Administrative Burden

Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Christine Sinsky, MD; Lacey Colligan, MD; Ling Li, PhD; Mirela Prgomet, PhD; Sam Reynolds, MBA; Lindsey Goeders, MBA; Johanna Westbrook, PhD; Michael Tutty, PhD; George Blike, MD. Ann Intern Med. 2016;165(11):753-760.


Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Shanafelt, T.D., Hasan, O., Dyrbye, L.N. et al.  Mayo Clin Proc. 2015; 90: 1600–1613.

Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017. Shanafelt, Tait D. et al. Mayo Clinic Proceedings, Volume 0, Issue 0.

Longitudinal study evaluating the association between physician burnout and changes in professional work effort. Shanafelt TD, et al. Mayo Clin Proc. 2016;91(4):422-431.

Physician Burnout—A Leading Indicator of Health System Performance? Olson, Kristine D. Mayo Clinic Proceedings, Volume 92, Issue 11, 1608 - 1611.


Effect of a Professional Coaching Intervention on the Well-being and Distress of Physicians: A Pilot Randomized Clinical Trial. Dyrbye LN, Shanafelt TD, Gill PR, Satele DV, West CP. JAMA Intern Med. Published online August 05, 2019. doi:10.1001/jamainternmed.2019.2425

The Role of Deliberate Practice in the Acquisition of Expert Performance. Ericsson, Karl & Krampe, Ralf & Tesch-Roemer, Clemens. Psychological Review 1993, Vol. 100. No. 3, 363-406

Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs. Rosengart TK, Doherty G, Higgins R, Kibbe MR, Mosenthal AC. JAMA Surg. Published online May 15, 2019.

Financial Impact:

Beyond the Economics of Burnout. Ellison EM. Ann Intern Med. doi: 10.7326/M19-1191

Estimating the Attributable Cost of Physician Burnout in the United States. Han S, Shanafelt TD, Sinsky CA, Awad KM, Dyrbye LN, Fiscus LC, et al. Ann Intern Med. doi: 10.7326/M18-1422

The Triple Aim: Care, Health, And Cost. Donald M. Berwick, Thomas W. Nolan, and John Whittington, Health Affairs 2008. 27:3, 759-769


Impact of Organizational Leadership on Physician Burnout and Satisfaction. Shanafelt, Tait D. et al. Mayo Clinic Proceedings, Volume 90, Issue 4, 432 - 440.

Patient Outcomes:

Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. Srinivasa S, Gurney J, Koea J. JAMA Surg. 2019;154(5):451–457.


Mental readiness in surgeons and its links to performance excellence in surgery. McDonald J, Orlick T, Letts M. J Pediatr Orthop. 1995 Sep-Oct;15(5):691-7.

Post-Traumatic Stress

Does caring for trauma patients lead to psychological stress in surgeons? Warren AM1, Jones AL, Shafi S, Roden-Foreman K, Bennett MM, Foreman ML. J Trauma Acute Care Surg. 2013 Jul;75(1):179-84.


Relationship between Clerical Burden and Characteristics of the Electronic Environment with Physician Burnout and Professional Satisfaction. Shanafelt, T.D., Dyrbye, L.N., Sinsky, C. et al, Mayo Clinic Proceedings, Volume 91, Issue 7, 836 - 848.


A Facilitated-Group Approach to Wellness in Surgical Residency. Mueller CM, Buckle M, Post L. JAMA Surg.2018;153(11):1043–1044.