Table 2.

Modifiable Stressors with Support

CategoryModifiable StressorsSupports Needed
PersonalGaps in skills or lack of prior training for unique population needsMentorship
Access to continuing medical education
WorkplaceOperational challenges Siloed systems of careWorkforce training
Workplace and leadership culture bias toward specializationPhysician and organizational leadership development
EnvironmentIsolation, lack of provider backupFellowships designed to prepare a physician for a specific community
Health system support with partnership, networking, and clinical back up.
Challenges associated with travel and weatherTelephonic access to support and broad system support
PopulationComplex patient needs and social barriers to careTraining
Team-based care including use of care managers, behavioral health, and pharmacy
Patient and community bias for specialist careOrganizational culture that supports and advocates for full-scope practice