Thirty seconds a day from each clinician. Every clinician privately sees which of their working conditions are draining them and which are protecting them. Leadership sees the aggregate: which conditions are costing capacity, which are protecting it, never individuals.
Endure is a thirty second check-in. After the day: eight quick questions and a tap on what shaped it, and the clinician gets their Reserve, a daily measure of what they actually have to work with, modeled on elite athletic readiness, not on survey models. Within a couple of weeks it computes their personal Levers: which conditions in their work measurably drain them, and which protect them. "Inbox days cost me 14 points; continuity days give me 10 back." About their own days, from their own data.
Every item is built from each field's published literature plus what clinicians in it actually say: twelve specialty packs so far, with levers for PAs, NPs, and CRNAs built from their own evidence. Clinicians outperform a strained system every day. Endure measures what that costs them, and what would help.
A burnout survey measures the outcome, once a year, after the damage: how exhausted people felt. Endure measures the inputs, every day, while they are still fixable: which specific conditions are moving clinician capacity up or down.
No account, no email, no sign-up. Nobody else can see it: not their employer, not colleagues, not us.
Turned on, it joins an anonymous pool only ever seen in groups of five or more. Stopping is invisible.
That trust architecture is the product. Honest data only exists where sharing it is safe.
When an organization runs Endure, shared check-ins aggregate into its Conditions Report: which working conditions are costing clinician Reserve and which are protecting it, ranked by measured impact, always in groups of five or more. The report ends where most measurement stops: what leadership heard, and what changes because of it, fixing what is fixable and saying honestly what is not yet.
Endure is for the clinicians first, and it honestly helps the organization too: clinician capacity drives outcomes and retention, and clinician condition data is patient-safety data one step upstream.
Physician burnout is associated with roughly doubled odds of patient safety incidents and lower patient satisfaction: Panagioti et al., JAMA Internal Medicine, 2018.
Every item in Endure traces to published work or is honestly tiered as exploratory in our internal evidence reviews. We keep the references public: read the bibliography, and the resources shelf we point clinicians to.
Where it stands. Endure is an early prototype in live daily use by clinicians, with a founding tester cohort logging now and the first organizational conversations under way. If a report like the one above would change a decision you actually make, we should talk.
Access is by invitation while the instrument is hardened. This site does not link to the app.
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