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Burnout Among Mid-Career Academic Medical Faculty - PubMed
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class="collections-new" name="collections" value="new" data-ga-category="save_share" data-ga-action="collections" data-ga-label="collections_radio_new"> <label for="collections-action-panel-new">Create a new collection</label> </li> <li> <input type="radio" id="collections-action-panel-existing" class="collections-existing" name="collections" value="existing" checked="true" data-ga-category="save_share" data-ga-action="collections" data-ga-label="collections_radio_existing"> <label for="collections-action-panel-existing">Add to an existing collection</label> </li> </ul> </div> <div class="controls-wrapper"> <div class="action-panel-control-wrap new-collections-controls"> <label for="collections-action-panel-add-to-new" class="action-panel-label required-field-asterisk"> Name your collection: </label> <input type="text" name="add-to-new-collection" id="collections-action-panel-add-to-new" class="collections-action-add-to-new" pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/" maxlength="100" data-ga-category="save_share" data-ga-action="create_collection" data-ga-label="non_favorties_collection"> <div class="collections-new-name-too-long usa-input-error-message selection-validation-message"> Name must be less than 100 characters </div> </div> <div class="action-panel-control-wrap existing-collections-controls"> <label for="collections-action-panel-add-to-existing" class="action-panel-label"> Choose a collection: </label> <select id="collections-action-panel-add-to-existing" class="action-panel-selector collections-action-add-to-existing" data-ga-category="save_share" data-ga-action="select_collection" data-ga-label="($('#collections-action-add-to-existing').val() === 'Favorites') ? 'Favorites' : 'non_favorites_collection'"> </select> <div class="collections-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your collection due to an error<br> <a href="#">Please try again</a> </div> </div> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore data-ga-category="save_share" data-ga-action="collections" data-ga-label="add"> Add </button> <button class="action-panel-cancel" aria-label="Close 'Add to Collections' panel" ref="linksrc=close_collections_panel" aria-controls="collections-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="collections" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="bibliography-action-panel" class="bibliography-action-panel action-panel in-progress-dots-panel" aria-hidden="true" data-bibliography-open-panel-enabled="false" data-bibliography-open-panel-url-hash="#open-bibliography-panel"> <div class="inner-wrap"> <h3 class="action-panel-heading"> Add to My Bibliography </h3> <form id="bibliography-action-panel-form" class="bibliography-action-panel-form action-panel-content action-form action-panel-smaller-selectors" data-add-to-bibliography-max-amount="100" data-add-to-bibliography-batch-size="10" data-bibliography-delegates-url="/list-bibliography-delegates/" data-add-to-bibliography-url="/add-to-bibliography/" data-get-article-ids-by-search-url="/get-article-ids-by-search/" data-mybib-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography/"> <input type="hidden" name="csrfmiddlewaretoken" value="5tRn1vwC4mlspavbYNSsziNLicBanB8jrRrfXtdCGSUsUM2bSgO6HmgKfcHSuvAr"> <div class="action-panel-control-wrap bibliographies-controls"> <div class="choice-group"> <ul class="bibliographies-action-add radio-group-items"> <li> <input name="bibliography" id="my-bibliography" class="my-bibliography" type="radio" checked/> <label for="my-bibliography">My Bibliography</label> </li> </ul> </div> </div> <div class="bibliographies-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your delegates due to an error<br> <a href="#">Please try again</a> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore> Add </button> <button class="action-panel-cancel" aria-label="Close 'Add to bibliography' panel" ref="linksrc=close_bibliography_panel" aria-controls="bibliography-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="mybib" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="saved-search-action-panel" class="saved-search-action-panel action-panel " aria-hidden="true" data-saved-search-open-panel-enabled="false" data-saved-search-open-panel-url-hash="#open-saved-search-panel"> <div class="inner-wrap"> <h2 class="action-panel-heading"> Your saved search </h2> <form id="saved-search-action-panel-form" class="saved-search-action-panel-form action-panel-content action-form" data-create-saved-search-url="/create-saved-search/" data-try-search-terms-url="/try-search-term/" data-saved-search-root-url="https://www.ncbi.nlm.nih.gov/myncbi/searches/"> <input type="hidden" name="csrfmiddlewaretoken" value="5tRn1vwC4mlspavbYNSsziNLicBanB8jrRrfXtdCGSUsUM2bSgO6HmgKfcHSuvAr"> <div class="action-panel-control-wrap"> <label for="saved-search-name" class="action-panel-label saved-search-name-label required-field-asterisk"> Name of saved search: </label> <input maxlength="200" type="text" name="saved-search-name" id="saved-search-name" class="saved-search-name" value="" required pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/"> </div> <div class="action-panel-control-wrap"> <label for="saved-search-term" class="action-panel-label required-field-asterisk"> Search terms: </label> <textarea name="saved-search-term" id="saved-search-term" class="saved-search-term" required></textarea> </div> <div class="test-search-term-wrap"> <a href="#" class="try-search-term">Test search terms</a> </div> <div class="choice-group action-panel-extra-margin-top"> <span class="action-panel-label" id="fieldset-label"> Would you like email updates of new search results? </span> <fieldset id="saved-search-alert" aria-describedby="fieldset-label"> <legend class="usa-sr-only">Saved Search Alert Radio Buttons</legend> <ul class="radio-group-items"> <li> <input type="radio" id="saved-search-alert-yes" class="saved-search-alert-yes" name="saved-search-alert" value="yes" checked> <label for="saved-search-alert-yes" class="action-panel-label">Yes</label> </li> <li> <input aria-label="No radio input" type="radio" id="saved-search-alert-no" class="saved-search-alert-no" name="saved-search-alert" value="no"> <label for="saved-search-alert-no" class="action-panel-label">No</label> </li> </ul> </fieldset> </div> <div class="alert-schedule-wrap"> <div class="action-panel-control-wrap"> <label