Historical Resources Center

The University of Texas System. Beyond Resiliency Training: Organizational Strategies to Alleviate Burnout and Increase Wellness in Academic Medicine. September 25th to 26th 2017. MD Anderson. Houston, TX.

A Special Collection of Interviews from:

Beyond Resiliency Training:
Organizational Strategies to Alleviate Burnout and Increase Wellness in Academic Medicine

A Landmark Symposium addresses an epidemic: In response to the steadily rising rates of physician burnout in academic medicine and healthcare in general, the University of Texas System brought together thought leaders to discuss the most current perspectives on the causes of this crisis and its solutions. Far from a purely individual experience, clinician exhaustion and disengagement has an impact on patients, students, and healthcare delivery systems. Symposium presenters located the drivers of burnout in healthcare systems and focused on solutions that require new forms of leadership, creative workflow processes, and organizational change. The symposium was initiated by the Health Affairs Committee of UT System’s Faculty Advisory Council. It was held on September 25-26, 2017, at MD Anderson Cancer Center in Houston, Texas.

For additional information on the Symposium and a welcome presentation, see tabs to the right.

A lasting resource on burnout: Videos, Symposium presentations, UT System resources. The Symposium brought together the most important researchers driving the conversation about burnout with attendees who are deeply commitment to alleviating this crisis. To capture this rich knowledge base Symposium organizers called on Heritage Services at MD Anderson’s Research Medical Library, to conduct personal interviews with presenters and participants.

The result is this special collection of 14 video interviews and over 70 short clips on topics that are key to understanding and addressing the many facets of burnout. The videos are designed to inform, stimulate discussion, jumpstart brainstorming, and inspire personal reflection.

Access to the collection and supporting resources:

Jump to the Video Collection below.
Download a list of people interviewed and titles in the video collection.
Download a searchable excel spreadsheet.
Instructions on using excel filters to find videos on specific topics.
Symposium presentations. A number of Symposium speakers and presenters agreed to make their presentations available as permanent resource. See the tab to the right to jump to the presentations.

Please also visit the University of Texas System website for additional Symposium information and resources on burnout.

Find information about Archival Services and the support we can offer in designing, implementing, and managing interview-based projects.

Darrell Kirch talks about the commitment to addressing burnout in the University of Texas System

Darrell Kirch, MD, CEO, Association of American Medical Colleges

Watch the video clip

Symposium Information and Presentations

Keynote Speakers

Christina Maslach, PhD, Professor Emerita of Psychology, UC Berkeley
Tait Shanafelt, MD, Chief Wellness Officer, Stanford Medicine and Associate Dean, Stanford University School of Medicine

Christina Maslach, PhD

Professor Emerita of Psychology,
UC Berkeley

Presentation: Meeting the Challenge of Burnout

Burnout and How to Address It - (Full interview) [18:18]

Burnout: An Overview [3:08]

Myths About Burnout [2:25]

Six Factors that Contribute to Burnout [4:41]

An Individual Can Start the Process [3:12]

The Organization-Individual Fit [3:15]

Look at the Whole Organization and Collaborate [3:19]

Know Where You are Headed [2:06]

Making the Case to Leadership [3:20]

Engage Stakeholders for a Successful Change [3:17]

Tait Shanafelt, MD

Chief Wellness Officer,
Stanford Medicine and Associate Dean,
Stanford School of Medicine

Burnout in Academic Medicine - (Full interview) [16:22]

Leaders See the Value of Addressing Burnout [2:41]

The Importance of Developing Physician Leaders [2:31]

A Culture of Wellness Can Prevent Burnout [1:38]

Burnout Can Be a Group Experience [2:35]

What Changes Can an Organization Make to Address Burnout? [2:58]

Organizations Play a Part in Creating Burnout [1:47]

The Culture of Medicine Contributes to Burnout [2:30]

Finding Meaning in Work Alleviates Burnout [3:39]

The Future: Reasons for Optimism [3:02]

Presenters

Christine Sinsky, MD, VP of Professional Satisfaction, American Medical Association and Internist in private practice
Thomas Bodenheimer, MD, Founding Director, Center for Excellence in Primary Care, UCSF
Lucia Sommers, MSW, DrPH, Assistant Adjunct Professor, University of California San Francisco
R. Kevin Grigsby, MD, Senior Director, Member Organizational Development, Associate of American Medical Colleges
William Tierney, MD, Chair of the Department of Population Health, Dell Medical School, University of Texas at Austin
Darrell Kirch, MD, CEO, American Association of Medical Colleges

Christine Sinsky, MD

Vice President of Professional Satisfaction,
American Medical Association, internist in private practice

Presentations: In Search of Joy in Practice & Joy in Medicine

Creating Joy in Medical Practice - (Full interview) [11:57]

Practical Steps and Resources [3:36]

Are Institutions Ready to Address Burnout? [3:07]

Strategies to Address Burnout Must be Practical and Local [3:36]

Shared Accountability Is Essential to Effect Change [3:03]

The Importance of Leadership [2:50]

The Importance of Community [2:01]

Thomas Bodenheimer, MD

Founding Director,
Center for Excellence in Primary Care,
University of California San Francisco

Presentation: Addressing the Key Drivers of Burnout: Transforming Ambulatory Practice

Addressing the Burnout Crisis in Primary Care Practice - (Full interview) [13:41]

A Personal Experience with Burnout [3:21]

The Crisis in Primary Care [3:20]

Building Primary Care Teams [4:27]

Setting Up Primary Care Teams - Crucial and Difficult [2:17]

The Building Blocks of High-Performance Primary Care [3:49]

Organizational Scenarios that Foster Positive Change [2:56]

Evaluating Teams and Building Positive Culture [3:08]

Lucia Siegel Sommers, MSW, DrPH

Assistant Professor,
Department of Family & Community Medicine,
University of California, San Francisco

Presentation: What would happen if ...

