Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Physician burnout as a consequence of systematic design, not an individual issue

Andrew Schutzbank, MD, MPH
Physician
December 23, 2019
Share
Tweet
Share

Burnout in health care is an epidemic across the nation, contributing to a lack of empathy for patients, poor care, providers electing to leave the workforce, substance abuse, depression, and even provider suicide. In a recently published case study in the American Physicians Group Case Studies in Excellence, Iora Health made a move to shift the conversation around burnout from an individual phenomenon to a system problem.

Although there is a consensus in the health care community that burnout is a problem plaguing the nation, the response has been tepid, at best. Current conversations put the burden of lessening burnout on overly burdened health care workers. Recommendations such as mindfulness, self-care, and physical health, while crucial to well-being, are stress coping mechanisms. Developing one’s own resilience does nothing to reduce the factors that actually cause burnout — increasing complexity paired with continuous interruptions. In fact, focusing on self-management allows the system to propagate. If we want an engaged health care workforce, able to build empathetic relationships and support us through disease on the road to health, we must first fix the underlying cause — the work of health care.

Primary care today, like all of health care, has massively increased in complexity, and work systems have abjectly failed to keep pace. Exploding paperwork, redundant, poorly designed technology, and operational systems and continuous interruptions all generate friction that erodes our ability to provide care. Iora Health, employing primary care physicians in an advanced model of primary care across the nation, is no stranger to the burdens we place on our care teams. As a physician-founded, physician-led organization committed to restoring humanity to health care, we firmly believe that the way through burnout is the rediscovery of joy. To do this, we need to remove or reduce the friction, the thousands of “papercuts” that accumulate throughout one’s clinical day.

For physicians, like the rest of us, taking work home is toxic to their lives and the care they provide from nine to five. Using a combination of lean and agile principles, we worked across the company to directly change the work of care teams, improve the technology, and even redesign space to better support our care of patients.

Encouragingly, in only six months, we were able to virtually eliminate work taken home by providers while increasing the number of patients under our care by 30 percent. Still, we knew this was only the beginning, and we continually deploy resources to refine our workflow, training, and technology.

By embracing burnout as a consequence of systematic design rather than an individual issue, we have already seen that rapid change is possible when an organization comes together to fix the work and restore joy to care. We challenge the rest of health care to embrace the systematic redesign of daily work, or be left behind. It is necessary for our teams, and ultimately the health of our communities.

Andrew Schutzbank is senior vice-president, development, Iora Health.

Image credit: Shutterstock.com

Prev

A doctor dies twice

December 23, 2019 Kevin 1
…
Next

How ocean plastic picking made me a better pediatrician

December 23, 2019 Kevin 1
…

Tagged as: Health IT, Practice Management

Post navigation

< Previous Post
A doctor dies twice
Next Post >
How ocean plastic picking made me a better pediatrician

ADVERTISEMENT

More by Andrew Schutzbank, MD, MPH

  • a desk with keyboard and ipad with the kevinmd logo

    Doctors cannot be expected to be financial engineers

    Andrew Schutzbank, MD, MPH

Related Posts

  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Physician burnout is as much a legal problem as it is a medical one

    Sharona Hoffman, JD
  • Despite physician burnout, medical schools are still hard to get into. Why is that?

    Suneel Dhand, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • The black physician’s burden

    Naomi Tweyo Nkinsi

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...