An Unexpected Outcome: How Leadership Development May Reduce Physician Burnout

Mark Hertling, DBA


Kim Smith-Jentsch, PhD


May 10, 2026


Physician Leadership Journal


Volume 13, Issue 3, Pages 24-26


https://doi.org/10.55834/plj.3983248989


Abstract

Physician burnout is a growing crisis in healthcare, and it’s often addressed through expensive wellness or resilience programs. However, a surprising outcome emerged in a study on leadership development: Physicians who participated in a leadership program — designed without any specific focus on burnout — self-reported at the end of the course reduced feelings of burnout. This article, the fourth in a five-part series that describes the outcomes of a research study on physician leader development, explores how leadership development, grounded in character, purpose, trust-building, and interprofessional collaboration, may indirectly serve as a protective factor countering the effects of burnout. It also highlights the observed differences between interprofessional and homogenous cohorts in self-reporting of burnout and suggests pathways for further research into leadership as a systemic intervention for physician well-being.




Burnout among physicians is no longer just a personal concern — it is a systemic crisis. With rising rates of emotional exhaustion, depersonalization, and professional disillusionment, healthcare leaders are seeking urgent, evidence-based strategies to support the well-being of their clinical staff.

While many interventions focus explicitly on mindfulness, resiliency, workflow redesign, or providing care programs that prevent such effects, a surprising finding emerged during my research on leadership development: Even without targeting burnout directly, physicians participating in a leadership development program reported significantly lower levels of burnout at the end of the program.

This article explores that unexpected outcome.

During a study evaluating pre- and post-program behavioral change among physicians participating in leadership development — both in interprofessional and physician-only environments — the hospital hosting the study requested inclusion of several items from the Maslach Burnout Inventory.(1) The goal was simple: assess the baseline and post-program burnout levels among their physicians. While the leadership curriculum did not include content on burnout, stress management, or physician resiliency, the results suggested a positive correlation between leadership development and reduced burnout indicators.

In both groups, participants showed a decrease in self-reported burnout, with a nonsignificant trend toward greater improvement among those in interprofessional cohorts. This finding raises critical questions: Could enhanced leadership capacity — particularly in areas such as purpose, character, collaboration, and team trust — serve as a buffer against the emotional wear and tear of clinical life? And if so, what might this imply for the future of physician development?

Physician burnout has reached critical levels across the United States. Studies suggest that between 40% and 60% of physicians experience symptoms of burnout, with consequences ranging from impaired clinical judgment to increased risk of suicide.(2) The causes are complex: mounting bureaucratic burdens, electronic documentation fatigue, loss of autonomy, and the moral injury of being unable to provide ideal care in a fragmented system.

What many of these stressors have in common is their isolating effect. They disconnect physicians from purpose, peers, and personal fulfillment — three domains that leadership development, if properly designed, may indirectly restore.

The leadership program examined in this study was not designed to treat or even address burnout. Its objectives were framed around growth in leadership attributes, behaviors, communication, and information-sharing — skills essential for those aspiring to lead interprofessional teams. Yet embedded within those outcomes were elements that may explain the reduction in burnout symptoms.

Through reflection exercises, values clarification, and character-based leadership models, participants were invited to reconnect with their sense of mission. Team-based discussions built trust across professional divides. And practical communication techniques helped physicians navigate difficult conversations with greater confidence and empathy.

In short, the program promoted what burnout strips away: clarity of purpose, alignment of values, and connection with others.

To measure physician burnout, four validated questions from the Maslach Burnout Inventory were selected, targeting indicators of emotional exhaustion, depersonalization, and feelings of a lack of personal accomplishment.(1) Participants responded to these items during the initial survey and again following the completion of the leadership course.

Research Findings

Despite the absence of explicit burnout training, the results were clear:

  • Both the interprofessional and physician-only cohorts demonstrated reduced burnout self-evaluation scores.

  • The interprofessional group showed a stronger, albeit statistically nonsignificant, trend toward burnout reduction.

  • Physicians in both groups reported increased optimism, greater team trust, and renewed professional focus.

These findings suggest that building leadership capacity may be a protective factor against emotional depletion — especially when done in a collaborative, values-based environment.

