ArticleApplied clinical informatics2021
Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health.
Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
10 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Electronic health records-related determinants of healthcare professionals' burnout and mitigation strategies: systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Prevalence of posttraumatic stress symptoms among physicians - A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Physician Posttraumatic Stress Disorder During COVID-19: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review.Applied clinical informatics · 2022Pooled it
- Barriers to Wellness Among General Surgery Residents During the COVID-19 Pandemic: Qualitative Analysis of Survey Responses.JMIR perioperative medicine · 2025Article
- Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis.JMIR medical informatics · 2024Review
- Just-in-Time Electronic Health Record Retraining to Support Clinician Redeployment during the COVID-19 Surge.Applied clinical informatics · 2022Article
- Managing the Digital Disruption Associated with COVID-19-Driven Rapid Digital Transformation in Brisbane, Australia.Applied clinical informatics · 2021Article
- Development, Implementation, and User Evaluation of COVID-19 Dashboard in a Third-Level Hospital in Iran.Applied clinical informatics · 2021Article
- Using Electronic Health Record Time Tracking Metrics to Identify Struggling Pediatric Interns: A Pilot Study.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesThis article investigates the association between changes in electronic health record (EHR) use during the coronavirus disease 2019 (COVID-19) pandemic on the rate of burnout, stress, posttraumatic stress disorder (PTSD), depression, and anxiety among physician trainees (residents and fellows).
methodsA total of 222 (of 1,375, 16.2%) physician trainees from an academic medical center responded to a Web-based survey. We compared the physician trainees who reported that their EHR use increased versus those whose EHR use stayed the same or decreased on outcomes related to depression, anxiety, stress, PTSD, and burnout using univariable and multivariable models. We examined whether self-reported exposure to COVID-19 patients moderated these relationships.
resultsPhysician trainees who reported increased use of EHR had higher burnout (adjusted mean, 1.48 [95% confidence interval [CI] 1.24, 1.71] vs. 1.05 [95% CI 0.93, 1.17];
conclusionIncreased EHR use was associated with higher burnout, depression, and PTSD outcomes among physician trainees. Although preliminary, these findings have implications for creating systemic changes to manage the wellness and well-being of trainees.
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