Evidence map›Paper›PMID 40294634›Full record

ArticleApplied clinical informatics2025

Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study.

Daniel Tawfik, Stefanie S Sebok-Syer, Cassandra Bragdon, Cati Brown-Johnson, Marcy Winget, Mohsen Bayati, Tait Shanafelt, Jochen Profit

Abstract read
In one paragraph

Article in Applied clinical informatics, 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

8 authors.

Daniel TawfikDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States.
Stefanie S Sebok-SyerDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, United States.
Cassandra BragdonDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California, United States.
Cati Brown-JohnsonDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California, United States.
Marcy WingetDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California, United States.
Mohsen BayatiOperations, Information & Technology, Stanford Graduate School of Business, Palo Alto, California, United States.
Tait ShanafeltDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California, United States.
Jochen ProfitDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States.

Funding

The WISER StudyR01HD084679 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN, SEXTON, JOHN BRYAN · 2015 to 2018
$2.2M
AHRQ HHS K08 HS027837NICHD NIH HHS R01 HD084679
6 · The paper itself

Abstract

Electronic health record (EHR) usage measures may quantify physician activity at scale and predict practice settings with a high risk for physician burnout, but their relation to experiences is poorly understood.This study aimed to explore the EHR-related experiences and well-being of primary care physicians in comparison to EHR usage measures identified as important for predicting burnout from a machine learning model.Exploratory qualitative study with semi-structured interviews of primary care physicians and clinic managers from a large academic health system and its community physician partners. We included primary care clinics with high burnout scores, low burnout scores, or large changes in burnout scores between 2020 and 2022, relative to all primary care clinics in the health system. We conducted inductive and deductive coding of interview responses using a priori themes related to the machine learning model categories of patient load, documentation burden, messaging burden, orders, and physician distress and fulfillment.Interviews with 16 physicians and 4 clinic managers identified burdens related to three dominant themes: (1) messaging and documentation burdens are high and require more time than most physicians have available during standard working hours. (2) While EHR-related burdens are high they also provide patient-care benefits. (3) Turnover and insufficient staffing exacerbate time demands associated with patient load. Dimensions that are difficult to quantify, such as a perceived imbalance between job demands and individual resources, also contribute to burnout and were consistent across all themes.EHR-related work burden, largely quantifiable through EHR usage measures, are major source of distress among primary care physicians. Organizational recognition of this work as well as staffing and support to predict associated work burden may increase professional fulfillment and reduce burnout among primary care physicians.

Indexed as

Burnout, ProfessionalMachine LearningPhysicians, Primary CareElectronic Health RecordsFemaleHumansMaleQualitative Research

Identifiers

PMID40294634
PMCPMC12413275

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.