The Maslach framework identifies three primary drivers of burnout:

  1. Emotional exhaustion — the depletion of mental and emotional resources.

  2. Depersonalization — cynicism, detachment, and a loss of empathy.

  3. Reduced personal accomplishment — a sense of ineffectiveness or stagnation.

Leadership development — particularly programs grounded in character, values, and interpersonal trust — can offer a counterweight to each of these:

  • Emotional exhaustion may be alleviated by building stronger support networks, reinforcing purpose, and improving boundary-setting.

  • Depersonalization may be mitigated through exercises in empathy, perspective-taking, and rehumanizing one’s peers and patients.

  • Reduced personal accomplishment may be countered by learning new influence methods, celebrating small wins, and clarifying one’s long-term role in organizational impact.

These elements were woven throughout the program — not as a wellness strategy, but as a leadership imperative.(3) And that may be precisely why they worked.

The stronger reduction in burnout observed among physicians in the interprofessional (IPE) group points to another insight: Connection reduces isolation. When physicians learn alongside nurses, administrators, and other healthcare professionals, they gain exposure to diverse perspectives, shared frustrations, and new allies. Trust increases. Empathy grows. Silos shrink.

This “social buffer effect” aligns with other research showing that burnout is more than a workload problem — it’s a relationship problem. Isolation accelerates exhaustion; connectedness restores resilience.(4,5)

Because this was a secondary observation within a broader leadership study, the results should be seen as promising but preliminary. The study used only four items from the Maslach Burnout Inventory; future research should incorporate the full instrument to provide a more comprehensive picture of the impact.(6)

That said, the implications are strong enough to merit further exploration. Future studies should investigate:

  • The dose-response relationship between leadership development and burnout reduction.

  • The differential impact of interprofessional vs. homogenous leadership settings.

  • Whether sustained leadership behaviors correlate with long-term burnout prevention.

Yoga classes or resilience posters will not solve physician burnout in the physician lounge. It will be solved by deep cultural change — change that honors professional purpose, rebuilds community, and restores the trust required for clinicians to thrive.

The Trust Factor

Leadership development, thoughtfully designed and rooted in interprofessional trust, may be one of the most effective tools we have to counter the crisis. Not because it treats burnout directly, but because it fosters the kind of human connection, ethical grounding, and role clarity that healthcare professionals desperately need.

The finding was unexpected. But perhaps it shouldn’t have been. Because where there is trust, purpose, and growth, there is also hope and a feeling of connection to colleagues, patients, and even the organization.

References

  1. Maslach C, Jackson SE. The measurement of experience burnout. J Occup Behav. 1981; 2:99–113. https://doi.org/10.1002/job.4030020205 .

  2. Swenson S, Kabcenell A, Shanafelt T. Physician-organization collaboration reduces physician burnout and promotes engagement: The Mayo Clinic experience. J Healthc Manag. 2016;61(2):105–127. https://doi.org/10.1097/00115514-201603000-00008 .

  3. Vincent J, Andrews D, Hertling MP, Galura S, Forlaw L. Impact of an interprofessional leadership program on collaboration in practice. Interprofessional Practice and Education Evaluations. 2017;8(1):1–2. https://jdc.jefferson.edu/jcipe/vol8/iss1/4/ .

  4. World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. Geneva: WHO; 2010.

  5. Joshi A, Roh H. The role of context in work team diversity research: A meta-analytic review. Acad Manag J. 2009; 52: 599–627. https://doi.org/10.5465/amj.2009.41331491 .

  6. Maslach C, Jackson SE. Maslach Burnout Inventory Manual. 1st ed. Palo Alto, Calif: Consulting Psychologists Press; 1980. https://doi.org/10.1037/t55656-000 .

Mark Hertling, DBA
Mark Hertling, DBA

Mark Hertling, DBA, retired from the U.S. Army after four decades of service and is a professor of practice and strategic leadership at Rollins College, Crummer Graduate School of Business, Winter Park, Florida.


Kim Smith-Jentsch, PhD
Kim Smith-Jentsch, PhD

Kim Smith-Jentsch, PhD, is an industrial and organizational psychologist with 3 decades of experience studying team performance in high stress environments such as the Navy, NASA, FAA, and in various healthcare settings. She is currently an associate professor of management at the Crummer Graduate School of Business, Rollins College.

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