What radiology leaders can learn from the world’s ‘Blue Zones,’ where people live significantly longer

Radiology leaders seeking ways to foster employee health and happiness can look to the world’s “Blue Zones” as a source of inspiration. 

Dan Buettner of National Geographic coined the term in 2004, denoting areas where physical activity, low stress social interaction and healthful eating have extended lifespans. Experts believe medical imaging may benefit from this mindset, detailing their perspectives in Current Problems in Diagnostic Radiology. 

“Radiology, by nature, presents a unique challenge to physician well-being,” Cody R. Johnson, MD, with University Hospitals Cleveland, and co-authors wrote Feb. 7. “The inherently sedentary nature of radiological practice can lead to musculoskeletal issues, cardiovascular problems and mental health concerns. Increased daily time spent sitting is associated with increased mortality from all causes. Radiologists often feel disconnected from their patients, which can lead to a sense of futility in their work.”  

Johnson and radiologist colleagues are advocating for a “cultural shift” in the specialty. Their hope is to foster more “mutual trust, belonging and support” among peers. They have proposed nine “power principles,” which are adapted from Buettner’s Blue Zone philosophy, including: 

1. Move naturally: Incorporating standing desks and movement-based breaks into the radiologist’s workplace to help reduce the negative impact of extended sitting. 
2. Purpose: Helping radiology trainees and colleagues to pinpoint a greater purpose in their profession, enhancing their career satisfaction and longevity. 
3. Downshift: Creating a low-stress environment for radiologists to relax amid their workflows. This could include “mindfulness breaks,” coffee stations, weekly social gatherings, informal check-ins and greater participation in decision-making. 
4. 80% rule: Encouraging healthy eating habits by providing balanced meals during long shifts and promoting mindful practices in the radiology department. 
5. Plant slant: Offering radiologists healthier, more nutrient-rich food options at departmental gatherings and avoiding processed snacks. 
6. Wine at 5: Fostering social interaction by holding informal gatherings, celebrating team achievements and creating a space for radiologists to relax and bond. 
7. Belong: Forming a sense of belonging and shared culture by creating a supportive, inclusive environment where all contributions are valued, from radiology residents to senior staffers. 
8. Loved ones first: Advocating that radiologists balance work and family life through flexible scheduling and ensuring time for personal commitments. 
9. Right tribe: Building a community of support among radiologists, one that fosters “collaboration over competition” and the idea that all benefit from shared success. 

Johnson and co-authors also offered a set of seven strategies for creating these Blue Zones in radiology. They touch on some of the same points as the previous list and include (1) promoting happiness and camaraderie, (2) optimizing ergonomics, (3) improving workplace culture, (4) implementing positive reinforcement, (5) encouraging purpose, (6) fostering collaboration, and (7) creating a sense of belonging. 

“The Blue Zone philosophy teaches us that well-being is not only about extending life but enriching it,” the authors concluded. “By applying these principles to radiology, we can create a workplace that nurtures the physical, emotional, and social health of radiologists while combating the pervasive infringement of burnout upon their well-being. Small changes, such as fostering camaraderie or improving ergonomics, can have profound impacts on the department's culture, leading to happier, healthier, and more productive radiologists.”