Calculate Your Burnout Riskand What Replacing You Would Cost.
The Physician Role Sustainability Scorecard, a 5-minute diagnostic that quantifies your risk and reveals the leverage you already have with leadership.
- →The 10-sign Unsustainability Audit most physicians dismiss
- →The $500K-$1M Replacement Cost calculation in plain numbers
- →The 3 structural barriers that sink most role redesign requests
- →Your Crisis, Fragile, or Sustainable risk profile
- →The exact language shift that moves leadership to act
The Physician Role Sustainability Scorecard
5 Minutes to Calculate Your Burnout Risk and Career Replacement Cost · Dr. Simone Mays, MD
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What's Inside
Six sections.
One honest scorecard.
This is not a wellness checklist. It is a structured diagnostic built for physicians who need a clear, financial picture of where they stand and the leverage they already hold.
The Unsustainability Audit
Ten red-flag signs that most physicians minimize for years before recognizing them as a structural problem rather than a personal failure.
Self-AssessmentThe $500K Calculation
A line-by-line look at what your hospital would actually pay to replace you, from recruitment and locum coverage to lost productivity during onboarding.
Financial ToolThe 3 Barriers to Redesign
Why most physician requests for role change fail. Each barrier comes with a strategic reframe that changes how leadership receives the conversation.
StrategyYour Risk Profile
A five-domain scorecard that places you in Sustainable, Fragile, or Crisis territory with a clear read on the urgency of action.
Risk FrameworkThe Language Shift
Side-by-side examples of what does not move leadership and what does. Move from emotional pleas to financial value the institution must respond to.
CommunicationThe VALUE Framework Preview
An overview of the five-step framework, Validate, Assess, Limit, Unify, Execute, that turns role redesign from guesswork into a structured leadership proposal.
FrameworkThe $500K Calculation
You are not just a clinician.
You are a multi-million dollar asset.
Physicians routinely underestimate their institutional value. The scorecard makes your leverage visible in the language leadership actually speaks, dollars.
Your replacement cost alone dwarfs the cost of accommodating a reasonable role redesign. Leadership knows this. The scorecard makes sure you do too.
The 3 Barriers
Why most role redesign requests fail
and what changes when they don't.
Emotional Framing
Requests that lead with exhaustion or personal struggle trigger defensiveness instead of problem solving. Emotion alone rarely moves institutions.
Lead with replacement cost, revenue contribution, and an operational continuity plan.
Leadership Resistance
Without addressing the operational concerns driving resistance, coverage continuity, financial risk, staffing impact, the default answer is no, even when leadership wants to help.
Anticipate every objection before you walk in the room. Build the solutions before they ask.
No Proposal Structure
Verbal conversations, informal requests, and emails are not proposals. Leadership needs a structured, written document that can move through approval channels.
Your proposal must stand alone, without you in the room to explain it.
Your Risk Profile
Three tiers.
One honest answer.
The scorecard rates you across five domains, workload, physical capacity, emotional resilience, financial stability, and leadership flexibility, then places you into one clear tier.
Sustainable
Manageable today. Monitor trends carefully, sustainability can deteriorate quickly under institutional pressure.
Fragile
Significant vulnerabilities. Without strategic planning, elevated risk of burnout or forced career transition within 1 to 3 years.
Crisis
Actively unsustainable. Immediate strategic action is required. Waiting increases the risk of injury, burnout-related departure, or income loss.
The Language Shift
From emotional pleas
to financial value.
Physicians are trained to communicate in clinical terms. Leadership is trained to respond to institutional and financial terms. The scorecard closes that gap.
"I'm exhausted and can't keep doing this."
"My current role creates a retention and replacement cost risk of $500K to $1M to this institution."
"I need a better schedule for my family."
"I have designed a coverage continuity model that protects operations while reducing call by 30 percent."
"Leadership doesn't understand what I'm going through."
"I have a structured proposal addressing operational continuity and financial justification."
"I might have to leave if nothing changes."
"I want to remain here long term, and I have a strategic redesign pathway that makes that possible."
About Dr. Simone Mays
Dr. Simone Mays is a physician, educator, and advocate dedicated to helping physicians build sustainable careers without sacrificing their health, their families, or their sense of purpose.
She built this scorecard because most physicians never see the financial leverage they already hold. Once they do, the conversation with leadership changes, and so does what becomes possible.
"Physicians should not have to suffer in order to serve. Sustainable careers are not only possible, they are necessary for the future of medicine."
Flourishing Physician Mother gives physicians the strategic tools, language, and framework to approach career sustainability the same way they approach every other complex problem, with structure, evidence, and clarity.
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Get the data.
Then make the case.
Five minutes to score your role, calculate your value, and see exactly where you stand. The physicians who act on the data have the most options.
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