver of Physician Burnout

Most physicians are feeling an acute sense of Lack of Control in their work these days. This is the second driver of burnout identified by Maslach and Leiter. Last week I discussed specific issues related to the first driver of burnout – Work Overload. Work overload leads directly to Lack of Control. When one is working in the type of time-pressured chaotic work environments most physicians face these days, it’s hard not to feel out of control. Continue Reading

Work Overload as a Driver of Burnout

Work Overload as a Driver of Burnout

Work overload is the first driver of burnout, as defined by Maslach and Leiter in their landmark book, The Truth about Burnout. It’s also what most people think about as the most important, if not only, cause of burnout. When there is too much work to do, people become exhausted, the first manifestation of burnout.… Continue Reading

Why Is Physician Burnout Getting Worse?

Why Is Physician Burnout Getting Worse?

When I graduated from my family medicine residency 35 years ago, nobody talked about physician burnout, let alone physician burnout getting worse. Nowadays such talk is commonplace. Everyone from physicians who spend all their time deep in patient care, to senior level leaders are aware of physician burnout getting worse. Some understand why this is… Continue Reading

The Iron Triangle of Healthcare

The Iron Triangle of Healthcare

Have you heard of the Iron Triangle of Healthcare? It’s more familiar expression is “Quality, access, and cost: Pick any two.” The baseline assumption in the Iron Triangle is that in healthcare, due to limited resources, we can’t improve quality, increase access, and reduce cost simultaneously. One of the three has to suffer in order… Continue Reading

Preventing Physician Burnout – We Must Do More

Preventing Physician Burnout – We Must Do More

One year ago tomorrow, yes on Christmas Day 2016, our book “Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine” was published on Amazon. A few weeks later the Kindle edition became available. In the past year about 2000 people have purchased copies. That’s a start, and we’d like to… Continue Reading