Meeting the imperative to improve physician well-being: assessment of an innovative program.

Background: Improving physician health and performance is critical to successfully meet the challenges facing health systems that increasingly emphasize productivity. Assessing long-term efficacy and sustainability of programs aimed at enhancing physician and organizational well-being is imperative.

Objective: To determine whether data-guided interventions and a systematic improvement process to enhance physician work-life balance and organizational efficacy can improve physician and organizational well-being.

Pulmonary embolism aggravated by two short flights 3 days apart.

An elderly internist experienced aggravation of preexisting pulmonary emboli following each of two short flights of 75 min apiece 3 d apart. A brief discussion of risk factors is included. It is suggested that pertinent reports should separate venous thromboembolic disease (VTE) from uncomplicated deep venous thrombosis (DVT).