class="action-panel-label"> Email: </label> <span aria-label="Email address" id="saved-search-email" class="action-panel-label"><span class="action-panel-label-bold"></span> (<a class="myncbi-account-settings" href="https://www.ncbi.nlm.nih.gov/account/settings/">change</a>)</span> </div> <div class="action-panel-control-wrap action-panel-extra-margin-top"> <label for="saved-search-frequency" class="action-panel-label"> Frequency: </label> <select id="saved-search-frequency" class="no-border-panel-selector saved-search-frequency"> <option value="monthly">Monthly</option> <option value="weekly">Weekly</option> <option value="daily">Daily</option> </select> </div> <div class="action-panel-control-wrap saved-search-monthly-additional"> <label for="saved-search-monthly-on-day" class="action-panel-label"> Which day? </label> <select id="saved-search-monthly-on-day" class="no-border-panel-selector"> <option value="Sunday">The first Sunday</option> <option value="Monday">The first Monday</option> <option value="Tuesday">The first Tuesday</option> <option value="Wednesday">The first Wednesday</option> <option value="Thursday">The first Thursday</option> <option value="Friday">The first Friday</option> <option value="Saturday">The first Saturday</option> <option value="day">The first day</option> <option value="weekday">The first weekday</option> </select> </div> <div class="action-panel-control-wrap saved-search-weekly-additional"> <label for="saved-search-weekly-on-day" class="action-panel-label"> Which day? </label> <select id="saved-search-weekly-on-day" class="no-border-panel-selector saved-search-weekly-on-day"> <option value="Sunday">Sunday</option> <option value="Monday">Monday</option> <option value="Tuesday">Tuesday</option> <option value="Wednesday">Wednesday</option> <option value="Thursday">Thursday</option> <option value="Friday">Friday</option> <option value="Saturday">Saturday</option> </select> </div> <div class="action-panel-control-wrap"> <label for="saved-search-report" class="action-panel-label"> Report format: </label> <select id="saved-search-report" class="no-border-panel-selector saved-search-report"> <option value="DocSum">Summary</option> <option value="DocSumText">Summary (text)</option> <option value="Abstract">Abstract</option> <option value="AbstractText">Abstract (text)</option> <option value="MEDLINE">PubMed</option> </select> </div> <div class="action-panel-control-wrap"> <label for="saved-search-amount" class="action-panel-label"> Send at most: </label> <select id="saved-search-amount" class="no-border-panel-selector saved-search-amount"> <option value="1">1 item</option> <option value="5" selected>5 items</option> <option value="10">10 items</option> <option value="20">20 items</option> <option value="50">50 items</option> <option value="100">100 items</option> <option value="200">200 items</option> </select> </div> <div> <input type="checkbox" id="saved-search-send-if-no-result" class="saved-search-send-if-no-result" name="saved-search-send-if-no-result"> <label for="saved-search-send-if-no-result" class="action-panel-label smaller-checkbox"> Send even when there aren't any new results </label> </div> <div class="action-panel-control-wrap option-text-in-email-wrap"> <label for="saved-search-email-text" class="action-panel-label"> Optional text in email: </label> <textarea name="saved-search-email-text" id="saved-search-email-text" class="saved-search-email-text"></textarea> </div> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Saving..." data-ga-category="save_share" data-ga-action="alert" data-ga-label="save"> Save </button> <button class="action-panel-cancel" aria-label="Close 'Your saved search' panel" ref="linksrc=close_saved_search_panel" aria-controls="saved-search-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="alert" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="citation-manager-action-panel" class="citation-manager-action-panel action-panel" aria-hidden="true"> <div class="inner-wrap"> <h2 class="action-panel-heading"> Create a file for external citation management software </h2> <form id="citation-manager-action-panel-form" class="action-panel-content action-form" action="/results-export-ids/" data-by-search-action="/results-export-search-data/" data-by-ids-action="/results-export-ids/" method="post" data-by-search-method="post" data-by-ids-method="post"> <input type="hidden" name="csrfmiddlewaretoken" value="5tRn1vwC4mlspavbYNSsziNLicBanB8jrRrfXtdCGSUsUM2bSgO6HmgKfcHSuvAr"> <input name="results-format" type="hidden" value="pubmed"/> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Sending..." data-ga-category="save_share" data-ga-action="citation_manager" data-ga-label="save"> Create file </button> <button class="action-panel-cancel" aria-label="Close 'Send citations to citation manager' panel" ref="linksrc=close_citation_manager_panel" aria-controls="citation-manager-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="citation_manager" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="rss-action-panel" class="rss-action-panel action-panel " aria-hidden="true"> <div class="inner-wrap"> <h2 class="action-panel-heading"> Your RSS Feed </h2> <form id="rss-action-panel-form" class="rss-action-panel-form action-panel-content action-form" data-create-rss-feed-url="/create-rss-feed-url/" data-search-form-term-value=""> <input type="hidden" name="csrfmiddlewaretoken" value="5tRn1vwC4mlspavbYNSsziNLicBanB8jrRrfXtdCGSUsUM2bSgO6HmgKfcHSuvAr"> <div class="action-panel-control-wrap"> <label for="rss-name" class="action-panel-label required-field-asterisk"> Name of RSS Feed: </label> <input maxlength="200" placeholder="Name" type="text" name="rss-name" id="rss-name" class="rss-name" value='' required pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/"> </div> <div class="rss-limit-wrap"> <div class="action-panel-control-wrap action-panel-extra-margin-top"> <label for="rss-limit" class="action-panel-label"> Number of items displayed: </label> <select id="rss-limit" class="no-border-panel-selector rss-limit"> <option value="5">5</option> <option value="10">10</option> <option value="15" selected="selected">15</option> <option value="20">20</option> <option value="50">50</option> <option value="100">100</option> </select> </div> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Creating..." data-ga-category="save_share" data-ga-action="alert" data-ga-label="save"> Create RSS </button> <button class="action-panel-cancel" aria-label="Close 'Your