Background: The COVID-19 pandemic introduced significant stressors on the healthcare workforce and psychological distress is on the rise. The objective of this study was to evaluate a Hospitalist Morale Index (HMI) as a measure of well-being during the pandemic in comparison to other measures of morale, quality of life, and burnout. Methods: The HMI is [...]

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: Hospital Medicine (HM) practices have traditionally utilized an extended ‘7 on/7 off’ (7/7) schedule. Occupational Health studies suggest that such schedules can increase physiologic and psychologic stressors (Keller). Despite their prevalence, the effects of extended scheduling on physician well-being and performance are unknown. We sought to study the effect of 7/7 scheduling on well-being [...]

Background: Prevalence of burnout is significantly higher in physicians than general population. Burnout is expected to result in decreased personal well-being, however, relationship between physician burnout and well-being is unexplored. Therefore, our aim was to examine the relationship between burnout and well-being among medical staff physicians of an academic hospital. Methods: All medical staff physicians [...]

Background: Hospitalists have been at the frontlines of caring for hospitalized patients with COVID-19, placing unusually high stress on hospital-based providers. Attention to hospitalist well-being and resiliency has been essential. We have engaged in a quality improvement project seeking to measure and, more importantly, improve the well-being of hospitalists at a single, large academic hospital. [...]

Background: Healthcare organizations are increasingly seeking to improve physician well-being to combat rates of physician burnout. The Stanford Wellness Framework details a multi-pronged solution which includes three domains: personal resilience, culture of wellness, and efficiency of practice. Enhanced communication skills can improve patient-provider relationships and foster personal resilience, while improving efficiency in practice and contributing [...]

Background: Calls to action to address well-being recommend addressing systems drivers and improving the culture of medicine, in addition to devoting attention to individual self-care. In 2018, an internal medicine residency well-being elective was developed to teach residents about systems and cultural drivers of well-being in residency, and to facilitate deep exploration through individual systems [...]