How do workplace factors impact our performance as providers?  A recent BMJ blog entry describes many working environments as "burnout shops" which promote poor performance among providers and, in turn, poor quality for patients.  As healthcare providers, training and practice often require long hours and, of course, no one told us that what we signed up for would be easy.  So, what tools are there to gauge whether our workplace is a "burnout shop" or a highly reliable organization meant to promote great performance and outcomes?  Read more for thoughts on toxic workplaces and an inventory to help us tell whether we have one on hand.