Background: Co-management across service lines has become increasingly common in hospital medicine. While debate continues over clinical outcomes, some co-management arrangements have led to enhanced provider satisfaction, which may have implications for burnout. We have established successful co-management services with orthopedics, urology (GU), otorhinolaryngology (ENT), trauma and neurosurgery (NS). We are a large urban/suburban academic [...]

Background: In a previous randomized trial we found that shorter ward rotations reduced attending physician burnout at rotation-end. This improvement was offset, however, by negative education outcomes among trainees. Therefore solutions to burnout other than simply shortening rotations are needed to preserve the educational mission. We examined additional data collected (but not yet presented) to [...]

Background: Work engagement has been an ongoing subject of interest within many organizations as it reflects employee well-being and can affect productivity, work outcomes, emotional health, and physical health (1). Stress levels in the work environment can lead to deterioration of sleep and work engagement and increase burnout (2). Heartfulness meditation is a simple heart-based [...]

Background: Co-management across service lines has become increasingly common in hospital medicine. While debate continues over clinical outcomes, some co-management arrangements have led to enhanced provider satisfaction, which may have implications for burnout. We have established successful co-management services with orthopedics, urology (GU), otorhinolaryngology (ENT), trauma and neurosurgery (NS). We are a large urban/suburban academic [...]

Background: In a previous randomized trial we found that shorter ward rotations reduced attending physician burnout at rotation-end. This improvement was offset, however, by negative education outcomes among trainees. Therefore solutions to burnout other than simply shortening rotations are needed to preserve the educational mission. We examined additional data collected (but not yet presented) to [...]

Background: While medical school experience could be very rewarding, it is also known to be unusually stressful to many future physicians. Previous cross sectional studies have shown that symptoms of depression and burnout are higher among medical students compared to age matched general population. A meta-analysis reported overall pooled crude prevalence of depression, or depressive [...]

Background: With over 50% of hospitalists affected by burnout cited in the literature, it is imperative to evaluate tools and techniques to abate the downstream consequences. Recent work on resiliency has focused on how to decrease emotional exhaustion through exercises that can reframe a negative outlook into a positive perspective. Employing the “three good things” [...]

Background:  The rapidly changing and increasingly complex hospitalist work environment has placed new focus on provider burnout and resilience. As hospitalist leaders seek tools to address these issues, the design thinking process offers a novel user-centered approach. Initially developed in the tech industry, design thinking moves quickly and iteratively through five stages: Empathize, Define, Ideate, Prototype, and [...]

Background: From 2016 to 2018, advanced practice provider (APP) utilization in academic hospital medicine groups (HMGs) has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. Due to a lack of standardization around APP utilization, and the frequent use of shared billing models, determination of return on investment for APPs is challenging and [...]

Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study aims to explore the impact of difficult patient encounters on hospitalist resilience to inform future individual and organizational efforts to [...]