ArticleJournal of general internal medicine2025
Surprisingly Helpful: The Introduction of Portal Practice Slots to Address the Inbasket Explosion.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed.
- Letter to the Editor on "Surprisingly Helpful: The Introduction of Portal Practice Slots to Address the In-Basket Explosion and Physician Burnout".Journal of general internal medicine · 2026Article
- Variation in Measures of Electronic Health Record Use Outside Scheduled Hours: A Cross-Sectional Study of Academic Primary Care Physicians.Applied clinical informatics · 2026Article
- Post-Pandemic Primary Care Burnout Drivers: Interplay of Organizational Constraints, Values (Mis)alignment, and Team-Leader Dynamics.Journal of healthcare leadership · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the dramatic increase in the volume of electronic health record (EHR) inbasket work, most organizations have not provided additional time to attend to this asynchronous care delivery.
aimTo improve physician well-being and reduce time spent in the EHR outside of work by providing structured time during the workday to address inbasket workload.
settingAn academic health system in the Midwest.
participantsPhysicians in general medicine and medicine pediatrics with ≥ 1 half-day of clinic per week. PROGRAM DESCRIPTION: Implementation of one 20-min "portal practice slot" (PPS) in schedule templates per clinic half-day (4 h). PROGRAM EVALUATION: After the intervention, a survey was distributed to assess physicians' perceptions regarding the impact of PPS on workload and work-life balance. We also assessed for change in hours spent in the EHR on evenings and weekends ("pajama time"), relative value units (RVUs), and patient visits. DISCUSSION: Despite no decrease in measured pajama time, most physicians reported that PPS improved their ability to complete asynchronous care and inbasket tasks in a timely manner during the workday. There was no significant change in the number of visits, visit hours, or RVUs generated. PPS appeared to be a successful tool to decrease the sense of "overwhelm" created by inbasket work and improve physician well-being.
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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.