Evidence map›Paper›PMID 32108570›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020

Sleep, fatigue and burnout among physicians: an American Academy of Sleep Medicine position statement.

Binal S Kancherla, Raghu Upender, Jacob F Collen, Muhammad Adeel Rishi, Shannon S Sullivan, Omer Ahmed, Michael Berneking, Erin E Flynn-Evans, Brandon R Peters, Fariha Abbasi-Feinberg and 12 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 75 citations in OpenAlex.

  1. Well, How Did We Get Here? The Current State of Pediatric Endocrinology.Journal of pediatrics. Clinical practice · 2026
    Article
  2. Article
  3. Hidden Workload of Academic Emergency Physicians: Extra-Clinical Duties and Their Impact on Fatigue and Recovery.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  8. Article
  9. Article
  10. Perspective: Improving the understanding of sleep deprivation and strategies for fatigue management across the medical education continuum: a call to action.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  11. Article
  12. Review
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  14. Article
  15. Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 20 institutions in 1 country.

Binal S KancherlaDepartment of Pediatrics, Division of Pediatric Pulmonology, Texas Children's Hospital - Baylor College of Medicine, Houston, Texas.
Raghu UpenderDepartment of Neurology, Division of Sleep Medicine, Vanderbilt Medical Center, Nashville, Tennessee.
Jacob F CollenPulmonary, Critical Care and Sleep Medicine Service, Walter Reed National Military Medical Center, Bethesda, Maryland.
Muhammad Adeel RishiDepartment of Pulmonology, Critical Care and Sleep Medicine, Mayo Clinic, Eau Claire, Wisconsin.
Shannon S SullivanSleepEval Research Institute, Palo Alto, California.
Omer AhmedDepartment of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, New York University School of Medicine, New York, New York.
Michael BernekingConcentra, Inc., Grand Rapids, Michigan.
Erin E Flynn-EvansFatigue Countermeasures Laboratory, Human Systems Integration Division, NASA Ames Research Center, Moffett Field, California.
Brandon R PetersSleep Disorders Center, Virginia Mason Medical Center, Seattle, Washington.
Fariha Abbasi-FeinbergSleep Medicine, Millennium Physician Group, Fort Myers, Florida.
R Nisha AuroraDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Kelly A CardenSaint Thomas Medical Partners - Sleep Specialists, Nashville, Tennessee.
Douglas B KirschSleep Medicine, Atrium Health, Charlotte, North Carolina.
David A KristoUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Raman K MalhotraSleep Medicine Center, Washington University School of Medicine, St. Louis, Missouri.
Jennifer L MartinVeteran Affairs Greater Los Angeles Healthcare System, North Hills, California.
Eric J OlsonDivision of Pulmonary and Critical Care Medicine, Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
Kannan RamarDivision of Pulmonary and Critical Care Medicine, Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
Carol L RosenDepartment of Pediatrics, Case Western Reserve University, University Hospitals - Cleveland Medical Center, Cleveland, Ohio.
James A RowleyWayne State University, Detroit, Michigan.
Anita V ShelgikarUniversity of Michigan Sleep Disorders Center, University of Michigan, Ann Arbor, Michigan.
Indira GurubhagavatulaDivision of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Mayo Clinic · USAmes Research Center · USAtrium Medical Cente · USCase Western Reserve University · USCentra Health · USMayo Clinic Health System · USMillennium Engineering and Integration (United States) · USNew York University · USRutgers, The State University of New Jersey · USSt. Thomas Medical Group · USTexas Children's Hospital · USUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USVanderbilt University Medical Center · USVirginia Mason Medical Center · USWalter Reed National Military Medical Center · USWashington University in St. Louis · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

None: Physician burnout is a serious and growing threat to the medical profession and may undermine efforts to maintain a sufficient physician workforce to care for the growing and aging patient population in the United States. Burnout involves a host of complex underlying associations and potential for risk. While prevalence is unknown, recent estimates of physician burnout are quite high, approaching 50% or more, with midcareer physicians at highest risk. Sleep deprivation due to shift-work schedules, high workload, long hours, sleep interruptions, and insufficient recovery sleep have been implicated in the genesis and perpetuation of burnout. Maladaptive attitudes regarding sleep and endurance also may increase the risk for sleep deprivation among attending physicians. While duty-hour restrictions have been instituted to protect sleep opportunity among trainees, virtually no such effort has been made for attending physicians who have completed their training or practicing physicians in nonacademic settings. It is the position of the American Academy of Sleep Medicine that a critical need exists to evaluate the roles of sleep disruption, sleep deprivation, and circadian misalignment in physician well-being and burnout. Such evaluation may pave the way for the development of effective countermeasures that promote healthy sleep, with the goal of reducing burnout and its negative impacts such as a shrinking physician workforce, poor physician health and functional outcomes, lower quality of care, and compromised patient safety.

Indexed as

Burnout, ProfessionalPhysiciansFatigueHumansSleepSleep DeprivationUnited States

Identifiers

PMID32108570
PMCPMC7849815
OpenAlexW3010979675

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.