Canadian Medical Association

Indicators such as patient volume, patient satisfaction and financial performance have long been used to assess the stability and viability of health care organizations.

However, an article published in JAMA Internal Medicine found overwhelming evidence that physician well-being is just as important as these more "traditional" factors.

With the CMA National Physician Health Survey finding that 30% of physicians suffer from high levels of burnout, there is a clear need to implement systemic strategies to address physician wellness. Doing so will support both individual physician health and the health of the organizations where they work. 

Key factors that affect physician burnout

Adapted from Mayo Clinic Proceedings

  • Workload and job demands
  • Efficiency and resources
  • Organizational culture and values
  • Social support and community at work
  • Work-life balance
  • Control and flexibility 
  • Meaning in work

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Benefits of implementing physician wellness programs
 

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Physician health and wellness

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Collegiality and collaboration

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Efficiency and work effort

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Quality of care

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Patient satisfaction

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Medical errors

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Physician turnover

Key considerations in wellness program planning
 

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Psychosocial factors

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Current health care landscape

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Existing goals and processes

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System interaction

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Stakeholder input

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Ideal future state


How to introduce wellness supports into learning, training and practice environments: 5 steps to get started

1.  Assess the problem

2.  Identify existing processes

  • What has worked in your organization and what hasn't?
  • What steps will need to be taken to develop a program or modify an existing one?
  • Are there existing programs in other organizations that you could adapt?

3.  Review system interactions

  • How do individuals, the organization and its culture interact across the drivers of physician burnout?

4.  Assemble your team

  • Identify a leadership team of two or three physicians and administrators with expertise and interest in physician wellness.
  • Let the leadership team know that their feedback and recommendations are not just symbolic — they will inform and influence the decision-making process.

5.  Survey the stakeholders

  • Identify and survey all key stakeholders in your organization to understand their needs.
  • Conduct focus groups with seven or eight physicians.
     

Adapted from JAMA Internal Medicine and the American Medical Association.

Topics

Governance tools Burnout Leadership and professional development Training Change management Organizational wellness

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