Evidence map›Paper›PMID 40983549›Full record

ArticleAnnals of family medicine2025

Relationships of Educational Debt With Hours Worked and Burnout Symptoms Among Early-Career Family Physicians.

Dean A Seehusen, Sarah Fleischer, Lars Peterson

Abstract read
In one paragraph

Article in Annals of family medicine, 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

3 authors.

Dean A SeehusenMedical College of Georgia, Augusta University, Augusta, Georgia dseehusen@msn.com.
Sarah FleischerAmerican Board of Family Medicine, Lexington, Kentucky.
Lars PetersonAmerican Board of Family Medicine, Lexington, Kentucky.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEducational debt among physicians is growing and contributes to burnout symptoms. Work hours have been associated with burnout symptoms among medical learners and early-career physicians. It is not known if medical debt is directly associated with increasing work hours among early-career family physicians.

methodsWe created a longitudinal cohort of family physicians who were 3 years into their career using data from the American Board of Family Medicine. We assessed whether educational debt at the time of residency graduation was correlated with hours worked and with burnout symptoms at this career stage. Logistic regression analysis was used to determine if educational debt level and hours worked per week were independently associated with burnout symptoms.

resultsAmong 4,905 early-career family physicians,17.8% had no educational debt while 16.2% had more than $350,000 of debt. Educational debt was positively correlated with mean hours worked per week (

conclusionsAmong early-career family physicians, those with higher educational debt worked more hours. Both educational debt and work hours were independently associated with symptoms of burnout. Reducing educational debt may help prevent burnout symptoms and their downstream consequences.

Indexed as

Burnout, ProfessionalFamily PracticeInternship and ResidencyPhysicians, FamilyTraining SupportWorkloadAdultFemaleHumansLogistic ModelsLongitudinal StudiesMaleUnited Statesburnoutdebt repaymenteducational debtfamily practicegraduate medical educationinternship and residencymedical educationmedical schoolphysician workforceprimary carestudent loanswork hours

Identifiers

PMID40983549
PMCPMC12459698

What OpenQuestion holds

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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.