Evidence map›Paper›PMID 39822924›Full record

ArticleLearning health systems2025

Learning health system research as a catalyst for promoting physician wellness: EHR InBasket Spring cleaning and team-based compassion practice.

Ming Tai-Seale, Amanda Walker, Yuwei Cheng, Nathan Yung, Sophie Webb, Ottar Lunde, David Bazzo, Ammar Mandvi, Neal Doran, Gene Kallenberg and 5 more

Abstract read
In one paragraph

Article in Learning health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

15 authors.

Ming Tai-SealeFamily Medicine and Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0001-9272-066X
Amanda WalkerFamily Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0001-5777-6684
Yuwei ChengHWSPHLS University of California San Diego San Diego California USA.ORCID https://orcid.org/0009-0002-4481-2177
Nathan YungMedicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0009-0008-9779-2302
Sophie WebbSociology University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0001-9821-3298
Ottar LundeMedicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0003-2357-1271
David BazzoFamily Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0002-0978-2884
Ammar MandviFamily Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0009-0008-4097-8720
Neal DoranPsychiatry University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0003-2825-6318
Gene KallenbergFamily Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0003-3515-2672
Christopher A LonghurstPediatrics and Medicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0003-4908-6856
Sidney ZisookPsychiatry University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0003-3341-9185
Thomas J SavidesMedicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0001-5585-5979
Marlene MillenMedicine University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0002-2671-5755
Lin LiuHWSPHLS University of California San Diego San Diego California USA.ORCID https://orcid.org/0000-0002-6332-3064

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Addressing physician burnout is critical for healthcare systems. As electronic health record (EHR) workload and teamwork have been identified as major contributing factors to physician well-being, we aimed to mitigate burnout through EHR-based interventions and a compassion team practice (CTP), targeting EHR workload and team cohesion. Methods: A modified stepped wedge-clustered randomized trial was conducted, involving specialties with heavy InBasket workloads. EHR interventions included quick-action shortcuts and recommended practice for secure chats. The CTP comprised 30-s practice between physicians and their dyad partners. Survey and EHR data were collected over four assessment periods. Linear and generalized mixed-effects models assessed intervention effects, accounting for covariates. Results: Forty-four physicians participated (20% participation rate). While burnout prevalence decreased from 58.5% at baseline to 50.0% at the end of the study, burnout reduction was not statistically significant after EHR (OR 0.43, 95% CI 0.12 to 1.61, Conclusion: While burnout reduction was not statistically significant, EHR interventions positively impacted workload perceptions. CTP showed potential for improving perceived workplace supportiveness. Further research is needed to explore the efficacy of CTP with more participants. The interventions gained interest beyond our institution and prompted consideration for broader implementation.

Indexed as

compassion practiceEHR InBasketorganizational compassionphysician burnout

Identifiers

PMID39822924
PMCPMC11733442

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.