“Invert the Pyramid, Let Internists Design the Job as Pilots Do a Cockpit”: The Views of General Internal Medicine Physicians on Enhancing Well-Being Through Human Factors Engineering

Our findings indicate that most internists recognize the potential of HFE to positively impact their well-being, though a substantial portion remain uncertain about its applications and benefits. This highlights a need to conduct systems analyses to identify barriers and facilitators of internists' tasks to design tailored, systemic interventions, such as support from leadership in adaptation, support during patient rounds, and improvements to the EMR system. These systemic improvements in combination with spreading HFE knowledge have the potential to enhance internist well-being.