Evidence map›Paper›PMID 41979726›Full record

ArticleJournal of general internal medicine2026

Dimensions of Burnout and Predictors of Physician Turnover in Clinical Practice.

Anna C O'Kelly, Michael K Hidrue, Adam N Berman, William T Curry, Marcela G Del Carmen, Sarah Phair, Sara Lehrhoff, Jason H Wasfy

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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 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
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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

8 authors.

Anna C O'KellyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3100-9599
Michael K HidrueOffice of the Chief Medical Officer, Mass General Brigham, Somerville, MA, USA.
Adam N BermanDivision of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, USA.
William T CurryMassachusetts General Physicians Organization, Boston, MA, USA.
Marcela G Del CarmenMassachusetts General Physicians Organization, Boston, MA, USA.
Sarah PhairOffice of the Chief Medical Officer, Mass General Brigham, Somerville, MA, USA.
Sara LehrhoffMassachusetts General Physicians Organization, Boston, MA, USA.
Jason H WasfyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. jwasfy@mgh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPhysician burnout is associated with both intention to leave practice and turnover. However, the individual dimensions of burnout-cynicism, exhaustion, and poor personal efficacy-have not been examined as predictors of physician intent to leave practice or departure. We sought to determine whether these individual dimensions of burnout are independent predictors of physician intent to leave practice or departure.

designIn a retrospective cohort study, we merged longitudinal survey data from all actively employed physicians at the Massachusetts General Physicians Organization (MGPO) from 2017, 2019, and 2021 with physician employment status two years after survey completion.

settingSurvey data were gathered from all actively employed physicians at the Massachusetts General Physicians Organization (MGPO), the largest physicians organization in New England and one of the largest in the USA.

participantsThere were 5976 survey responses from 2651 unique physicians over the three sequential survey years, with a survey response rate of > 90%. MAIN OUTCOMES AND MEASURES: Rates of self-reported intention to leave and actual physician departure among physicians were analyzed by general burnout scores and scores on the three individual burnout subscales.

resultsBurnout was independently associated with both intention to leave (OR = 3.10, 95% CI 2.55-3.77) and physician departure (OR = 1.37, 95% CI 1.15-1.64). High scores on all three individual burnout subscales were associated with increased odds of intention to leave (exhaustion OR = 1.55, 95% CI 1.25-1.92; cynicism OR = 2.49, 95% CI 1.99-3.13; personal efficacy OR = 1.45, 95% CI 1.19-1.77). However, only high cynicism scores were associated with actual departure (cynicism OR = 1.37, 95% CI 1.12-1.68). Physicians who departed were significantly more likely to have previously expressed an intention to leave than those who remained (33.6% vs. 6.7%, p < 0.001).

conclusionsPhysician cynicism is the only burnout dimension associated with departure, though multiple burnout dimensions are associated with intention to leave. Organizational efforts to combat cynicism may be especially effective in promoting physician retention.

Identifiers

PMID41979726

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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.