Evidence map›Paper›PMID 41015526›Full record

ArticleBMJ quality & safety2025

Factors associated with well-being and burnout among US internal medicine physicians: a cross-sectional survey.

Nathan Houchens, M Todd Greene, Srijan Sen, Elizabeth Harry, David Ratz, Karen E Fowler, Sanjay Saint

Abstract read
In one paragraph

Article in BMJ quality & safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Well-Being Activities Among Internal Medicine Physicians: Results of a National Survey.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025
    Article
  3. 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

7 authors.

Nathan HouchensMedicine Service, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA nathanho@med.umich.edu.ORCID http://orcid.org/0000-0003-3923-0711
M Todd GreeneInternal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0002-7175-0832
Srijan SenEisenberg Family Depression Center, University of Michigan, Ann Arbor, Michigan, USA.
Elizabeth HarryInternal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
David RatzVeterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan, USA.
Karen E FowlerVeterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0001-8274-8407
Sanjay SaintMedicine Service, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

Funding

AHRQ HHS R18 HS028963
6 · The paper itself

Abstract

objectiveBecause physician burnout negatively affects patients, organisations and those impacted, we aimed to identify and evaluate factors contributing to burnout among internal medicine physicians in the USA.

designCross-sectional survey conducted between 23 June 2023 and 8 May 2024.

settingA national multicentre study conducted in the USA.

participantsRandom sample of non-subspecialty internal medicine physicians identified through Physician Professional Data, a database maintained by the American Medical Association. Of 1421 eligible physicians, 629 (44.3%) responded.

main outcome measuresThe 42-item survey collected data on multiple factors-professional environment, community and personal-hypothesised to influence well-being. Burnout domains, including emotional exhaustion, depersonalisation and reduced personal accomplishment, were measured using the Maslach Burnout Inventory-Human Services Survey.

resultsA total of 9.8% (61/622) participants had extreme burnout as defined by meeting thresholds for all three burnout domains. In multivariable regression analysis, several aspects of the professional environment (eg, workload, lack of autonomy) were statistically significantly associated with elevated odds of burnout. Community factors statistically significantly associated with reduced odds of burnout included a supervisor who empowers and treats the physician with respect and dignity and greater support from organisational leaders. Mindful awareness and a sense of purpose were statistically significantly inversely associated with odds of burnout.

conclusionBurnout among US internal medicine physicians is common and influenced by many factors. Interventions to elevate well-being should be multi-faceted and seek to reduce workload, augment autonomy, bolster support and perceptions of value from leaders and co-workers and foster environments conducive to mindful practice and sense of purpose.

Indexed as

Healthcare quality improvementHealth policyHospital medicinePatient-centred carePatient Safety

Identifiers

PMID41015526
PMCPMC13205480

What OpenQuestion holds

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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.