The challenge for physicians? To re-engage and collaborate in well-conceived point-of-service practice redesigns and meaningful quality improvement initiatives instead of responding to these initiatives with, “I’m too busy,” “I’m burned out” or “I quit.”
You Might Also Like
Explore This IssueOctober 2018
Also By This Author
Timothy Harrington, MD, is retired from rheumatology practice and a professorship of medicine at the University of Wisconsin School of Medicine and Public Health in Madison, Wisc. He has served the ACR/ARHP on the Committee on Rheumatologic Care, the Communications and Marketing Committee, the Osteoporosis Task Force and the Quality Measures Subcommittee, and as an editor of ACR news. He is an ACR Master and Paulding Phelps awardee. He is now a consultant in clinical practice performance.
Disclaimer: This article expresses the views of the author and not necessarily those of the ACR and The Rheumatologist.
- Weed LL. Medical records that guide and teach. New Engl J Med. 1968 Mar 14;278(11):593–600.
- Weed LL. Medical records that guide and teach. New Engl J Med. 1968 Mar 21;278(12):652–657.
- Littlefield JH, Harrington JT, Anthracite NE, et al. A description and four-year analysis of a clinical clerkship evaluation system. J Med Educ. 1981 Apr;56(4):334–340.
- Harrington T, Arnold E, Arnold W, et al. Help wanted: The rheumatology workforce shortage revisited. The Rheumatologist. 2016;10(5).
- Centers for Medicare & Medicaid Services. (2018, April 17). National Health Expenditure Data.
- Squires D. (2015, October 8). U.S. Healthcare from a Global Perspective: Spending, Use of Services, Prices and Health in 13 Countries.
- Gawande A. (2017, January 23). The Heroism of Incremental Care.
- Sinsky C, Colligan L, Li L, et al. Allocation of physician time in ambulatory practice: A time and motion study in 4 specialties. Ann Intern Med. 2016 Dec 6;165(11):753–760.
- Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012 Oct 8;172(18):1377–1385.
- National Academy of Medicine. Action Collaborative on Clinician Well-Being and Resilience.