Purpose: Appropriate delegation of clinical tasks from primary care providers (PCPs) to other
team members may reduce employee burnout in primary care. However,(1) the extent to
which delegation occurs within multidisciplinary teams,(2) factors associated with greater
delegation, and (3) whether delegation is associated with burnout are all unknown.
Methods: We performed a national cross-sectional survey of Veterans Affairs (VA) PCP-
nurse dyads in Department of VA primary care clinics, 4 years into the VA's patient-centered�…

Background Burnout among primary care physicians, advanced practice clinicians (nurse
practitioners and physician assistants [APCs]), and staff is common and associated with
negative consequences for patient care, but the association of burnout with characteristics of
primary care practices is unknown. Objective To examine the association between physician-
, APC-and staff-reported burnout and specific structural, organizational, and contextual
characteristics of smaller primary care practices. Design Cross-sectional analysis of survey�…