Phoenix Newsletter - October 2025 President’s Message: Enduring Commitments in a Time of Change Read President’s Message: Enduring Commitments in a Time of Change
Home Research Research Library Team Configurations, Efficiency, and Family Physician Burnout Team Configurations, Efficiency, and Family Physician Burnout 2020 Author(s) Dai, Mingliang, Willard-Grace, Rachel, Knox, Margae, Larson, Samantha A, Magill, Michael K, Grumbach, Kevin, and Peterson, Lars E Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Continuing Certification Questionnaire, Physician Experience (Burnout / Satisfaction), Practice Organization / Ownership, and Teams Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Introduction: The delivery of team-based care relies on team structure and teamwork. Little is known about the landscape of team configurations in family medicine practices in the United States. Teamwork between diverse team members likely impacts both performance and physician well-being. We examined team configuration and teamwork and whether they are associated with family physician (FP) well-being. Methods: We used data from practice demographic questionnaires completed by FPs who registered for the American Board of Family Medicine Family Medicine Certification Examination in 2017 and 2018. We grouped 14 types of health care professionals into medical assistant (MA)/nurse, nurse practitioner (NP)/physician assistant (PA), and specialist, and we characterized 3 common team configurations. We used FPs’ subjective ratings to measure perceived teamwork efficiency and a validated single-item measure to identify FPs who were burned out. Results: Among 2575 FPs in our sample, 22% worked collaboratively with MA/nurse only; 40% with MA/nurse and NP/PA or specialist; and 38% with MA/nurse, NP/PA, and specialist. The distribution of perceived teamwork efficiency was not statistically different across team configurations. In teams with greater perceived teamwork efficiency, FPs were less likely to be burned out. For FPs working with expansive teams, optimal perceived teamwork efficiency was associated with significantly reduced odds of burnout after controlling for practice and physician characteristics. Conclusion: Most FPs practice in multidisciplinary teams. Regardless of the team structure, FPs who perceived their teams as having greater efficiency were less likely to be burned out. We found that optimal perceived teamwork efficiency was associated with significantly reduced odds of burnout for FPs in all types of team configurations. Improving teamwork efficiency may be an effective strategy for practice organizations to support not only team functioning but also physician well-being. ABFM Research Read all 2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 2022 Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care Go to Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care 2016 Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification Go to Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification
Author(s) Dai, Mingliang, Willard-Grace, Rachel, Knox, Margae, Larson, Samantha A, Magill, Michael K, Grumbach, Kevin, and Peterson, Lars E Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Continuing Certification Questionnaire, Physician Experience (Burnout / Satisfaction), Practice Organization / Ownership, and Teams Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 2022 Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care Go to Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care 2016 Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification Go to Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification
2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care
2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040
2022 Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care Go to Academic Medicine’s Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care
2016 Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification Go to Family Physicians’ Quality Interventions and Performance Improvement for Hypertension through Maintenance of Certification
