There are numerous risks of untreated burnout, including downstream mental health concerns, patient safety issues, and increased costs to the United States healthcare system. Family medicine physicians are heavily impacted by burnout, and faculty physicians and residents are at greater risk than most. Widespread stigma and licensing concerns are significant barriers to seeking help. Residency training programs have a responsibility to address the well-being of their trainees according to the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements. There is a wide array of evidence-based tools for both individual and residency-wide well-being promotion, as well as recommendations on how to assist a colleague with a mental health concern, including possible impairment. Cultural change within the medical profession is desperately needed, and residencies are well-positioned to train well physicians who can help lead this change.