Evidence map›Paper›PMID 40625985›Full record

ArticleMedical science educator2025

The Influence of Cognitive and Emotional Biases in Medical Specialty Selection: A Path to Burnout.

Joshua A Daily, Paul J Hartung, William W Maddux

Abstract read
In one paragraph

Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Joshua A DailyArkansas Children's Hospital, 1 Children's Way, Slot 512-3, Little Rock, AR 72202 USA.ORCID 0000-0002-0159-0247
Paul J HartungDepartment of Family & Community Medicine, Northeast Ohio Medical University, Rootstown, OH USA.
William W MadduxUniversity of North Carolina at Chapel Hill, Chapel Hill, NC USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physician burnout remains a critical issue in the medical profession. Problems in medical specialty decision-making may contribute to physician burnout. We propose that these problems may stem from two main factors: (a) cognitive and emotional decision-making biases and (b) systemic flaws in medical education that diminish physician autonomy and intrinsic motivation. We first explore the psychological roots of decision-making biases that may contribute to physician burnout. Next, we examine how the medical education system may unintentionally shape students' specialty choices based on limited and variable clinical rotation experiences. Four case studies illustrate these issues. We conclude by outlining strategies to reduce the influence of cognitive and emotional biases and improve the medical specialty selection process to optimize career choices. Given the profound impact of medical specialty choice on long-term physician well-being, its potential role in preventing and buffering the effects of physician burnout demands the attention of medical education faculty, administration, support staff, and students alike. Future research should investigate the effects of specialty choice on physician career development and burnout. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-025-02370-3.

Indexed as

Affective forecastingBurnoutCognitive biasDecision-makingSelf-determination

Identifiers

PMID40625985
PMCPMC12228879

What OpenQuestion holds

Textmetadata
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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.