4Ts Framework for Physician Burnout Interventions in the Workplace: A Systematic Review and Call to Action for Clinical Informaticians

11:21 AM–11:28 AM May 20, 2020 (Conference Time: US - Pacific)

11:21 AM–11:28 AM May 20, 2020

701 - Clallum


Abstract: Administrative tasks, including electronic health records (EHRs), contribute to physician burnout. Literature was systematically reviewed to assess the effect of organization-directed interventions on burnout in all settings and a subgroup analysis was performed to examine the impact on administrative burden. The 4Ts (time, team, transitions, and technology) framework was proposed to categorize workplace intervention strategies. Implementation of team-based care including the utilization of scribes for EHR data entry, process improvement, and EHR optimization decreased burnout.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Identify successful interventions to decrease physician burnout related to electronic health records (EHRs) using the 4Ts (time, team, transitions, and technology) framework. Implementation of team-based care, improved workflow processes, tailored EHR usability for precise use cases, and use of scribes can decrease burnout and improve physician resiliency.


Kelly Craig (Presenter)
IBM Watson Health

Gretchen Jackson, IBM Watson Health
Jane Snowdon, IBM Watson Health
Paul DeChant, IBM Watson Health
Kyu Rhee, IBM Watson Health