RSS' panel" ref="linksrc=close_rss_panel" aria-controls="rss-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="alert" data-ga-label="cancel"> Cancel </button> </div> <div class="action-panel-control-wrap rss-link-copy-wrap"> <label for="rss-link" class="usa-sr-only">RSS Link</label> <input placeholder="Your RSS Feed Link" type="text" name="rss-link" id="rss-link" class="rss-link" title="RSS Link"> <button type="button" disabled class="rss-link-copy-button disabled" data-ga-category="save_share" data-ga-action="rss" data-ga-label="copy"> Copy </button> </div> </form> </div> </div> </div> </div> <div class="article-page" id="article-page" data-article-pmid="38857049"> <aside class="page-sidebar"> <div class="inner-wrap"> <div class="full-text-links"> <div class="full-view"> <h3 class="title"> Full text links </h3> <div class="full-text-links-list"> <a class="link-item dialog-focus" 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data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/"><input type="hidden" name="csrfmiddlewaretoken" value="5tRn1vwC4mlspavbYNSsziNLicBanB8jrRrfXtdCGSUsUM2bSgO6HmgKfcHSuvAr"><div class="choice-group" role="radiogroup"><ul class="radio-group-items"><li><input type="radio" id="collections-action-dialog-new" class="collections-new" name="collections" value="new" data-ga-category="collections_button" data-ga-action="click" data-ga-label="collections_radio_new"><label for="collections-action-dialog-new">Create a new collection</label></li><li><input type="radio" id="collections-action-dialog-existing" class="collections-existing" name="collections" value="existing" checked="true" data-ga-category="collections_button" data-ga-action="click" data-ga-label="collections_radio_existing"><label for="collections-action-dialog-existing">Add to an existing collection</label></li></ul></div><div class="controls-wrapper"><div class="action-panel-control-wrap 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data-ga-action="select_collection" data-ga-label="($('.collections-action-add-to-existing').val() === 'Favorites') ? 'Favorites' : 'non_favorites_collection'"></select><div class="collections-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your collection due to an error<br><a href="#">Please try again</a></div></div></div><div class="action-panel-actions"><button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore data-ga-category="collections_button" data-ga-action="click" data-ga-label="add"> Add </button><button class="action-panel-cancel" aria-label="Close 'Add to Collections' panel" ref="linksrc=close_collections_panel" aria-controls="collections-action-panel" aria-expanded="false" data-ga-category="collections_button" data-ga-action="click" data-ga-label="cancel"> Cancel </button></div></form></div></div></div></div><button class="more-actions-button more-actions-dialog-trigger" title="Open dialog with more actions to take" ref="linksrc=more_actions_btn"></button><div class="display-options" 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aria-label="Dropdown menu for journal JAMA network open"><div class="title">Actions</div><div class="content"><ul class="journal-actions-links"><li><a class="search-in-pubmed-link dropdown-block-link" href="/?term=%22JAMA+Netw+Open%22%5Bjour%5D&sort=date&sort_order=desc" data-href="/?term=%22JAMA+Netw+Open%22%5Bjour%5D&sort=date&sort_order=desc" ref="linksrc=search_in_pubmed_journal_name_link&journal_abbrev=JAMA Netw Open" data-ga-category="search" data-ga-action="journal_link" data-ga-label="JAMA Netw Open"> Search in PubMed </a></li><li><a class="search-in-nlm-catalog-link dropdown-block-link" ref ="linksrc=search_in_nlm_catalog_link" href="https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22JAMA+Netw+Open%22%5BTitle+Abbreviation%5D" data-ga-category="search_catalog" data-ga-action="journal_link" data-ga-label="JAMA Netw Open"> Search in NLM Catalog </a></li><li><a class="add-to-search-link dropdown-block-link" ref ="linksrc=add_to_search_link" role="button" data-search-term='"JAMA Netw Open"[jour]' data-ga-category="search" data-ga-action="add_to_search" data-ga-label='"JAMA Netw Open"[jour]' href="#"> Add to Search </a></li></ul></div></div></div><span class="period">. </span><span class="cit">2024 Jun 3;7(6):e2415593.</span> </div> <span class="citation-doi"> doi: 10.1001/jamanetworkopen.2024.15593. </span> </div> <h1 class="heading-title"> Burnout Among Mid-Career Academic Medical Faculty </h1> <div class="inline-authors"> <div class="authors"> <div class="authors-list"> <span class="authors-list-item "><a class="full-name" href="/?term=Paradis+KC&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kelly C Paradis">Kelly C Paradis</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Radiation Oncology, University of Michigan, Ann Arbor." href="#full-view-affiliation-1" ref="linksrc=author_aff"> 1 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Kerr+EA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Eve A Kerr">Eve A Kerr</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Internal Medicine, University of Michigan, Ann Arbor." href="#full-view-affiliation-2" ref="linksrc=author_aff"> 2 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="VA Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan." href="#full-view-affiliation-3" ref="linksrc=author_aff"> 3 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Griffith+KA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kent A Griffith">Kent A Griffith</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Cancer Data Sciences, University of Michigan School of Public Health, Ann Arbor." href="#full-view-affiliation-4" ref="linksrc=author_aff"> 4 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#full-view-affiliation-5" ref="linksrc=author_aff"> 5 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Cutter+CM&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Christina M Cutter">Christina M Cutter</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#full-view-affiliation-5" ref="linksrc=author_aff"> 5 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Emergency Medicine, University of Michigan, Ann Arbor." href="#full-view-affiliation-6" ref="linksrc=author_aff"> 6 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Feldman+EL&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Eva L Feldman">Eva L Feldman</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Neurology, University of Michigan, Ann Arbor." href="#full-view-affiliation-7" ref="linksrc=author_aff"> 7 