Sidebar: Professional Fulfillment Domains for Physicians

Drawing on research, physician leaders at the Stanford WellMD Center have devised a three-part framework to help organizations think about burnout mitigation strategies.

Domain 1: Culture of Wellness

Leadership support and accountability for wellness

Resources to support wellness

Regular measurement of wellness/professional fulfillment

Recognition and appreciation

Fairness and inclusiveness

Transparency and values alignment

Domain 2: Efficiency of Practice

Redesign of inefficient work

Physician involvement in redesign of clinical processes

Teamwork models of practice

Work-space design to promote communication

Efficient communication methods to minimize email

Streamlined electronic medical record interface

Staffing and scheduling to accommodate predictable absences

Domain 3: Personal Resilience

Self-care assessment and support

Safety-net system for crisis interventions

Evidence-based worksite health promotion

Encouragement of peer support

Financial management counseling

Life-needs support (i.e., child and elder care, after-hours meals, etc.)