Advancing physician wellness, engagement and excellence in a mental health setting: a Canadian perspective.
Abstract
This article describes the development and implementation of wellness initiatives within a large Canadian academic mental health hospital, based on the Mental Health Commission of Canada's workplace standards for mental health. To support the implementation of an organizational framework for physician wellness, a needs assessment of Centre for Addiction and Mental Health physicians (N = 181) was conducted between 21 November and 5 December 2017, including measuring physician burnout rates using two items on the Maslach Burnout Inventory tool. Based on findings, and the organizational wellness framework, a multi-pronged wellness approach was developed, improving physician supports at the individual, team and organizational levels. Eighty-four survey responses (46% response rate) were gathered across eight clinical divisions, with 59% of respondents stating that they were negatively impacted by emotionally stressful events at work within the past year. Themes emerging from open-ended questions included the importance of a culture of safety and wellbeing, leadership accountability and availability of formal supports and processes. In response to survey findings, and our organizational framework, the following six initiatives were implemented: (i) a peer support program, (ii) an office of professionalism, (iii) individual and group mentorship opportunities, (iv) communities of practice, (v) enhanced training and leadership development opportunities, and (vi) efforts to optimize use of electronic health records to enhance efficiency of practice. It is possible to implement a multifaceted organizational approach to physician wellness, engaging physicians and continuously adapting in response to physician input. Future robust evaluation of these strategies can inform organizational roadmaps to improve physician wellness.
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Wilkie et al [148] report on a two-year process of developing and implementing wellness initiatives in a Canadian hospital based on survey and consultation processes with staff.
“Wilkie et al [148] report on a two-year process of developing and implementing wellness initiatives in a Canadian hospital based on survey and consultation processes with staff.”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [148]
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Self-citationBuilding a data-driven evaluation framework of physician wellness initiatives: a rapid review
Khairi, I., Kundurthi, S., Lo, B., Tajirian, T., Rodak, T., Sockalingam, S., & Wilkie, T. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-106432
Self-citation
- Authors
- Wilkie, T., Tajirian, T., & Stergiopoulos, V.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Wilkie, Treena
- Venue
- Health Promotion International
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-05-03
- Volume
- 37
- Issue
- 1
- ISSN
- 0957-4824 (ISSN-L)
- 1460-2245
- OpenAlex
- W3157565281
- Cited by
- 8
- References
- 25
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2022: 2
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Health Promotion International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- physician well-being, physician burnout, workplace mental health, needs assessment, peer support programs, mentoring, communities of practice, leadership development, electronic health records, Centre for Addiction and Mental Health
- MeSH terms
- Burnout, Professional, Canada, Humans, Leadership, Mental Health, Physicians
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