Massachusetts Medical Society: Episode 12: Removing Barriers and Frustrations

Episode 12: Removing Barriers and Frustrations

Removing Barriers and Frustrations

Course Overview

Marie meets with Dr. Paul DeChant, a former family medicine physician and CEO who now works as a health care management consultant. As a medical leader at the Sutter Gould Medical Foundation, Paul successfully led a system-wide transformation that enhanced clinician well-being and restored joy in caring for patients. Paul is the lead author of Preventing Physician Burnout which focuses on the use of Toyota Lean principles to improve the practice-level processes that have dehumanized the care experience for patients and doctors alike. In his conversation with Marie and Les, Paul focuses on removing the obstacles that come up in the course of everyday office practice. He emphasizes a process improvement approach that respects and embraces the opinions and insights of front-line office staff, stressing the importance of collaborative change initiatives. Paul underscores the importance of physician engagement. Without the buy-in of distressed physicians like Marie, turning around an oppressive practice situation may not be possible. Paul attempts to leverage his experience and track record to empower Marie, and others like her, in office-wide and system-wide transformation efforts.  He stresses the importance of communication between front-line physicians and the medical and corporate leadership, and Marie is somewhat skeptical that her voice will be heard. Dr. DeChant explains that the when physicians and other members of the team are able to implement and sustain meaningful changes at the level of the practice, not only do people feel better about the care they deliver; the practice may even increase its capacity to accommodate more patients at the same time. 

Learning Objectives

  • Acquaint learners with the process improvement approach.
  • Review the importance of communication between physicians and leadership, which may promote organizational and systemic changes that can increase morale in the workplace. 


Paul DeChant, MD
My 30 years as a practicing family physician and as a physician executive in both small and large health care systems led me to my passion for returning joy to patient care using a Lean approach. I’ve personally felt the pain of frustrated patients, overworked providers, and stressed leaders, as well as the joy of resolving those pains.

I’m an experienced physician executive, C-suite coach, and subject matter expert on physician burnout with a proven approach to identify, treat, and prevent burnout in individuals and organizations. I work to help organizations reduce the risk of physician burnout using a five-step approach that addresses burnout’s root causes at organizational, clinical, and individual levels. I also coach health care leaders on medical group leadership, medical group mergers and acquisitions, physician engagement, EHR optimization, and physician compensation plans. 

Course Fees

Massachusetts Medical Society (MMS) Member: Free       
Non-MMS Member: Free       
Allied Health Professionals: Free



CME Credit

1.00 AMA PRA Category 1 Credit™

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and Physician Health Services, Inc. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians. 

AMA Credit Designation Statement

The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study.

National Commission on Certification of Physician Assistants (NCCPA).
Physician Assistants may claim a maximum of 1.00 Category 1 credit for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

Exam/Assessment: Please respond to the reflective statement at the end of the course to receive AMA PRA Category 1 Credits.

 MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory, this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

Allergy and Immunology
Family Medicine
Medical Genetics and Genomics
Nuclear Medicine
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry & Neurology
Thoracic Surgery

Activity Term

Original Release Date: January 24, 2019        
Review Date: January 24, 2021           
Termination Date: January 24, 2022

System Requirements

Windows 10       
Mac OSX 10.6 higher

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Chrome latest version        
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Flash player is required for some Online CME courses.

iOS devices beginning with OS version 10 or higher (includes, iPhone, iPad and iTouch devices)     

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