Executive Leadership and Physician Well-being Tait D. Shanafelt, MD, John H. Noseworthy, MD, CEO  Mayo Clinic Proceedings  Volume 92, Issue 1, Pages 129-146 (January 2017) DOI: 10.1016/j.mayocp.2016.10.004 Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Personal and professional repercussions of physician burnout. Mayo Clinic Proceedings 2017 92, 129-146DOI: (10.1016/j.mayocp.2016.10.004) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Key drivers of burnout and engagement in physicians. Mayo Clinic Proceedings 2017 92, 129-146DOI: (10.1016/j.mayocp.2016.10.004) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Drivers of burnout and engagement with examples of individual, work unit, organization, and national factors that influence each driver. EHR = electronic health record; JCAHO = Joint Commission on the Accreditation of Healthcare Organizations. Adapted from Mayo Clin Proc.39 Mayo Clinic Proceedings 2017 92, 129-146DOI: (10.1016/j.mayocp.2016.10.004) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 A stepwise process for targeted work unit interventions. aThis process can also be applied to other units that do not meet the high-opportunity criteria, and, in such cases, it may be possible for some steps performed by the consulting team to be performed by work unit leaders. EHR = electronic health record. Mayo Clinic Proceedings 2017 92, 129-146DOI: (10.1016/j.mayocp.2016.10.004) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 5 Organizational strategies to reduce burnout and promote physician engagement. aOften will focus on improving efficiency and reducing clerical burden but should focus on whichever driver dimension (Figure 1) deemed most important by members of the work unit (Figure 3). Mayo Clinic Proceedings 2017 92, 129-146DOI: (10.1016/j.mayocp.2016.10.004) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions