• Kathryn M Andolsek.
• Duke University School of Medicine Department of Community and Family Medicine, DUMC 2914, Durham, NC 27710.
• FP Essent. 2018 Aug 1; 471: 20-24.

AbstractUntil recently, most initiatives to address physician burnout have focused on improving the resilience of individual physicians. These measures are necessary but insufficient since it is now recognized that organizations have a major role in causing, preventing, and mitigating physician burnout. Burnout must be addressed by organizational change. The first steps to improving clinician well-being are measurement and monitoring. Several validated scales are available to assess well-being. Results of assessments can be used to engage clinicians in open conversations on issues and potential solutions. Specific leadership behaviors and positive organizational cultures decrease burnout and enhance engagement. There must be an institutional commitment to enhancing physician autonomy and transparent communication, improving the meaning of work, reducing administrative and regulatory burdens, and reducing the stigma related to seeking care.Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

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