Clinician well-being is essential for safe, high-quality patient care.
However, clinicians of all kinds, across all specialties and care settings, are experiencing alarming rates of burnout. Among the most telling of statistics, more than 50 percent of U.S. physicians report significant symptoms. Burnout is a syndrome characterized by a high degree of emotional exhaustion and depersonalization (i.e., cynicism), and a low sense of personal accomplishment at work.
Clinician burnout can have serious, wide-ranging consequences, from reduced job performance and high turnover rates to—in the most extreme cases—medical error and clinician suicide. On the other hand, clinician well-being supports improved patient-clinician relationships, a high-functioning care team, and an engaged and effective workforce. In other words, when we invest in clinician well-being, everyone wins.
Supporting clinician well-being requires sustained attention and action at organizational, state, and national levels, as well as investment in research and information-sharing to advance evidence-based solutions.
Browse or click below to learn more about the Action Collaborative.
- About the Action Collaborative
- News from the Action Collaborative
- Events of the Action Collaborative
- Publications and Resources
- Get Involved
In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-Being and Resilience, a network of more than 60 organizations committed to reversing trends in clinician burnout. The Collaborative has three goals:
- Improve baseline understanding of challenges to clinician well-being;
- Raise the visibility of clinician stress and burnout; and
- Elevate evidence-based, multidisciplinary solutions that will improve patient care by caring for the caregiver.
The Action Collaborative is composed of five working groups that will meet over the course of two years to identify evidence-based strategies to improve clinician well-being at both the individual and systems levels. Products and activities of these four working groups include an online knowledge hub, a series of NAM Perspectives discussion papers, an all-encompassing conceptual model that reflects the domains affecting clinician well-being, and a common set of definitions.
Action Collaborative Leadership
Victor Dzau, chair
Darrell Kirch, co-chair
Thomas Nasca, co-chair
Action Collaborative Staff
Charlee Alexander, Program Officer
Ivory Clarke, Associate Program Officer
Marc Meisnere, Associate Program Officer
Mariana Zindel, Research Assistant
Imani Rickerby, Program Assistant
Sharyl Nass, Board Director
Action Collaborative Working Groups
Please click here to view members of our five working groups.
February 2, 2018 Webinar – Recording and Slides Now Available!
The webinar, held on February 2, released several resources and provided a first look at an online repository that will provide users with resources related to clinician burnout and well-being. Visit the webinar’s event page to view the recording of the webinar and the presenters’ slides>>
New England Journal of Medicine and STAT News Publishes Clinician Burnout Perspectives
National Academy of Medicine President Victor Dzau and Action Collaborative Co-Chairs Darrell G. Kirch and Thomas Nasca published a Perspective in the New England Journal of Medicine on the work of the Action Collaborative and the critical issue of clinician burnout. Read the perspective>>
National Academy of Medicine President Victor Dzau authored an editorial, published in STAT News, on how pervasive clinician burnout is and why it is critical that we work collaboratively, now, to help stem these negative trends. Read the editorial>>
National Call for Commitment Statements – Over 150 Received!
Over 150 organizations have formally committed to promoting clinician well-being and combating burnout. Read the statements >>
The National Academy of Medicine is still looking for additional organizations to commit, with us, to supporting clinician well-being. Consider sharing your organization’s commitment to improving clinician well-being and reducing clinician burnout by submitting a commitment statement and becoming a network organization of the Action Collaborative on Clinician Well-Being and Resilience. To submit a commitment statement, please click here.
Calling on People to Express Clinician Well-Being Through Art!
Submissions for Express Clinician Well-Being: An Art Exhibition are now closed. Selected artists will be notified in late March 2018.
REGISTRATION OPEN: Establishing Clinician Well-Being as a National Priority, Meeting 3 | May 2, 2018
The third meeting of the Action Collaborative on Clinician Well-Being and Resilience will be held in Washington, DC on May 2, 2018. Please visit the event page to read more about the meeting and register to attend>>
Clinician Well-Being and Resilience Webinar: Presentation of Resources and Online Repository | February 2, 2018
The webinar released several resources and provided a first look at an online repository that will provide users with resources related to clinician burnout and well-being. Visit the webinar’s event page to view the recording of the webinar and the presenters’ slides>>
Validated Instruments to Assess Work-Related Dimensions of Well-Being
The Action Collaborative’s Research, Data, and Metrics Working Group has assembled a set of valid and reliable survey instruments that all clinicians, at any stage of their career, can utilize to measure burnout, well-being, and suicidal ideation. Information about these survey instruments is aggregated here>>
A Journey to Construct an All-Encompassing Conceptual Model of Factors Affecting Clinician Well-Being and Resilience
Why are so many clinicians experiencing burnout?
