abstract: 'The past decade has been a time of great change for US physicians. Many

  physicians feel that the care delivery system has become a barrier to

  providing high-quality care rather than facilitating it. Although

  physician distress and some of the contributing factors are now widely

  recognized, much of the distress physicians are experiencing is related

  to insidious issues affecting the cultures of our profession, our health

  care organizations, and the health care delivery system. Culture refers

  to the shared and fundamental beliefs of a group that are so widely

  accepted that they are implicit and often no longer recognized. When

  challenges with culture arise, they almost always relate to a problem

  with a subcomponent of the culture even as the larger culture does many

  things well. In this perspective, we consider the role of culture in

  many of the problems facing our health care delivery system and

  contributing to the high prevalence of professional burnout plaguing US

  physicians. A framework, drawn from the field of organizational science,

  to address these issues and heal our professional culture is considered.

  (C) 2019 Mayo Foundation for Medical Education and Research. Published

  by Elsevier Inc.'
affiliation: 'Shanafelt, TD (Corresponding Author), Stanford Univ, Sch Med, 300 Pasteur
  Dr,Room 3215, Stanford, CA 94305 USA.

  Shanafelt, Tait D., Stanford Univ, Sch Med, Dept Med, Stanford, CA 94305 USA.

  Minor, Lloyd B., Stanford Univ, Sch Med, Dept Otolaryngol, Stanford, CA 94305 USA.

  Trockel, Mickey, Stanford Univ, Sch Med, Dept Psychiat \& Behav Sci, Stanford, CA
  94305 USA.

  Schein, Edgar; Schein, Peter, Org Culture \& Leadership Inst, Menlo Pk, CA USA.

  Kirch, Darrell, Assoc Amer Med Coll, Washington, DC USA.'
author: Shanafelt, Tait D. and Schein, Edgar and Minor, Lloyd B. and Trockel, Mickey
  and Schein, Peter and Kirch, Darrell
author-email: Tshana@stanford.edu
author_list:
- family: Shanafelt
  given: Tait D.
- family: Schein
  given: Edgar
- family: Minor
  given: Lloyd B.
- family: Trockel
  given: Mickey
- family: Schein
  given: Peter
- family: Kirch
  given: Darrell
da: '2023-09-28'
doi: 10.1016/j.mayocp.2019.03.026
eissn: 1942-5546
files: []
issn: 0025-6196
journal: MAYO CLINIC PROCEEDINGS
keywords-plus: 'WORK-LIFE BALANCE; PHYSICIAN BURNOUT; SUICIDAL-IDEATION;

  JOB-SATISFACTION; CARE; WELLNESS; PROMOTE; TIME; INTERVENTIONS;

  COMMUNICATION'
language: English
month: AUG
number: '8'
number-of-cited-references: '62'
pages: 1556-1566
papis_id: 54c9a8b6488ef3d07f29b1748f07ffd3
ref: Shanafelt2019healingprofessional
times-cited: '75'
title: Healing the Professional Culture of Medicine
type: article
unique-id: WOS:000478016900025
usage-count-last-180-days: '2'
usage-count-since-2013: '10'
volume: '94'
web-of-science-categories: Medicine, General \& Internal
year: '2019'