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Team Configurations, Efficiency, and Family Physician Burnout.
Mingliang Dai1, Rachel Willard-Grace2, Margae Knox2
1From American Board of Family Medicine, Lexington, KY (MD, LEP); Center for Excellence in Primary Care, Department of Family & Community Medicine, University of California, San Francisco (RW-G, KG); University of California, Berkeley (MK); University of Florida, Gainsville (SAL); Department of Family and Preventive Medicine, University of Utah, Salt Lake City (MKM); Department of Family and Community Medicine, University of Kentucky, Lexington (LEP). mdai@theabfm.org.
Family physicians (FPs) in multidisciplinary teams experience less burnout when they perceive high teamwork efficiency. Improving teamwork is key for physician well-being and practice performance.
Area of Science:
- Healthcare Management
- Primary Care
- Team Dynamics
Background:
- Team-based care is crucial in family medicine, yet team configurations and their impact on physician well-being are understudied.
- Teamwork quality may influence both practice performance and physician burnout.
Purpose of the Study:
- To examine team configurations and teamwork in US family medicine practices.
- To determine the association between team structure, teamwork efficiency, and family physician burnout.
Main Methods:
- Survey data from 2575 family physicians (FPs) who took the 2017/2018 American Board of Family Medicine Certification Examination.
- Categorized healthcare professionals into medical assistant (MA)/nurse, nurse practitioner (NP)/physician assistant (PA), and specialist groups.
- Assessed perceived teamwork efficiency and physician burnout using validated measures.
Main Results:
- 38% of FPs worked in expansive teams (MA/nurse, NP/PA, and specialist).
- Team configuration did not significantly impact perceived teamwork efficiency.
- Higher perceived teamwork efficiency was linked to lower burnout rates across all team structures, especially in larger teams.
Conclusions:
- Most FPs operate within multidisciplinary teams.
- Enhancing perceived teamwork efficiency is a viable strategy to support physician well-being and team functioning.
- Interventions to improve teamwork efficiency can mitigate burnout in family physicians.
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