The answer is complex but a new discussion paper from the National Academy of Medicine aims to shed light on the issues contributing to clinician burnout and well-being.
Taking a holistic view of the external and individual factors that impact clinician well-being and burnout, the authors of this discussion paper provide a first look at a comprehensive model that highlights and illustrates the interrelated factors affecting clinician burnout on a daily basis.
Individuals and organizations can use this model to identify methods to increase well-being and decrease burnout for clinicians at any stage of their careers. Explore the discussion paper and conceptual model further>>
Electronic health records are not living up to their full potential.
The authors of our most recent discussion paper attest that electronic health records (EHRs) focus on supporting billing and legal documentation, and do not assist with ongoing patient care. EHRs require data in ways that disrupt clinician workflow, and consume more than half of their workday. This discussion paper analyzes how the medical community can re-engage with EHRs so that they may become flexible and comprehensive enough to serve clinicians, patients, and insurance providers alike. Read the discussion paper>>
National Academy of Medicine President Victor Dzau, along with Action Collaborative Co-Chairs Darrell Kirch and Thomas Nasca, published a Letter to the Editor in the Washington Post and a Perspective in the New England Journal of Medicine on the epidemic of clinician burnout and what the Action Collaborative is doing to combat this critical issue and promote clinician well-being. Read the Letter to the Editor>> Read the Perspective>>
Although burnout, depression, and suicide in nurses are beginning to be recognized as a significant threat to our health care system, we cannot report the rate at which nurses die by suicide because this data is not accurately tracked. We also know through first-hand accounts that nurse suicide is rarely discussed and not often addressed institutionally. In our new discussion paper, the authors share their insights and the insights of those who have been personally affected by the loss of a colleague, relative, or friend in an effort to encourage formal tracking of data on nurse suicide, as well as focus attention on this critical issue. Read the discussion paper>>
The US health care system is rapidly changing in an effort to deliver better care, improve health, and lower costs while providing care for an aging population with high rates of chronic disease and co-morbidities. Among the changes affecting clinical practice are new payment and delivery approaches, electronic health records, patient portals, and publicly reported quality metrics—all of which change the landscape of how care is provided, documented, and reimbursed. Navigating these changes are health care professionals (HCPs), whose daily work is critical to the success of health care improvement. Unfortunately, as a result of these changes and resulting added pressures, many HCPs are burned out, a syndrome characterized by a high degree of emotional exhaustion and high depersonalization (i.e., cynicism), and a low sense of personal accomplishment from work. Read the discussion paper >>
Additional NAM Publications Related to Clinician Well-Being
The National Academy of Medicine has published numerous discussion paper and commentaries related to clinician well-being and clinician burnout. To view all of the publications, please click here.
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We currently do not require additional formal sponsors of the collaborative, but we very much want all interested organizations to stay connected as supportive partners. You can join our efforts by becoming a Network Organization of the Action Collaborative.
Thank you for your commitment to clinician well-being.
Accreditation Council for Continuing Medical Education | Commitment Statement
Accreditation Council for Graduate Medical Education | Commitment Statement
Aetna| Commitment Statement
Alliance of Independent Academic Medical Centers | Commitment Statement
American Academy of Family Physicians | Commitment Statement
American Academy of Neurology | Commitment Statement
American Academy of Pediatrics
American Association of Colleges of Nursing | Commitment Statement
American Association of Osteopathic Medicine | Commitment Statement
American Association of Critical-Care Nurses | Commitment Statement
American Board of Internal Medicine and the ABIM Foundation | Commitment Statement
American Board of Medical Specialties | Commitment Statement
American College of Emergency Physicians | Commitment Statement
American College of Physicians | Commitment Statement
American College of Surgeons
American College of Obstetricians and Gynecologists | Commitment Statement
American Dental Education Association | Commitment Statement
American Hospital Association
American Medical Association | Commitment Statement
American Nurses Association | Commitment Statement
American Osteopathic Association | Commitment Statement
American Psychiatric Association | Commitment Statement
American Society of Anesthesiologists | Commitment Statement
American Society of Health-System Pharmacists | Commitment Statement
Association of American Medical Colleges (with support from Centers for Disease Control and Prevention) | Commitment Statement
Council of Medical Specialty Societies | Commitment Statement
CRICO | Commitment Statement
Federation of State Medical Boards | Commitment Statement
IBM Watson Health | Commitment Statement
Johns Hopkins Medicine | Commitment Statement
Massachusetts General Hospital
Society for Academic Emergency Medicine and Association of Academic Chairs of Emergency Medicine | Commitment Statement
Society of Neurological Surgeons | Commitment Statement
UAB Medicine | Commitment Statement