Evidence map›Paper›PMID 31632895›Full record

ArticleCurrent treatment options in pediatrics2019

Organizational factors affecting physician well-being.

Daniel S Tawfik, Jochen Profit, Sarah Webber, Tait D Shanafelt

Open access · bronzeAbstract read
In one paragraph

Article in Current treatment options in pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
14.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 72 citations in OpenAlex.

  1. Article
  2. A qualitative analysis of the barriers and facilitators to physicians and trainees seeking help for suicidality.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
  4. Improving well-being among women in neonatology.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  5. Article
  6. Article
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  8. Promoting Well-Being in Graduate Medical Education: Embracing Principles Rather Than "Recipe".Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
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  15. Review
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  20. Flourishing as a guide to intervention: a national multicenter study of general surgery residents.Global surgical education : journal of the Association for Surgical Education · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Daniel S TawfikDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Jochen ProfitPerinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Sarah WebberDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Tait D ShanafeltDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.
Stanford University · USUniversity of Wisconsin–Madison · US

Funding

The WISER StudyR01HD084679 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN, SEXTON, JOHN BRYAN · 2015 to 2018
$2.2M
NICHD NIH HHS R01 HD084679
6 · The paper itself

Abstract

purpose of reviewSymptoms of burnout affect approximately half of pediatricians and pediatric subspecialists at any given time, with similarly concerning prevalence of other aspects of physician distress, including fatigue, depressive symptoms, and suicidal ideation. Physician well-being affects quality of care, patient satisfaction, and physician turnover. Organizational factors influence well-being, stressing the need for organizations to address this epidemic. RECENT

findingsOrganizational characteristics, policies, and culture influence physician well-being, and specific strategies may support an environment where physicians thrive. We highlight four organizational opportunities to improve physician well-being: developing leaders, cultivating community and organizational culture, improving practice efficiency, and optimizing administrative policies. Leaders play a key role in aligning organizational and individual values, promoting professional fulfillment, and fostering a culture of collegiality and social support among physicians. Reducing documentation burden and improving practice efficiency may help balance job demands and resources. Finally, reforming administrative policies may reduce work-home conflict, support physician's efforts to attend to their own well-being, and normalize use of supportive resources. SUMMARY: Physician well-being is critical to organizational success, sustainment of an adequate workforce, and optimal patient outcomes. Because burnout is primarily influenced by organizational factors, organizational interventions are key to promoting well-being. Developing supportive leadership, fostering a culture of wellness, optimizing practice efficiency, and improving administrative policies are worthy of organizational action and further research.

Indexed as

burnoutOrganizational factorsphysician engagementphysician well-being

Identifiers

PMID31632895
PMCPMC6801108
OpenAlexW2913836066

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.