RESOURCES FOR THOSE RESPONSIBLE FOR CREATING OR LEADING WELLNESS PROGRAMS  
  1. Burnout: 35 years of research and practice
Paper that focuses on the career of the burnout concept itself, rather than reviewing research findings on burnout  
  1. Disturbing Trends in Physician Burnout and Satisfaction With Work-Life Balance: Dealing With Malady Among the Nation’s Healers
Editorial from the Mayo Clinic  
  1. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014
Article from the Mayo Clinic  
  1. A Cluster Randomized Trial of Interventions to Improve Work Conditions and Clinician Burnout in Primary Care: Results from the Healthy Work Place (HWP) Study
Do improvements in work conditions improve clinician stress and burnout?  
  1. Please put on your own oxygen mask before assisting others: a call to arms to battle burnout
Proposes potential solutions, aggressive and multi-pronged, that focus on the individual, departmental, institutional and national levels  
  1. Preventing occupational stress in healthcare workers (Review)
Evaluates how well different ways to prevent healthcare workers’ stress or burnout work. Includes 58 studies totalling 7188 participants  
  1. Professional Burnout
Book: History of the burnout concept, definitions, how it is measured, etc.  
  1. Physician Resilience: What It Means, Why It Matters, and How to Promote It
Illustrates factors that promote constructive and healthy engagement with difficult challenges at work  
  1. Finding the Why, Changing the How: Improving the Mental Health of Medical Students, Residents, and Physicians
Article from Academic Medicine. Discusses the Saint Louis University School of Medicine’s multipronged strategy to addressing mental health issues in the preclinical years, which have led to dramatic decreases in depression and anxiety symptoms in students  
  1. Concurrent Validity of Single-Item Measures of Emotional Exhaustion and Depersonalization in Burnout Assessment
Evaluates the concurrent validity of two questions relative to the full Maslach Burnout Inventory (MBI) for measuring the association of burnout with published outcomes  
  1. Impact of Organizational Leadership on Physician Burnout and Satisfaction
Article from the Mayo Clinic. Evaluates individual physicians working for a large health care organization  
  1. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis
Systematic review and meta-analysis of MEDLINE, Embase, PsycINFO, Scopus, Web of Science, and the Education Resources Information Center from inception to Jan 15, 2016  
  1. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians
JAMA article that seeks to determine whether an intensive educational program in mindfulness, communication, and self-awareness is associated with improvement in primary care physicians’ well-being, psychological distress, burnout, and capacity for relating to patients  
  1. Mini Z burnout survey
Short survey to determine workplace stress levels and how they measure up against others in same field  
  1. Meeting the Physician’s Needs
Article from Trustee. How Boards can improve engagement through support, recognition and education  
  1. Physician wellness: a missing quality indicator
Reviews work stresses faced by physicians, barriers to attending to wellness, and consequences of unwell physicians to the individual and to health-care systems  
  1. Physician-Organization Collaboration Reduces Physician Burnout and Promotes Engagement: The Mayo Clinic Experience
Case study from Mayo Clinic supporting foundational principles of a physician-engagement model  
  1. Physician Burnout and Occupational Stress: An inconvenient truth with unintended consequences
An overview of the current state of knowledge, merging information from various fields. Areas that require action are identified and possible solutions offered.  
  1. Physicians And Healthcare Administrators: Friends Or Foes?
Four guiding principles to start building a better relationship between physicians and administrators  
  1. Doing something about physician burnout
Comment stressing that institutions should take lead and address clinician burnout now  
  1. The Quadruple Aim: care, health, cost and meaning in work
Editorial. A takeoff on the Triple Aim framework for the delivery of high value care (Berwick and colleagues: improving the individual experience of care, improving the health of populations, and reducing the per capita cost of healthcare) to add a fourth: improving the experience of providing care  
  1. From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Article from Annals of Family Medicine recommending that the Triple Aim be expanded to a Quadruple Aim, adding the goal of improving the work life of health care providers, including clinicians and staff  
  1. Quality of Life During Orthopaedic Training and Academic Practice Part 1: Orthopaedic Surgery Residents and Faculty
Article from The Journal Of Bone And Joint Surgery, Incorporated. Pilot study of two academic training programs revealing concerning levels of resident burnout and psychological dysfunction  
  1. Quality of Life During Orthopaedic Training and Academic Practice Part 2: Spouses and Significant Others
Article from The Journal Of Bone And Joint Surgery, Incorporated. Examines burnout, psychological distress, and marital satisfaction of the spouses and significant others of orthopaedists in training and in orthopaedic practice in an academic setting  
  1. Physician Stress and Burnout: What Can We Do?
A survey of more than 2,000 physicians finds that stress and burnout are on the rise, but there are some steps doctors can take to reduce the problems  
  1. Struggling in Silence Physician Depression and Suicide
Companion presentation to two documentary films created by the American Foundation for Suicide Prevention that address the unmet needs of depressed physicians and medical students  
  1. The AAP Resilience in the Face of Grief and Loss Curriculum
Article in Pediatrics covering a curriculum developed to address the professional attitudes, knowledge, and skills essential to thrive despite the many stressors inevitable in clinical care  
  1. The Well-Being of Physicians
Article from the Association of Professors of Medicine that describes physician stress and burnout, and gives practical suggestions  
  1. Wisdom in Medicine: What Helps Physicians After a Medical Error?
Looks at doctors who coped well with medical error in order to highlight specific ways to help clinicians in similar situations avoid devastating professional outcomes and achieve not just recovery but positive growth  
  1. Worklife and Wellness in Academic General Internal Medicine: Results from a National Survey
Assesses academic General Internal Medicine worklife and determines remediable predictors of stress and burnout  
  1. Breaking the Stigma — A Physician’s Perspective on Self-Care and Recovery
One physician’s successful recovery journey from a history of depression, suicidal ideation and alcoholism.