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Singer+K&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kanakadurga Singer">Kanakadurga Singer</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Pediatrics, University of Michigan, Ann Arbor." href="#full-view-affiliation-8" ref="linksrc=author_aff"> 8 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Spector+ND&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Nancy D Spector">Nancy D Spector</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Pediatrics and Lynn Yeakel Institute for Women's Health and Leadership, Drexel University College of Medicine, Philadelphia, Pennsylvania." href="#full-view-affiliation-9" ref="linksrc=author_aff"> 9 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Ubel+PA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Peter A Ubel">Peter A Ubel</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Schools of Business, Public Policy and Medicine, Duke University, Durham, North Carolina." href="#full-view-affiliation-10" ref="linksrc=author_aff"> 10 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Jagsi+R&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Reshma Jagsi">Reshma Jagsi</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#full-view-affiliation-5" ref="linksrc=author_aff"> 5 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, Georgia." href="#full-view-affiliation-11" ref="linksrc=author_aff"> 11 </a></sup></span> </div> </div> </div> <div class="short-article-details"> Affiliations <button class="more-details" id="toggle-authors" data-alt-text="Collapse" aria-controls="expanded-authors" aria-expanded="false" data-pinger-ignore data-fetch-url="/38857049/long-authors/" data-id-prefix=""> <span class="title"> Expand </span> </button> </div> <div class="extended-article-details" id="expanded-authors" aria-hidden="true"> <div class="expanded-authors" id="full-view-expanded-authors"> <div class="affiliations"> <h3 class="title"> Affiliations </h3> <ul class="item-list"> <li data-affiliation-id="full-view-affiliation-1" id="full-view-affiliation-1" ><sup class="key">1</sup> Department of Radiation Oncology, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-2" id="full-view-affiliation-2" ><sup class="key">2</sup> Department of Internal Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-3" id="full-view-affiliation-3" ><sup class="key">3</sup> VA Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan.</li> <li data-affiliation-id="full-view-affiliation-4" id="full-view-affiliation-4" ><sup class="key">4</sup> Center for Cancer Data Sciences, University of Michigan School of Public Health, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-5" id="full-view-affiliation-5" ><sup class="key">5</sup> Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-6" id="full-view-affiliation-6" ><sup class="key">6</sup> Department of Emergency Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-7" id="full-view-affiliation-7" ><sup class="key">7</sup> Department of Neurology, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-8" id="full-view-affiliation-8" ><sup class="key">8</sup> Department of Pediatrics, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="full-view-affiliation-9" id="full-view-affiliation-9" ><sup class="key">9</sup> Department of Pediatrics and Lynn Yeakel Institute for Women's Health and Leadership, Drexel University College of Medicine, Philadelphia, Pennsylvania.</li> <li data-affiliation-id="full-view-affiliation-10" id="full-view-affiliation-10" ><sup class="key">10</sup> Schools of Business, Public Policy and Medicine, Duke University, Durham, North Carolina.</li> <li data-affiliation-id="full-view-affiliation-11" id="full-view-affiliation-11" ><sup class="key">11</sup> Department of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, Georgia.</li> </ul> </div> </div> </div> <ul class="identifiers" id="full-view-identifiers"> <li> <span class="identifier pubmed"> <span class="id-label"> PMID: </span> <strong class="current-id" title="PubMed ID">38857049</strong> </span> </li> <li> <span class="identifier pmc"> <span class="id-label"> PMCID: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=PMC11165383&id_type=PMC" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11165383/" data-ga-category="full_text" data-ga-action="PMCID" > PMC11165383 </a> </span> </li> <li> <span class="identifier doi"> <span class="id-label"> DOI: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=10.1001/jamanetworkopen.2024.15593&id_type=DOI" href="https://doi.org/10.1001/jamanetworkopen.2024.15593" data-ga-category="full_text" data-ga-action="DOI" > 10.1001/jamanetworkopen.2024.15593 </a> </span> </li> </ul> <div class="in-clipboard-label " hidden> Item in Clipboard </div> </div> <div class="short-view" id="short-view-heading"> <h1 class="heading-title"> Burnout Among Mid-Career Academic Medical Faculty </h1> <div class="short-citation"> <span class="authors-list"> <span class="authors-list-item "><span class="full-name">Kelly C Paradis</span><span class="citation-separator"> et al.</span></span> </span> <span class="citation-journal"> JAMA Netw Open<span class="citation-separator">.</span> </span> <span class="date"> <time class="citation-year" datetime="2024">2024</time><span class="citation-separator">.</span> </span> </div> <div class="more-article-details-section with-display-settings"> <button class="more-article-details" id="toggle-article-details" data-alt-text="Hide details" ref="linksrc=toggle_article_details" aria-controls="full-article-details" aria-expanded="false" data-fetch-url="/38857049/long-authors/" data-id-prefix=""> <span class="title">Show details</span> </button> <div 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ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kelly C Paradis">Kelly C Paradis</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Radiation Oncology, University of Michigan, Ann Arbor." href="#short-view-affiliation-1" ref="linksrc=author_aff"> 1 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Kerr+EA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Eve A Kerr">Eve A Kerr</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Internal Medicine, University of Michigan, Ann Arbor." href="#short-view-affiliation-2" ref="linksrc=author_aff"> 2 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="VA Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan." href="#short-view-affiliation-3" ref="linksrc=author_aff"> 3 