Date of Award

January 2021

Document Type

Open Access Thesis

Degree Name

Medical Doctor (MD)

Department

Medicine

First Advisor

Sandip Mukherjee

Second Advisor

Ron Vender

Abstract

Burnout merits close study, with particular attention paid to means of quantifying institutional impact, reducing provider burnout burden, and measuring said burden. This study utilized economic and qualitative analyses to indicate institutional impact. It modified and piloted an intervention for attending level physicians. It also proposes a novel wellness program for resident physicians based off of triumphs and gaps in literature. Lastly, it utilizes survey comparison to track overall changes in burnout rate at Yale New Haven Hospital (YNHH). Overall, the cost of physician burnout at YNHH was estimated to range between $171 and $233 million annually. Reducing physician burnout to rates consistent with Pierce in similar positions in society would reduce medical error by roughly 20%. Electronic medical records, clinical resources and perceptions of institutional and leadership support of providers were important drivers of physician burnout. The implementation of programs stumbled in the face of administrative roadblocks, but year over year burnout raids shrank by 13% prior to the onset of the pandemic. These results indicated that healthcare organizations have strong ethical and financial reasons to take an active role in reducing provider burnout. Both fund raising and leadership action are critical to the realization of culture and practice that truly prioritizes provider wellness. That being said, even the perception administrative action on behalf of physician wellness seemed to have been protective in and of itself, as seen by the net reduction in physician burnout between system wide surveys.

Comments

This is an Open Access Thesis.

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