Contents
Dedication
Foreword
Preface
Acknowledgments
Introduction
Section 1. What Promotes Joy
Section 1 Introduction
Passion for the Work
- Sebastian P., MD, primary care physician and instructor of medicine
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- Miguel G., MD, former military medicine primary care physician; surgical resident in obstetrics and gynecology
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- Theodore B., RN, BSN, insurance company healthcare consultant
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- Emily P., MD, FACP, retired internist, and medical school teacher and mentor
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- Derek Van Amerongen, MD, vice president and medical director of Humana of Ohio
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- Neal G., MD, emergency medicine physician; family practice-urgent care physician and entrepreneur; and chief medical officer for his state's federal health insurance program, retired
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- Mary R., MSN, perioperative educator
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- Rachel M., MD, pediatric radiologist and professor of radiology
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- David L., MD, MPH, ophthalmologist
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- Owen R., BS, MS, city director of emergency and safety services
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- Rebecca L., MS, retired psychologist in private practice
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- Grace Y., RN, operating room nurse
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Passion for Leadership
- Gary Kaplan, MD, chairman and CEO of Virginia Mason Health System and practicing internal medicine physician
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- Gene Lindsey, MD, retired physician and CEO emeritus of Atrius Healthcare
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- Mark Huth, MD, president, CEO, and family physician at Group Health Cooperative of South Central Wisconsin
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- Tom Foels, MD, MMM, chief medical officer of a not-for-profit health plan
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- Donald Lappe, MD, FACC, FAHA, executive director of the cardiovascular clinical program; chairman, cardiovascular department; and chief of cardiology at Intermountain Healthcare
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- Chris DeRienzo, MD, MPP, neonatologist and chief quality officer for a large integrated health system
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- Virginia J., MSN, RN, chief population health officer for an integrated health plan
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- Charleen Tachibana, DNP, RN, FAAN, health system senior vice president for quality and safety and chief nursing officer
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- Carol M., MD, hospital internist specializing in allergy/asthma; hospital executive director; director of graduate medical education; and medical director for provider services
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- Peter R., MD, former president and CEO of an integrated healthcare system; strategic advisor/consultant
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Passion for Treating the Underserved Globally and Domestically
- Laura Spero, MSW
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- Myron Glick, MD, family physician; founder and CEO of Jericho Road Community Health Center
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- Mark K., MD, primary care internist for a rural integrated health system
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- Andrew M., MD, professor of family medicine and family physician
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- Ruth F., BSN, public health nurse/community health nurse at a rural integrated health system
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- Eliot D., MD, internal medicine officer for a rural integrated health system
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- Paula C., MD, orthopedic hand surgeon
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- Angela DeVanney, BA, executive director of the AMD3 Foundation
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Autonomy and Control
- Amir F., MD, FACP, internist and vice president of a small internal medicine group practice
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- Cathy U., MSN, administrative director of perioperative services for a large academic medical center
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- Elana G., MD, pulmonary and critical care physician; medical director of an adult medical specialties group in an integrated health system
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- Harlan Z., MD, total joint replacement surgeon
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- Edward B., MD, medical director of an alcohol and drug detoxification program
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- Meghan Pillow, MSN, critical care nurse
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- Sarah D., MD, physician and practice manager of a small group gynecologic private practice
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- Kevin S., MD, senior vice president and chief medical officer for an integrated health plan
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- Haley N., MA, music therapist
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- Marianne S., PhD, counseling psychologist in private practice and adjunct professor
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- Irene J., MD, OB/GYN hospitalist for a small community hospital
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- Francine J., MD, internist in a solo concierge practice