A Program for Clinicians - (Full interview) [9:44]

Beginnings: A Program for Clinicians Dealing with Clinical Uncertainty [3:43]

A Focus on Generalist Practitioners [2:32]

Generalists on the Front Lines [2:58]

Lessons Learned and Unexpectedly Addressing Burnout [2:12]

Kevin Grigsby, MSW, DSW

Senior Director,
Member Organizational Development,
Association of American Colleges

Leaders, Followers, Culture - (Full interview) [13:37]

Burnout and Its Effects [3:05]

Institutional Culture: Always Important and Individual [2:58]

A New Model of Leadership [3:31]

Leaders, Followers, and Effective Decision-Making [4:13]

On Autonomy and a Sense of Purpose [2:53]

William Tierney, MD

Chair of the Department of Population Health,
Dell Medical School,
University of Texas at Austin

The Dell Medical School Experiment - (Full interview) [10:52]

How We Pay for Healthcare is the Problem [2:46]

A New Medical School Experiment with an Innovative Healthcare Model [6:29]

A Focus on Community to Impact Health and Cost [3:04]

Darrell Kirch, MD

CEO,
Association of American Medical Colleges

Presentation: Can Changing the Value System and Re-aligning the Financial Structure of the Institution Prevent Clinician Burnout?

Addressing Burnout in Healthcare Organizations - (Full interview) [13:31]

Burnout is a Corrosive Force in Healthcare [1:32]

Why Academic Medical Centers Are Worth Saving [1:57]

Pay Attention to Culture, Leadership, and Teams [3:23]

Organizational Culture in Academic Medicine [2:23]

The Leaders that Healthcare Needs Today [4:29]

The Case for Diversity [2:01]

Hope for the Future [2:41]

The University of Texas System Can Serve as a Model [1:37]

Attendees

Shayna Ratner, third year medical student, Southwestern Medical School, Dallas
Susan Gaeta, MD, Internist and Affiliated Physician, MD Anderson Cancer Center
Cameron Jeter, PhD, Assistant Professor, Department of Diagnostic and Biomedical Sciences, University of Texas Health Sciences School of Dentistry
Wayne Sotile, PhD, Founder, Sotile Center for Resilience
Kathryn Burk, MD, Assistant Professor, Department of Emergency Medicine, MD Anderson Cancer Center
Erick Messias, MD, Associate Dean for Faculty Affairs, College of Medicine, University of Arkansas

Shayna Ratner

Third-year medical Student,
University of Texas Southwestern Medical School,
Dallas, Texas

Burnout in Medical School - (Full interview) [7:44]

Burnout and Isolation Start Immediately in Medical School [3:30]

Resources and Actions Medical Students Need [3:03]

A Student-Led Initiative to Address Burnout [1:51]

Susan Gaeta, MD

Clinical Specialist,
Department of Emergency Medicine,
MD Anderson Cancer Center

A Personal Experience with Burnout - (Full interview) [6:33]

Burnout, Time Off, and Reflecting on Meaning [3:33]

Time Off to Reconnect with the World [1:47]

Questions After Switching Departments for a Manageable Schedule [2:04]

Thoughts on Giving and Receiving Help - [2:55]

Cameron Jeter, PhD

Assistant Professor,
Department of Diagnostic and Biomedical Sciences,
UT Health Science Center School of Dentistry

A Basic Scientist Reflects on Burnout - (Full interview) [11:31]

Deciding Not to Be a Physician [4:07]

Stress for a Young Faculty Member in the Basic Sciences [1:51]

Lessons about Stress and Health [2:25]

Action to Take, Wisdom to Keep in Mind [3:18]

Maintaining Quality of Life Amid Stress [2:27]

Wayne Sotile, PhD

Founder,
Sotile Center for Resilience,
Author of:
The Medical Marriage: The Resilient Physician; Thriving Physicians (with Dr. Gary Simmons)

Approaches to Building Physician Resilience - (Full interview) [10:16]

Resilience Emerges in Concentric Circles [3:33]

Strategies for Building Resilience [2:34]

Building Connection Builds Resilience [4:14]

Loneliness and Fear [1:48]

Kathryn Burk, MD

Assistant Professor,
Department of Emergency Medicine,
MD Anderson Cancer Center

Experiences as a Resident and a New Faculty Member - (Full interview) [9:53]

Community Protects Residents Against Burnout [3:07]

Frustrations of a Young Faculty Member [2:06]

Thoughts on Creating Community for Faculty [3:07]

Challenges of an Emergency Medicine Physician in Oncology [3:06]

Where to Make a Commitment: Work versus Family [1:57]

Erick Messias, MD

Associate Dean for Faculty Affairs,
College of Medicine,
University of Arkansas

A Tragedy and Its Impact - (Full interview) [9:42]

Tragedy Leads to Reevaluation [3:21]

Responding to Tragedy with Action [2:56]

Burnout: A Symptom of Larger, Human Challenges [3:01]

To Alleviate Burnout, Focus on Work Groups [2:39]

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