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Griffith+KA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kent A Griffith">Kent A Griffith</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Cancer Data Sciences, University of Michigan School of Public Health, Ann Arbor." href="#short-view-affiliation-4" ref="linksrc=author_aff"> 4 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#short-view-affiliation-5" ref="linksrc=author_aff"> 5 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Cutter+CM&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Christina M Cutter">Christina M Cutter</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#short-view-affiliation-5" ref="linksrc=author_aff"> 5 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Emergency Medicine, University of Michigan, Ann Arbor." href="#short-view-affiliation-6" ref="linksrc=author_aff"> 6 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Feldman+EL&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Eva L Feldman">Eva L Feldman</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Neurology, University of Michigan, Ann Arbor." href="#short-view-affiliation-7" ref="linksrc=author_aff"> 7 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Singer+K&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Kanakadurga Singer">Kanakadurga Singer</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Pediatrics, University of Michigan, Ann Arbor." href="#short-view-affiliation-8" ref="linksrc=author_aff"> 8 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Spector+ND&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Nancy D Spector">Nancy D Spector</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Pediatrics and Lynn Yeakel Institute for Women's Health and Leadership, Drexel University College of Medicine, Philadelphia, Pennsylvania." href="#short-view-affiliation-9" ref="linksrc=author_aff"> 9 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Ubel+PA&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Peter A Ubel">Peter A Ubel</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Schools of Business, Public Policy and Medicine, Duke University, Durham, North Carolina." href="#short-view-affiliation-10" ref="linksrc=author_aff"> 10 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Jagsi+R&cauthor_id=38857049" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Reshma Jagsi">Reshma Jagsi</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor." href="#short-view-affiliation-5" ref="linksrc=author_aff"> 5 </a><span class="author-sup-separator"> </span><a class="affiliation-link" title="Department of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, Georgia." href="#short-view-affiliation-11" ref="linksrc=author_aff"> 11 </a></sup></span> </div> </div> <div class="affiliations"> <h3 class="title"> Affiliations </h3> <ul class="item-list"> <li data-affiliation-id="short-view-affiliation-1" id="short-view-affiliation-1" ><sup class="key">1</sup> Department of Radiation Oncology, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-2" id="short-view-affiliation-2" ><sup class="key">2</sup> Department of Internal Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-3" id="short-view-affiliation-3" ><sup class="key">3</sup> VA Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan.</li> <li data-affiliation-id="short-view-affiliation-4" id="short-view-affiliation-4" ><sup class="key">4</sup> Center for Cancer Data Sciences, University of Michigan School of Public Health, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-5" id="short-view-affiliation-5" ><sup class="key">5</sup> Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-6" id="short-view-affiliation-6" ><sup class="key">6</sup> Department of Emergency Medicine, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-7" id="short-view-affiliation-7" ><sup class="key">7</sup> Department of Neurology, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-8" id="short-view-affiliation-8" ><sup class="key">8</sup> Department of Pediatrics, University of Michigan, Ann Arbor.</li> <li data-affiliation-id="short-view-affiliation-9" id="short-view-affiliation-9" ><sup class="key">9</sup> Department of Pediatrics and Lynn Yeakel Institute for Women's Health and Leadership, Drexel University College of Medicine, Philadelphia, Pennsylvania.</li> <li data-affiliation-id="short-view-affiliation-10" id="short-view-affiliation-10" ><sup class="key">10</sup> Schools of Business, Public Policy and Medicine, Duke University, Durham, North Carolina.</li> <li data-affiliation-id="short-view-affiliation-11" id="short-view-affiliation-11" ><sup class="key">11</sup> Department of Radiation Oncology, Emory University School of Medicine and Winship Cancer Institute, Atlanta, Georgia.</li> </ul> </div> </div> <ul class="identifiers" id="short-view-identifiers"> <li> <span class="identifier pubmed"> <span class="id-label"> PMID: </span> <strong class="current-id" title="PubMed ID">38857049</strong> </span> </li> <li> <span class="identifier pmc"> <span class="id-label"> PMCID: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=PMC11165383&id_type=PMC" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11165383/" data-ga-category="full_text" data-ga-action="PMCID" > PMC11165383 </a> </span> </li> <li> <span class="identifier doi"> <span class="id-label"> DOI: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=10.1001/jamanetworkopen.2024.15593&id_type=DOI" href="https://doi.org/10.1001/jamanetworkopen.2024.15593" data-ga-category="full_text" data-ga-action="DOI" > 10.1001/jamanetworkopen.2024.15593 </a> </span> </li> </ul> <div class="in-clipboard-label " hidden> Item in Clipboard </div> </div> </div> </header> <div class="actions-buttons inline"><div class="inner-wrap"><button class="full-text-links-button full-text-links-dialog-trigger" title="Open dialog with full text links" ref="linksrc=full_text_links"> Full text links </button><button class="citation-button citation-dialog-trigger" aria-label="Open dialog with citation text in different styles" data-ga-category="save_share" data-ga-action="cite" data-ga-label="open" data-all-citations-url="/38857049/citations/" data-citation-style="nlm" data-pubmed-format-link="/38857049/export/"><span class="button-label">Cite</span></button><button class="more-actions-button more-actions-dialog-trigger" title="Open dialog with more actions to take" ref="linksrc=more_actions_btn"></button><div class="display-options" data-format-key="format" data-default-format-value="abstract" data-current-format-value="abstract" role="region"><button