• Andrew J Hale, Daniel N Ricotta, Jason Freed, C Christopher Smith, and Grace C Huang.
• a Infectious Diseases, University of Vermont Medical Center , Burlington , Vermont , USA.
• Teach Learn Med. 2019 Jan 1; 31 (1): 109-118.

IssueBurnout in graduate medical education is pervasive and has a deleterious impact on career satisfaction, personal well-being, and patient outcomes. Interventions in residency programs have often addressed isolated contributors to burnout; however, a more comprehensive framework for conceptualizing wellness is needed.EvidenceIn this article the authors propose Maslow's hierarchy of human needs (physiologic, safety, love/belonging, esteem, and self-actualization) as a potential framework for addressing wellness initiatives. There are numerous contributors to burnout among physician-trainees, and programs to combat burnout must be equally multifaceted. A holistic approach, considering both the trainees personal and professional needs, is recommended. Maslow's Needs can be adapted to create such a framework in graduate medical education. The authors review current evidence to support this model.ImplicationsThis work surveys current interventions to mitigate burnout and organizes them into a scaffold that can be used by residency programs interested in a complete framework to supporting wellness.

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