This paper should be required reading for anyone in healthcare. The authors discuss lessons-learned at the Mayo Clinic using evidence dating back to mid-2000s.

There are several key points:

1. wellness is the joint responsibility of individuals AND their health system. Most focus heavily on the individual and fail to consider system-wide or national interventions.

2. there is a strong business case for health systems focusing on physician wellness.

3. wellness is a key metric of patient quality and safety and should be measured alongside other mission-critical metrics.

4. leaders unable to foster wellness in their followers should be replaced.