class="trigger usa-button" title="Change format" data-ga-category="display_options" data-ga-action="display_options_dialog"><span class="button-label">Display options</span></button><div class="dropdown" hidden><div class="title"> Display options </div><div class="content"><div class="format-container"><span class="option-label"> Format </span><select name="format" data-initial-value="abstract" aria-label="Display format" id="inline-actions-display-format"><option value="abstract">Abstract</option><option value="pubmed">PubMed</option><option value="pmid">PMID</option></select></div></div></div></div></div></div> <div class="abstract" id="abstract"> <h2 class="title"> Abstract </h2> <div class="abstract-content selected" id="eng-abstract"> <p> <strong class="sub-title"> Importance: </strong> Studies reveal that most physicians report symptoms of burnout. Less is known about burnout in mid-career medical faculty specifically. </p> <p> <strong class="sub-title"> Objective: </strong> To characterize burnout and its risk factors, particularly differences by gender, among mid-career medical faculty. </p> <p> <strong class="sub-title"> Design, setting, and participants: </strong> Between August 2021 and August 2022, a survey was sent to 1430 individuals who received new National Institutes of Health K08 and K23 career development awards from 2006 to 2009. Data were analyzed between June and October 2023. </p> <p> <strong class="sub-title"> Main outcomes and measures: </strong> Personal and work-related burnout as evaluated using the Copenhagen Burnout Inventory (CBI). The CBI score ranges from 0 to 100, with a score of 50 or higher indicating a high degree of burnout. Multivariable models were used to investigate associations between burnout and participant characteristics, including race and ethnicity, sexual orientation and gender identity, academic rank, work climate, experiences of workplace sexual harassment, sleep hours, work and domestic caregiving time, and time allocation changes in work and domestic work hours compared with before the COVID-19 pandemic. Work climate was evaluated by a general climate elements scale assessing elements such as friendliness, respect, and collegiality, and a diversity, equity, and inclusion climate elements scale assessing elements such as homogeneity, sexism, and homophobia; higher scores indicated a more favorable view of the climate. </p> <p> <strong class="sub-title"> Results: </strong> In all, 1430 surveys were sent, 926 candidates responded (65% response rate), and the analytic cohort was limited to the 841 respondents who were still in academic medicine (50.7% men). Burnout was significantly more common for women than men (mean [SD] CBI personal scores, 46.6 [19.4] vs 37.5 [17.2]; P < .001; mean [SD] CBI work-related scores, 43.7 [20.4] vs 34.6 [19.7]; P < .001). In multivariable models, personal burnout was significantly more likely for women (adjusted odds ratio [AOR], 2.29 [95% CI, 1.54-3.41]; P < .001) and with more weekly hours of patient care (AOR, 1.07 [95% CI, 1.00-1.15] for each 5-hour increase; P = .04). Personal burnout was less likely with more nightly sleep hours (AOR, 0.68 [95% CI, 0.56-0.81] for each 1-hour increase; P < .001) and with an improved general work climate rating (AOR, 0.64 [95% CI, 0.48-0.85] for each 1-point increase in general work climate scale score; P = .002). Work-related burnout was also significantly more likely for women than men (AOR, 1.77 [95% CI, 1.17-2.69]; P = .007). Greater work-related burnout was associated with an increase of 8 or more work hours per week compared with before the COVID-19 pandemic (AOR, 1.87 [95% CI, 1.13-3.08]; P = .01), more weekly hours of patient care (AOR, 1.11 [95% CI, 1.03-1.19] for each 5-hour increase; P = .007), and a workplace sexual harassment experience in the past 2 years (AOR, 1.71 [95% CI, 1.11-2.62]; P = .01). Work-related burnout was significantly less likely with more nightly sleep hours (AOR, 0.80 [95% CI, 0.66-0.96] for each 1-hour increase; P = .02) and with an improved general work climate rating (AOR, 0.49; [95% CI, 0.36-0.65] for each 1-point increase in general work climate scale score; P < .001). </p> <p> <strong class="sub-title"> Conclusions and relevance: </strong> This survey study of K grant awardees revealed substantial rates of burnout among mid-career medical faculty, and burnout rates differed by gender. Evidence-based interventions are needed to realize the benefits of workforce diversity and vitality. </p> </div> </div> <p class="disclaimer" id="disclaimer"> <a href="/disclaimer/" target="_blank" ga_category="literature_resources" ga_action="disclaimer_link" ga_label="under_abstract">PubMed Disclaimer</a> </p> <div class="conflict-of-interest" id="conflict-of-interest"> <h2 class="title"> Conflict of interest statement </h2> <div class="statement"> <p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one"><bold>Conflict of Interest Disclosures:</bold> Dr Kerr reported receiving a grant from the National Institutes of Health (NIH) during the conduct of the study; and a grant from VA Health Systems Research outside the submitted work. Dr Cutter reported receiving a grant from the NIH during the conduct of the study; and grants from the Doris Duke Charitable Foundation and personal fees from the Research Consortium for Health Care Value Assessment, the RAND Corporation, and Wolters Kluwer outside the submitted work. Dr Feldman reported receiving a grant from the NIH during the conduct of the study; and grants from the NIH, the Diabetic Complications Consortium, the Centers for Disease Control and Prevention, the US Department of Defense, and the Juvenile Diabetes Research Foundation outside the submitted work. Dr Singer reported receiving a grant from the NIH during the conduct of the study. Dr Spector reported being a cofounder of and holding equity in the I-PASS Patient Safety Institute during the conduct of the study. Dr Jagsi reported receiving a grant from the NIH during the conduct of the study; and receiving grants from the NIH, the Komen Foundation, the American Cancer Society, and the Doris Duke Charitable Foundation; personal fees from the NIH, the Doris Duke Charitable Foundation, the Greenwall Foundation, Kleinbard LLC, Hawks Quindel, Physicians’ Education Resource, and Blue Cross Blue Shield Association; and stock options in Equity Quotient outside the submitted work. No other disclosures were reported.