Evidence map›Paper›PMID 41239118›Full record

ArticleJournal of general internal medicine2026

Beyond Burnout: Workplace Social-Cultural Factors Linked to Intention to Leave Among Physicians.

Celestine He, Eleonore de Guillebon, Robert H Pietrzak, Nicholas J Buehler, Jonathan Ripp, Lauren Peccoralo

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. 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
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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

6 authors.

Celestine He *Office of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA. celestinejhe@gmail.com.ORCID 0000-0002-0110-072X
Eleonore de Guillebon *Office of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Robert H PietrzakOffice of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nicholas J BuehlerOffice of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jonathan RippOffice of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Lauren PeccoraloOffice of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the association of workplace social-cultural factors and physicians' intention to leave is lacking.

objectiveTo examine how demographic, occupational, and workplace social-cultural factors are associated with physicians' intention to leave and how workplace factors moderate the association between burnout and intention to leave. DESIGN/

participantsAn institution-wide survey was distributed to faculty at an urban academic health system between 7/21/2022 and 9/14/2022. MAIN MEASURES: Intention to leave one's job was assessed with "What is the likelihood that you will leave your current position or role within the next 2 years?" and burnout with the Maslach Burnout Inventory-2. Multivariable logistic regression examined correlates of intention to leave one's job and the role of workplace social-contextual factors in moderating the association between burnout and this outcome. KEY

resultsA total of 1534 faculty (41.6%) completed the survey, of whom 829 had clinical responsibilities and 112 (13.5%) reported a high intention to leave their job. High workplace organizational culture scores (relative variance explained (RVE) = 35%) and leadership support (RVE = 27%) were negatively associated with intention to leave, while burnout (RVE = 17%) was associated with a greater likelihood. Post hoc analyses indicated that having a caring work environment, an efficient clinical care team, and leaders that provided feedback or who kept faculty informed about changes were associated with a lower likelihood of intention to leave. Clinical care team efficiency moderated the association between burnout and intention to leave; physicians who screened positive for burnout were more than five times less likely to report a high intention to leave their job (9.9% vs. 53.0%).

conclusionsPositive workplace culture and strong leadership support are associated with a lower intention to leave among physicians, whereas burnout is associated with a higher likelihood of leaving. Greater perceived efficiency of one's clinical care team may mitigate the effect of burnout on a physician's intention to leave.

Indexed as

Burnout, ProfessionalPhysiciansAdultFemaleHumansMaleMiddle AgedOrganizational CultureWorkplaceburnoutleadershipphysician intention to leaveworkplace culture

Identifiers

PMID41239118
PMCPMC13083740

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.