How can we do residency better? 

Maybe you’ve asked yourself the same thing. 


  • Get the sense that you’re told you’re the problem?
  • Don’t feel heard?
  • Feel like wellness is mandated and just a buzzword?
For Programs
  • Lackluster GME reviews and sagging morale?
  • Lacking objective data?
  • Not enough time or money to tackle this?
  • Want to start a wellness program or take it to the next level?

We can change that.

Solving Resident Burnout is...

Written by a resident
In touch with reality
Supported by evidence.

What are the benefits to you?

decrease burnout

Get through the day easier. Gain more clarity on this experience. More engaged. Easier to teach. Better with patients and staff. Higher ITE scores. More fellowship placements.

Increase buy in

Modern practical ideas that resonate with today’s residents. And get faculty buy-in, too.

Simple guide to follow

Diagnose the problem. Apply a personalized solution. For all residents. For all programs. Respects time and budget constraints. You can do this.

The Book

Solving Resident Burnout Book
Studies Cited
Hours on audiobook

What else is Solving Resident Burnout?

Solving Resident Burnout Podcast


Also coming soon. Leading minds. Intimate conversations. Novel insights.

Daniel S Orlovich MD

Resident | AUTHOR

Hi! 😎 I’m a resident at Stanford. If you want to decrease resident burnout I’ll show you how. This means best practices, personalized solutions, buy-in from resident and faculty, precise implementation, cost effective methods, and validated evaluation tools.

I’ve been published in Kevin MD, Journal of Graduate Medical Education, Medical Economics, Anesthesia & Analgesia, Physician’s Weekly, Anesthesiology News, In-Training, American Family Physician, Pain Practice, Medscape (& GomerBlog 😆). Currently, I serve as a NEJM Resident 360 Expert and Chief Wellness Resident at Stanford where I was awarded a two year grant to promote wellness. And finally, I’ll be presenting on the panel at the 2020 ACGME Annual Education Conference as well as a poster at the American Conference on Physician Health (ACPH) presented by Mayo Clinic, AMA and Stanford. 

Key Points

I'm a resident

I work a lot of hours. I'm in trenches and rooted in reality. I enjoy being a physician.

Ideal readers include residents...

All residents. Those looking to level up their performance and those who need some tips. Every. single. one.

...and programs, too

Those without a wellness program. Those with an established program. Those who need solutions STAT.

Nothing like this exists

Written by a resident. Practical solutions. Easy to read. Supported by studies. Acknowledgement of the real drivers of burnout.

Smashes myths

Like 'resident burnout isn't that bad', 'wellness is yoga', 'residents are whiners', 'medicine hasn't changed' and 'residents don't really have power.'

You can do it

The system won't change today. You can.

Mission Statement

I help residents and programs 

decrease burnout and increase engagement 

by listening and offering 

cost-effective, resident driven and innovative solutions 

as discussed in the book, podcast, and newsletter.


What should you do


Yes. It has been called an ‘epidemic.’  

  • A little more than one in five residents wouldn’t pursue medicine if given the opportunity to relive their career
  • Between 40-80% of residents are burned out.
  • 92% of program directors underestimated the amount of burnout.
  • Residents who were awake more than 19 hours were found to have an equivalence to a Blood Alcohol Level (BAC) of 0.1%. This is considered legally drunk. Not one single state would allow them to drive.
  • Program directors spend up to 5-20 hours per month for an average of 3 months of more with a struggling resident and rate it as ‘challenging.’
  • About one physician kills himself every single day. This is six times higher than the national average. To put it in perspective that is the equivalent of 3 medical school graduating classes every year. (Note: this stat is not related specifically to residents but physicians in general)
  • Suicide is the number one cause of death for male and female residents between 25-34 years of age.

If what we have is already working we wouldn’t have an ‘epidemic’ of burnout. All programs can gain insight or a new strategy. 

Quite easy, actually. They are practical. So you can do them right now

The system is broken. Don’t despair though because residents and programs can do something about it. The system won’t change today but residents can. That is liberating. There is something no matter how minor that can make a residents day better today. The first step is equipping residents with a way to articulate what is going on. The second step is giving residents practical solutions backed by data and delivered in an engaging way. The final step is to work with programs. 

Does it matter if …

  • your program doesn’t have a terrible reputation?
  • applicants on interview can pick up on a bad vibe?
  • you go unmatched or way down the rank list?
  • there is sagging morale? 
  • residents are in remediation?
  • employers feel that residents aren’t well trained?
  • patients get good care?
  • other programs are already implementing some of these strategies?
  • attendings have to do even more throughout the day to compensate for disengaged residents? 

That’s fair. You can listen to the podcast, sign up for the newsletter, or connect with me on email (, Twitter (@SolvngResBrnout) or Reddit (u/SolvngResidntBurnout)

Wellness programs when done well have the potential to produce results. Wellness programs in name only fail to hit the mark. It is not about if there is a wellness program – it is more about how it is implemented. 

Nope! ☺️ I’ve found certain habits and developed a certain perspective over time. I don’t want to hoard this insight, though. So that’s why I made this. To help unlock the results for other residents 🔓 

You helped

10% of book profits go to ‘Doctors Without Borders.’

"Without data you're just another person with an opinion."
W. Edwards Deming

Made with ❤ by Solving Resident Burnout | Horowitz Publishing