A Professional Well-Being Continuum: Broadening the Burnout Conversation

Authors: Lauren Penwell-Waines, PhD, Mark Greenawald, MD, David Musick, PhD


Physician burnout is a significant concern that is garnering
much-needed attention. Researchers and leaders in health
care also have been focusing more on physician wellness. We
believe, however, that physician well-being is more nuanced
than being either burned out or well (or burned out or not),
and the complexities of physician burnout are not fully captured
by viewing the problem through this dichotomy.

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1. Eckleberry-Hunt J, Kirkpatrick H, Barbera T. The problems with burnout research. Acad Med 2018;93:367-370.
2. Scudder L, Shanfelt TD. Two sides of the physician coin: burnout and well-being. Published February 9, 2015. Accessed June 6, 2017.
3. Dyrbye LN, West CP, Shanafelt TD. Defining burnout as a dichotomous variable. J Gen Intern Med 2009;24:441.
4. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52:397-422.
5. Bond FW, Flaxman PE, Bunce D. The influence of psychological flexibility on work redesign: mediated moderation of a work reorganization intervention. J Appl Psychol 2008;93:645-654.
6. Leiter MP, Maslach C. Areas of worklife: a structured approach to organizational predictors of job burnout. In: Perrewe PL, Ganster DC, eds. Areas of Worklife: A Structured Approach to Organizational Predictors of Job Burnout. Bingley, UK: Emerald Group Publishing; 2003:91-134.
7. Travis JW, Ryan RS. Wellness Workbook. Berkeley, CA: Ten Speed Press; 1988.
8. Eckleberry-Hunt J, Van Dyke A, Lick D, et al. Changing the conversation from burnout to wellness: physician well-being in residency training programs. J Grad Med Educ 2009;1:225-230.
9. Shanafelt TD. The well-being of physicians. Am J Med 2003;114:513-519.
10. West CP, Dyrbye LN, Rabatin JT, et al. Intervention to promote physician well-being, job satisfaction, and professionalism: a randomized clinical trial. JAMA Intern Med 2014;174:527-533.
11. Raj KS. Well-being in residency: a systematic review. J Grad Med Educ 2016;8:674-684.
12. West CP, Dyrbye LN, Erwin PJ, et al. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016;388: 2272-2281.