In the latest edition of Tradeoffs.org’s Research Corner, Director Bianca Frogner breaks down a new study published in Health Affairs titled, “Cultural and Structural Features of Zero-Burnout Primary Care Practices.” The study by Edwards and colleagues compared primary care practices that were deemed “zero-burnout” practices versus “high-burnout” practices on a number of dimensions. The primary predictors of zero-burnout were related to workplace culture where workers were more likely to say their workplaces were places of joy, where people seem to enjoy their work, and that their leaders promote an enjoyable work environment and a sense of accomplishment. Director Frogner suggests that the findings point to a need to support investments that would give practices flexibility to develop leadership and culture of change aligned with the goals of a recent National Academies of Sciences, Engineering, and Medicine report on high-quality primary care.