System Level Interventions to Mitigate Burnout & Promote Professional Fulfillment-View Presentation Slides

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This presentation by Mikey Todd Trockel, MD, PhD from Stanford Medicine focuses on systemic interventions to reduce physician burnout and enhance professional fulfillment. Key elements include the Stanford Model of Occupational Wellbeing, addressing factors like sleep impairment, anxiety, EHR usability, leadership, teamwork, schedule control, and peer support.<br /><br />The LISTEN ACT DEVELOP (LAD) intervention model emphasizes understanding burnout causes, empowering physicians to create solutions, developing physician leaders, and iterating improvements. The IMPACT program uses influential physician opinion leaders to promote cultural transformation through evidence-based practices in four lunch sessions on gratitude, cognitive reframing, mindfulness, and reflection. Participation led to increased professional fulfillment, self-valuation, and reduced burnout, with a strong positive cost-benefit ratio.<br /><br />Self-valuation—how physicians relate compassionately to themselves—is strongly linked to lower burnout, depression, anxiety, and sleep issues, and high self-valuation correlates with greater professional fulfillment and gratitude at work. Low self-valuation accounts substantially for physicians’ increased burnout risk compared to other professions. Leaders play a vital role by modeling self-valuation, fostering a growth mindset around errors, prioritizing self-care, and promoting these values organization-wide.<br /><br />Work’s negative impact on personal relationships is a major contributor to occupational distress. Many physicians report work interfering with nurturing or developing relationships, causing isolation. Interventions to mitigate this include operational changes like better coverage, scheduling predictability, team-based care, and respectful policies supporting work-life boundaries. Leadership training and cultural shifts promoting healthy relationships and well-being are critical.<br /><br />A novel “Relationships Recharge Initiative,” based on positive psychology, supports physicians and their partners through workshops promoting presence, empathetic communication, gratitude, and shared quality time to strengthen relationships and reduce burnout.<br /><br />Overall, the presentation highlights that addressing burnout requires system-level changes targeting workload, culture, leadership, self-valuation, and personal relationships, with evidence-based interventions showing promising outcomes in physician well-being and retention.

Keywords

physician burnout

professional fulfillment

Stanford Model of Occupational Wellbeing

LISTEN ACT DEVELOP (LAD) intervention

IMPACT program

self-valuation

leadership in healthcare

work-life balance

Relationships Recharge Initiative

systemic interventions