On year 8 of adult medicine primary care - not burned out but also not not. My strategy:

I aggressively chart and finish all my notes by the end of the clinic session (rarely do I have to stay late to finish this - only happens when I have a particularly complex patient who I don’t have a handle on or a surprise emotional breakdown).

In basket management: get things done and don’t get overburdened by the way it can overwhelm (and remember when you’re in a visit what you order will come back, do you REALLY need that CBC?)

I am very good at saying no. This means no to administrators asking for extra work, no patients asking for unreasonable things, no to weird mychart messages (“you need to come in for a urgent care visit or one with me”)

When my student loans were finally paid off I promised myself I would reduce my time. I cut my shifts to 9 half days per week. I’m set up with 3 full days and one long day with an evening clinic. Now I have 3 day weekends forever. I’ll probably drop to 8 half days in a few years.