ReviewThe western journal of emergency medicine2019
Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I.
Review in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 155 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
155 citing papers in PubMed, 7 syntheses or guidelines pooled it, 339 citations in OpenAlex.
- Psychological wellbeing of healthcare professionals in regional, rural and remote emergency departments: an integrative review.BMC emergency medicine · 2026Pooled it
- Experience of Health Care Professionals Using Digital Tools in the Hospital: Qualitative Systematic Review.JMIR human factors · 2023Pooled it
- Physician's Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Meta-analysis of effort-reward imbalance prevalence among physicians.International archives of occupational and environmental health · 2022Pooled it
- Depression among healthcare workers in the Eastern Mediterranean Region: a systematic review and meta-analysis.Human resources for health · 2021Pooled it
- Promoting the Psychological Well-Being of Healthcare Providers Facing the Burden of Adverse Events: A Systematic Review of Second Victim Support Resources.International journal of environmental research and public health · 2021Pooled it
- Occupational Burnout Syndrome in Polish Physicians: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- The Impact of Implementing Virtual Diabetes Group Visits on Staff and Provider Wellbeing, Job Satisfaction, and Burnout: A Mixed Methods Analysis.Journal of evaluation in clinical practice · 2025Trial
- Rethinking shifts: shift length, diurnal variability, and long-term health risks for emergency medicine physicians.Internal and emergency medicine · 2026Review
- Recording Medical Errors in Brain Tumor Surgery Can Facilitate Their Avoidance: Single Institution Comparative Cohort Analysis over 19 Years.Current oncology (Toronto, Ont.) · 2026Article
- Stress and resilience among first-year medical students: a cross-sectional application of the medical student stress scale.BMC medical education · 2026Article
- Differences in all-cause and death by suicide mortality between health care and other employees in Lithuania: a census-linked mortality follow-up study, 2011-19.European journal of public health · 2026Article
- Prevalence and Associated Factors of Depression Among Emergency Physicians in South Korea: Findings from the 2025 Korean Emergency Physician Survey.Medicina (Kaunas, Lithuania) · 2026Article
- Burnout Among Italian Medical Doctors: A Cross-Sectional Study on Emotional Exhaustion, Depersonalization, and Gratification Post-COVID-19.Healthcare (Basel, Switzerland) · 2026Article
- Burnout, PTSD, and Medical Error: The Medico-Legal Implications of the Mental Health Crisis Among Frontline Healthcare Professionals During COVID-19.Medicina (Kaunas, Lithuania) · 2026Review
- Occupational burnout and depression among emergency medical service providers in Switzerland and Liechtenstein: a cross-sectional nationwide web-based study.BMC public health · 2026Article
- Suicide probability among physicians: an explainable machine learning analysis of depression, burnout, anxiety, and coping styles.Frontiers in medicine · 2026Article
- 'I would have blamed myself, but coming back, I can see that it wasn't me': A qualitative, descriptive phenomenological analysis of doctors' reflective processes in recovery from burnout and mental crisis.Journal of health psychology · 2026Article
- Risk of burnout syndrome in paediatricians in Bogotá, Colombia: a cross-sectional survey.BMJ paediatrics open · 2025Article
- Declining Performance on American Board of Emergency Medicine Written Examinations.AEM education and training · 2025Article
95 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Each year more than 400 physicians take their lives, likely related to increasing depression and burnout. Burnout-a psychological syndrome featuring emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment-is a disturbingly and increasingly prevalent phenomenon in healthcare, and emergency medicine (EM) in particular. As self-care based solutions have proven unsuccessful, more system-based causes, beyond the control of the individual physicians, have been identified. Such system-based causes include limitations of the electronic health record, long work hours and substantial educational debt, all in a culture of "no mistakes allowed." Blame and isolation in the face of medical errors and poor outcomes may lead to physician emotional injury, the so-called "second victim" syndrome, which is both a contributor to and consequence of burnout. In addition, emergency physicians (EP) are also particularly affected by the intensity of clinical practice, the higher risk of litigation, and the chronic fatigue of circadian rhythm disruption. Burnout has widespread consequences, including poor quality of care, increased medical errors, patient and provider dissatisfaction, and attrition from medical practice, exacerbating the shortage and maldistribution of EPs. Burned-out physicians are unlikely to seek professional treatment and may attempt to deal with substance abuse, depression and suicidal thoughts alone. This paper reviews the scope of burnout, contributors, and consequences both for medicine in general and for EM in particular.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.