Background: Nocturnist turnover is high at many institutions, leaving vacant positions, with potential impact on patient care and satisfaction, as well as substantial recruitment expenses. The reasons that nocturnists choose to leave their positions, and night work in general, have not been formally studied. We sought to gain deeper understanding about the reasons for nocturnist [...]

Background: Current studies continue to find high rates of reported burnout worldwide among healthcare workers, including attending physicians. However, many of the studies have been limited in assessing attending physician well-being across multiple sites and healthcare systems. Within our health enterprise, we have a diverse group of attending physicians, particularly those who rotate on the [...]

Background: Many evidences suggesting that hiring more hospitalists could result in cost savings, higher quality of care, and superior treatment outcomes[1-3]. Despite the benefits of introducing hospitalists in the hospitals, solely focusing on their productivity can potentially bring burnout and stress, even psychiatric symptoms, to them[4-8]. Recognizing and addressing the burnout and psychiatric symptoms of [...]

Background: Consistent with national reports, post-pandemic burnout rates for the >100 hospitalist faculty at our institution were noted to be disproportionally high relative to the department1. Hospitalists engage in a wide range of non-clinical work including QI projects and committees embedded in the structure of efficient and high-quality inpatient care2. Building off literature in which [...]

Background: Physician burnout is a persistent stress reaction which can include emotional exhaustion, depersonalization, and feeling of decreased personal accomplishment. Burnout affects all specialties and all practices, but burnout rates are higher among women physicians as compared to men (56% vs 41%). Gender disparities in burnout have many causes, including inequities in recruitment, pay and [...]

Background: Burnout is prevalent among healthcare workers (HCW) within the United States and has only increased since the COVID-19 pandemic.1,2,3,4 Approximately 52% of HCWs–including physicians, nurses, pharmacists, and physical therapists–reported burnout during the COVID-19 pandemic.1 Social isolation is an important factor associated with burnout among HCWs.5 Despite the rise in burnout, interventions to address burnout [...]

Background: Healthcare systems face challenges to meet the needs of a complex aging patient population, and simultaneously at risk of clinician burnout and loss of talent. Advancements in technology for clinical use have extended the reach of clinicians into patient homes, improving operational efficiency of Acute Care at Home programs, as well as patient and [...]

Background: Clinicians spend nearly half of their time at work on clinical documentation, impacting time spent with patients and trainees. Studies have demonstrated a correlation with electronic health record (EHR) documentation burden and clinician burnout. Finding innovative ways to balance increasing EHR demands and mitigate this burden is essential. Purpose: We identified that time spent [...]

Background: Health information technology (HIT) systems, though designed to improve clinical workflow efficiency, have ironically contributed to clinician burnout, especially among hospitalists who depend on these systems for patient care and coordination (Adler-Milstein 2020). Addressing these challenges requires a detailed, resource-intensive process to identify workflow inefficiencies. Because this process is difficult, it is often performed [...]