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The triple aim in healthcare defines three goals: 1. improve health of the population, 2. improve patient experiences, and 3. reduce costs. The authors of this article propose expanding the triple aim into the quadruple aim to include a fourth goal of improving clinician health and prevention of burnout. Comment: Burnout among clinicians is common and driven by many factors, however, a growing administrative burden is a primary contributor. Ann Fam Med . Nov-Dec 2014;12(6):573-6.    (retrieved May, 2020). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.