PT  - JOURNAL ARTICLE
AU  - Mark Linzer
AU  - Sara Poplau
TI  - Building a Sustainable Primary Care Workforce: Where Do We Go from Here?
AID  - 10.3122/jabfm.2017.02.170014
DP  - 2017 Mar 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 127--129
VI  - 30
IP  - 2
4099  - http://www.jabfm.org/content/30/2/127.short
4100  - http://www.jabfm.org/content/30/2/127.full
SO  - J Am Board Fam Med2017 Mar 01; 30
AB  - The article by Puffer et al in this month's JABFM confirms a high burnout rate (25%) among family physicians renewing their credentials, with a higher rate among young and female doctors. Recent reports confirm high burnout rates among general internists. Thus, mechanisms to monitor and improve worklife in primary care are urgently needed. We describe the Mini Z (for “zero burnout program”) measure, designed for these purposes, and suggest interventions that might improve satisfaction and sustainability in primary care, including longer visits, clinician control of work schedules, scribe support for electronic medical record work, team-based care, and an explicit emphasis on work-home balance.