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Working in Multiple Roles
- Anthony M. DiGioia, MD, orthopaedic surgeon and medical director of the UPMC Magee-Womens Hospital and the UPMC Innovation Center
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- Connie E., DNP, Level 2 staff nurse at a quaternary care pediatric hospital and assistant professor of nursing
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- Tyler M., MD, chief medical officer for an integrated health system
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- Joseph B., MD, retired professor, researcher, and practicing gastroenterologist; president of a board review company in gastroenterology; and head of a monthly gastroenterology journal club
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- Adam B., MD, pediatric pulmonologist and sleep specialist at a quaternary care children's hospital
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- Caitlin G., MSN, assistant clinical professor, hospital and home care nurse, and PhD student
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- Monica T., MD, Assistant Professor of Pediatrics and Attending Neonatologist at a Quaternary Care Pediatric Hospital
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- Walter G., MD, general surgeon
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- Nancy W., RN, PhD, nurse, clinical psychologist, faculty member, and clinical consultant
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- Nicole A., MD, MPH, medical director of a neonatal intensive care unit at a quaternary care pediatric hospital
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- Amy I., MD, pediatrician and chief of staff for an integrated health system
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Being Part of a Team
- Justine M. BS, retired nurse manager
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- Gail M., BSN, BS, labor and delivery nurse
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- Eric Cannon, PharmD, FAMCPP, assistant vice president of pharmacy benefits
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- Jennifer F., MSN, nurse practitioner for an integrated health system
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- Angela R., retired medical assistant/office manager
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- Dana D., LICSW, clinical social worker at a pediatric hospital
60. Karen L., MSN, board-certified family nurse practitioner at an academic medical center
61. Gloria K., MSW, hospital neonatal intensive care unit social worker
Finding Work-Life Balance
62. Sharon D., BSN, perioperative nurse and operating room educator
63. Vivian G., PhD, psychotherapist in private practice
Section 2. What Diminishes Joy
Section 2 Introduction
Pressure, Stress, and Fatigue
64. Charles G., MD, radiologist
65. Jamie Cieplinski, RN, clinical unit leader and floor nurse at a community hospital
66. Carrie L., MD, emergency medicine physician
67. Paul T., MD, neurosurgery resident
68. Leonard R., MD, pediatric radiology resident
69. Ruby A., MSN, pediatric nurse practitioner at a federally qualified health center
70. Raymond J., MS, emergency medical technician, director of operations for an ambulance transportation company, and captain of an emergency medical services provider
71. Wayne K., MPH, part-time volunteer emergency medical services technician
72. Anthony F., MD, internist, associate medical director for the insurance division of an integrated health system, and adjunct associate professor of medicine
73. Margaret E., LCSW/PAC, physician assistant for an integrated health system
74. Melanie C., MD, pediatrician in private practice
75. Victoria N., DNP, MSN, FNP, nurse practitioner and director of a university health clinic
Administrator-Clinician Disconnect
76. Stephan D., MSW, senior therapist, city department of health and community services
77. Alice H., MSN, nurse, surgical services educator
78. Craig M., Registered polysomnography technologist and manager of a pediatric hospital sleep laboratory
79. Lawrence W., MD, retired obstetrician/gynecologist and professor of obstetrics/gynecology at an academic medical center
80. Lisa W., MSN, family nurse practitioner in a small internal medicine group practice
Disrespect
81. Tina J., radiographer/assistant director of radiology at an academic medical center
82. Helen H., environmental services associate for an academic medical center
83. Judith S., MSW, retired clinical social worker
84. Bonnie M., RN, hospital neonatal intensive care bedside nurse
Section 3. What Destroys Joy
Section 3 Introduction
Lack of Autonomy and Control
85. Diane L., MD, rheumatologist in solo private practice
86. Michael V., MD, endocrinologist, professor of medicine, and senior staff physician at an integrated health system
87. Natalie B., MD, obstetrician/gynecologist
88. Harold J., MD, surgeon in urology
89. Charlotte J., MD, internist in private practice
Lawsuits
90. Jacqueline M., MD, internist, attending physician, and assistant professor of medicine
91. Gregory C., MD, vice chief of staff of a large suburban community medical center; hospital informaticist; and director of provider relations
92. William C., MD, neurologist in private practice
Moral Distress
93. Sydney G., MD, MPH, retired critical care pediatrician
94. Rose S., internal medicine physician, medical director of a subacute rehabilitation/skilled nursing facility
95. Theresa E., licensed physical therapist for a large integrated health system
96. Daniel M., MD, psychiatrist in private solo practice
97. Sophia L., MSW, clinical social work student
Section 4. What the Experts Have to Say
Section 4 Introduction
98. Paul DeChant, MD, MBA, author, speaker, and coach in reducing physician burnout
99. Bridget Duffy, MD, Chief Medical Officer, Vocera Communications, Inc.
100. Alan Frankel, MD, Managing Partner of Safe and Reliable Care
