Physician Burnout: The ACP Wellness Champions Initiative J. Matthew Neal, MD, MBA, CPE, FACP, FACE, FAAPL Immediate Past Governor, Indiana Chapter ACP Wellness Champion The ACP Wellness Champions Initiative  Train the Trainer concept  Facilitated by Mark Linzer, MD, FACP • Nationally known expert on burnout – Hennepin Co Medical Center (Minneapolis)  Initial cohort (October, 2015) • 20 participants chosen ACP Governors and Governors-Elect • ACP Regents • Geographically and demographically diverse • • 2-day program 2 The ACP Wellness Champions Initiative  Objectives • ACP leaders to serve as resources for the College and its Chapters • Create a data registry by establishing baselines and tracking changes over time • Formal organizational recognition of scope and severity of Internal Medicine physician burnout • Develop a curriculum and/or toolkit for Chapters • Encourage healthy lifestyles among members and healthy work environments that promote longevity, engagement and quality of care • Work to put patients before paperwork 3 Presentations • ACP Chapter Meetings • 15 and counting • Local/regional Meetings • 39 and counting • National Meetings/Organizations • ACP, AAIM, SHM, Association of Clinicians for the Underserved • Capitol Hill staffers 4 Development of Toolkit  Topics include: • Resource lists • Description/summary of ACP efforts • Time management skills • Negotiation skills • EMR efficiency • How to get credit for the work you do • Team based care • How to integrate wellness into medical education programs • How to develop a wellness committee • Personal wellness strategies 5 Making the case for a focus on burnout prevention  Why should you care? (from Stanford) • Four reasons leaders should care about burnout: Basic human decency • Clinical performance • Recruitment and retention • Care transformation • 6 Burnouts among doctors  HIGH Job Stress and Personal LOW Autonomy leads to higher chances of BURNOUT!  Increased prevalence among medical students, residents, and physicians. 7 Provider burnout is in the news Chicago Tribune October 2014 Washington Post Aug. 20, 2015 Time Magazine Aug. 27, 2015 8 9 Mini-Z/ACP 2016 Member Survey  10% are not satisfied with their current job (76% satisfied)  58% feel a great deal of stress because of their job  19% have professional values that are not well aligned with those of their department leaders (59% have well-aligned values)  31% are burned out (69% do not feel burned out)  35% have marginal or poor control over their workload (35% have good or optimal control)  51% have insufficient (marginal or poor) time for documentation (22% have satisfactory time available)  40% describe the atmosphere in their primary work area as chaotic (5% describe it as calm)  4% have marginal/poor proficiency with EHR use (96% are proficient)  6% work with a marginally or poorly functioning care team (94% experience good teamwork) 10