Rates of burnout are high amongst physicians, with very high rates seen in critical care physicians. We recognized areas of dissatisfaction within our fellowship and, utilizing proven problem-solving approaches like lean methodology, implemented a bundle of interventions to improve well-being and professional satisfaction. The majority of interventions were designed by the pulmonary and critical care fellows, leading to unique solutions and strong engagement. Anonymous fellow surveys pre- and post-bundle implementation demonstrated significant improvement in numerous domains of well-being. Other training programs can adopt similar strategies to identify areas of dissatisfaction, create program-specific interventions, and measure responses to interventions.

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