</p> </div> </div> <div class="figures" id="figures"> <h2 class="title"> Figures </h2> <div class="figures-list" id="slides-container" itemscope itemtype="http://schema.org/ImageGallery"> <figure class="figure-item " itemscope itemtype="http://schema.org/ImageObject" itemprop="associatedMedia" data-slide-index="0" data-label-slug="figure-1"> <a class="figure-link" href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/1f38509a1884/jamanetwopen-e2415593-g001.jpg" itemprop="contentUrl" aria-describedby="figure-caption-0" role="button" data-image-width="783" data-image-height="1151" data-image-alt="Figure 1." data-pmc-id="PMC11165383" data-figure-id="zoi240525f1"> <img class="figure-thumb" itemprop="thumbnail" id="article-image-0" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/612da81d486a/jamanetwopen-e2415593-g001.gif" alt="Figure 1." /> </a> <meta itemprop="width" itemtype="http://schema.org/ImageObject" content="783"> <meta itemprop="height" itemtype="http://schema.org/ImageObject" content="1151"> <div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true"> <div class="caption-wrap"> <strong class="figure-label"> <p> Figure 1.. Bivariate Results for Copenhagen Burnout… </p> </strong> </div> </div> <div class="figure-caption-medium figure-caption-text" aria-hidden="true"> <strong class="figure-label"> <p> Figure 1.. Bivariate Results for Copenhagen Burnout Inventory (CBI) Scores by Gender </p> </strong> <div class="figure-caption-contents"><p> Circles represent the… </p></div> </div> <figcaption id="figure-caption-0" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description"> <strong class="figure-label"> Figure 1.. Bivariate Results for Copenhagen Burnout Inventory (CBI) Scores by Gender </strong> <div class="figure-caption-contents">Circles represent the mean and whiskers indicate 95% CIs. <sup>a</sup>Item is reverse scored.</div> </figcaption> </figure> <figure class="figure-item " itemscope itemtype="http://schema.org/ImageObject" itemprop="associatedMedia" data-slide-index="1" data-label-slug="figure-2"> <a class="figure-link" href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/52d9b2cc7339/jamanetwopen-e2415593-g002.jpg" itemprop="contentUrl" aria-describedby="figure-caption-1" role="button" data-image-width="780" data-image-height="1079" data-image-alt="Figure 2." data-pmc-id="PMC11165383" data-figure-id="zoi240525f2"> <img class="figure-thumb" itemprop="thumbnail" id="article-image-1" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/8101c093ea3c/jamanetwopen-e2415593-g002.gif" alt="Figure 2." /> </a> <meta itemprop="width" itemtype="http://schema.org/ImageObject" content="780"> <meta itemprop="height" itemtype="http://schema.org/ImageObject" content="1079"> <div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true"> <div class="caption-wrap"> <strong class="figure-label"> <p> Figure 2.. Multivariable Associations of Personal Burnout… </p> </strong> </div> </div> <div class="figure-caption-medium figure-caption-text" aria-hidden="true"> <strong class="figure-label"> <p> Figure 2.. Multivariable Associations of Personal Burnout on the Copenhagen Burnout Inventory </p> </strong> <div class="figure-caption-contents"><p> Races and ethnicities… </p></div> </div> <figcaption id="figure-caption-1" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description"> <strong class="figure-label"> Figure 2.. Multivariable Associations of Personal Burnout on the Copenhagen Burnout Inventory </strong> <div class="figure-caption-contents">Races and ethnicities included in the underrepresented in medicine (URIM) category included American Indian or Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander, or multiple races other than Asian and White, which was categorized as Asian. AOR indicates adjusted odds ratio; DEI, diversity, equity, and inclusion; LGBTQ+, lesbian, gay, bisexual, transgender, or queer, with the plus holding space for the expanding definition of this term; NA, not applicable; and SOGI, sexual orientation and gender identity.</div> </figcaption> </figure> <figure class="figure-item " itemscope itemtype="http://schema.org/ImageObject" itemprop="associatedMedia" data-slide-index="2" data-label-slug="figure-3"> <a class="figure-link" href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/564051d75c3d/jamanetwopen-e2415593-g003.jpg" itemprop="contentUrl" aria-describedby="figure-caption-2" role="button" data-image-width="780" data-image-height="1079" data-image-alt="Figure 3." data-pmc-id="PMC11165383" data-figure-id="zoi240525f3"> <img class="figure-thumb" itemprop="thumbnail" id="article-image-2" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/11165383/2a8a4a21e204/jamanetwopen-e2415593-g003.gif" alt="Figure 3." /> </a> <meta itemprop="width" itemtype="http://schema.org/ImageObject" content="780"> <meta itemprop="height" itemtype="http://schema.org/ImageObject" content="1079"> <div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true"> <div class="caption-wrap"> <strong class="figure-label"> <p> Figure 3.. Multivariate Associations of Work-Related Burnout… </p> </strong> </div> </div> <div class="figure-caption-medium figure-caption-text" aria-hidden="true"> <strong class="figure-label"> <p> Figure 3.. Multivariate Associations of Work-Related Burnout on the Copenhagen Burnout Inventory </p> </strong> <div class="figure-caption-contents"><p> Races and ethnicities… </p></div> </div> <figcaption id="figure-caption-2" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description"> <strong class="figure-label"> Figure 3.. Multivariate Associations of Work-Related Burnout on the Copenhagen Burnout Inventory </strong> <div class="figure-caption-contents">Races and ethnicities included in the underrepresented in medicine (URIM) category included American Indian or Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander, or multiple races other than Asian and White, which was categorized as Asian. AOR indicates adjusted odds ratio; DEI, diversity, equity, and inclusion; LGBTQ+, lesbian, gay, bisexual, transgender, or queer, with the plus holding space for the expanding definition of this term; NA, not applicable; and SOGI, sexual orientation and gender identity.</div> </figcaption> </figure> </div> <!-- Root element of PhotoSwipe. Must have class pswp. --> <div class="pswp figures-dialog" id="figures-dialog" tabindex="-1" role="dialog" aria-hidden="true" data-image-gallery-uid="article-figures" aria-label="Figures Dialog"> <!-- Background of PhotoSwipe. It's a separate element as animating opacity is faster than rgba(). --> <div class="pswp__bg"></div> <!