Background and Approach

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The following case studies highlight organizational initiatives that have demonstrated success in supporting well-being and reducing burnout among practicing clinicians, trainees, and/or students. The case studies are intended to inform and inspire organizations facing similar challenges and seeking similar outcomes. Although there is no one-size-fits-all solution for clinician well-being, techniques and resources described in the case studies may provide a useful starting point for other groups.

Approach

Case studies were authored by members of the National Academy of Medicine’s (NAM’s) Action Collaborative on Clinician Well-Being and Resilience and NAM staff on the basis of extensive interviews, document review, and site visits. Each case study was externally peer reviewed.

To select subjects for the case studies, authors considered diversity in profession, clinical/educational setting, and type of intervention. In addition, each subject was required to meet the following criteria:

  • Addresses the system-level driver(s) of clinician burnout and well-being as identified by the Action Collaborative’s Conceptual Model of the Factors Affecting Clinician Well-Being and Resilience
  • Has been implemented for more than 6 months
  • Measures and reports outcomes data
  • Demonstrates success in promoting well-being and reducing burnout

This project is ongoing, and additional case studies will be posted when complete. Suggestions for case studies may be submitted to ClinicianWellBeing@nas.edu.

All Case Studies

Virginia Mason Kirkland Medical Center

Virginia Mason Kirkland Medical Center is an outpatient clinic that has fostered intentional programs and policies to support clinician well-being. Two pillars play a central role: workflow optimization and culture.

Organizational Strategies

About: Medical assistant, Nurse, Pharmacy health care provider, Physician, Physician assistant

The Ohio State University

The Ohio State University is a public research university that has fostered intentional and persistent initiatives to support the well-being of its students, trainees, and practicing clinicians.

Organizational Strategies

About: Educator, Nurse, Physician, Student/Trainee

College of Medicine

The Ohio State University College of Medicine, home to more than 800 students, offers a variety of curriculum- and non-curriculum-based programs to enhance and support student well-being. Its culture, rooted...

About: Student/Trainee

College of Nursing

The Ohio State University College of Nursing—home to approximately 2,200 students enrolled in baccalaureate, master’s, doctorate of nursing practice, and doctorate programs—offers a variety of curriculum and...

About: Nurse, Student/Trainee

Emergency Medicine Residency Program

Residency can be an inherently stressful time, and the transition from medical student to resident can be an especially stressful event. Needs assessments and dedicated long-term resources have been essentia...

About: Student/Trainee

Wexner Medical Center

Clinicians around the country face a variety of stressors that can lead to burnout and decreased well-being. At Ohio State, efforts to promote and support clinician well-being include facilitated traumatic e...

About: Nurse, Physician

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Webinar Series

Want to learn more about the featured initiatives? The NAM will host webinar Q&As with program leaders in fall 2019.

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Disclaimer

The views expressed in these case studies are not necessarily those of the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The case studies are intended to help inform and stimulate discussion. They are not reports of the NAM or the National Academies. The NAM and the National Academies do not necessarily endorse the approaches taken in the case studies. Copyright by the National Academy of Sciences. All rights reserved.