-- Slides wrapper with overflow:hidden. --> <div class="pswp__scroll-wrap"> <!-- Container that holds slides. PhotoSwipe keeps only 3 of them in the DOM to save memory. 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Taking Action Against Clinician Burnout: A Systems Approach To Professional Well-Being. National Academies Press; 2019. - <a class="reference-link" href="/31940160/" ref="linksrc=references_link&ordinalpos=1" data-ga-category="reference" data-ga-action="31940160" > PubMed </a> </li> </ol> </li> <li> <ol class="references-and-notes-list"> <li class="skip-numbering" value="1"> Templeton K, Bernstein CA, Sukhera J, et al. . Gender-based differences in burnout: issues faced by women physicians. NAM Perspect. Published online May 30, 2019. doi:10.31478/201905a. - <a class="reference-link" href="https://doi.org/10.31478/201905a" ref="linksrc=references_link&ordinalpos=1" data-ga-category="reference" data-ga-action="10.31478/201905a" > DOI </a> </li> </ol> </li> <li> <ol class="references-and-notes-list"> <li class="skip-numbering" value="1"> Gupta N, Dhamija S, Patil J, Chaudhari B. Impact of COVID-19 pandemic on healthcare workers. Ind Psychiatry J. 2021;30(suppl 1):S282-S284. doi:10.4103/0972-6748.328830 - <a class="reference-link" href="https://doi.org/10.4103/0972-6748.328830" ref="linksrc=references_link&ordinalpos=1" data-ga-category="reference" data-ga-action="10.4103/0972-6748.328830" > DOI </a> - <a class="reference-link" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8611576/" ref="linksrc=references_link&ordinalpos=2" data-ga-category="reference" data-ga-action="PMC8611576" > PMC </a> - <a class="reference-link" href="/34908710/" ref="linksrc=references_link&ordinalpos=3" data-ga-category="reference" data-ga-action="34908710" > PubMed </a> </li> </ol> </li> <li> <ol class="references-and-notes-list"> <li class="skip-numbering" value="1"> Mehta S, Machado F, Kwizera A, et al. . COVID-19: a heavy toll on health-care workers. Lancet Respir Med. 2021;9(3):226-228. doi:10.1016/S2213-2600(21)00068-0 - <a class="reference-link" href="https://doi.org/10.1016/s2213-2600(21)00068-0" ref="linksrc=references_link&ordinalpos=1" data-ga-category="reference" data-ga-action="10.1016/S2213-2600(21)00068-0" > DOI </a> - <a class="reference-link" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7906726/" ref="linksrc=references_link&ordinalpos=2" data-ga-category="reference" data-ga-action="PMC7906726" > PMC </a> - <a class="reference-link" href="/33556317/" ref="linksrc=references_link&ordinalpos=3" data-ga-category="reference" data-ga-action="33556317" > PubMed </a> </li> </ol> </li> <li> <ol class="references-and-notes-list"> <li class="skip-numbering" value="1"> National Academies of Medicine . National Plan for Health Workforce Well-Being. The National Academies Press; 2022. </li> </ol> </li> </ol> <div class="actions-bar"> <button class="show-all" ref="linksrc=show_all_references_link" aria-controls="top-references-list-1" data-next-page-url="/38857049/references/" data-ga-category="reference" data-ga-action="show_more" > Show all 32 references </button> </div> </div> </div> </div> <div id="mesh-terms" class="mesh-terms keywords-section"> <h2 class="title"> MeSH terms </h2> <ul class="keywords-list"><li><div class="keyword-actions dropdown-block"><button class="keyword-actions-trigger trigger keyword-link" aria-label="Toggle dropdown menu for keyword Adult" tabindex="0" aria-controls="keyword-actions-mesh-terms-0" aria-expanded="false" data-pinger-ignore> Adult </button><div id="keyword-actions-mesh-terms-0" class="keyword-actions-dropdown dropdown dropdown-container" hidden aria-label="Dropdown menu for keyword Adult"><div class="title">Actions</div><div class="content"><ul class="keyword-actions-links"><li><a 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class="keyword-actions-trigger trigger keyword-link" aria-label="Toggle dropdown menu for keyword Risk Factors" tabindex="0" aria-controls="keyword-actions-mesh-terms-11" aria-expanded="false" data-pinger-ignore> Risk Factors </button><div id="keyword-actions-mesh-terms-11" class="keyword-actions-dropdown dropdown dropdown-container" hidden aria-label="Dropdown menu for keyword Risk Factors"><div class="title">Actions</div><div class="content"><ul class="keyword-actions-links"><li><a class="search-in-pubmed-link dropdown-block-link" href="/?term=%22Risk+Factors%22%5BMeSH%5D&sort=date&sort_order=desc" data-href="/?term=%22Risk+Factors%22%5BMeSH%5D&sort=date&sort_order=desc" ref="linksrc=search_in_pubmed_keyword_link&mesh="Risk Factors"[MeSH]" data-ga-category="search" data-ga-action="mesh_term" data-ga-label="Risk Factors"> Search in PubMed </a></li><li><a class="search-in-mesh-link dropdown-block-link" ref="linksrc=search_in_mesh_link" href="https://www.ncbi.nlm.nih.gov/mesh?term=Risk+Factors" data-ga-category="search_mesh" data-ga-action="mesh_term_link" data-ga-label="Risk Factors"> Search in MeSH </a></li><li><a class="add-to-search-link dropdown-block-link" ref="linksrc=add_to_search_link" role="button" data-search-term=""Risk Factors"[MeSH]" data-ga-category="search" data-ga-action="add_to_search" data-ga-label=""Risk Factors"[MeSH]" href="#"> Add to Search </a></li></ul></div></div></div></li><li><div class="keyword-actions dropdown-block"><button class="keyword-actions-trigger trigger keyword-link" aria-label="Toggle dropdown menu for keyword SARS-CoV-2" tabindex="0" aria-controls="keyword-actions-mesh-terms-12" aria-expanded="false" data-pinger-ignore> SARS-CoV-2 </button><div id="keyword-actions-mesh-terms-12" class="keyword-actions-dropdown dropdown dropdown-container" hidden aria-label="Dropdown menu for keyword SARS-CoV-2"><div class="title">Actions</div><div class="content"><ul 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dropdown-block"><button class="keyword-actions-trigger trigger keyword-link" aria-label="Toggle dropdown menu for keyword Sex Factors" tabindex="0" aria-controls="keyword-actions-mesh-terms-13" aria-expanded="false" data-pinger-ignore> Sex Factors </button><div id="keyword-actions-mesh-terms-13" class="keyword-actions-dropdown dropdown dropdown-container" hidden aria-label="Dropdown menu for keyword Sex Factors"><div class="title">Actions</div><div class="content"><ul class="keyword-actions-links"><li><a class="search-in-pubmed-link dropdown-block-link" href="/?term=%22Sex+Factors%22%5BMeSH%5D&sort=date&sort_order=desc" data-href="/?term=%22Sex+Factors%22%5BMeSH%5D&sort=date&sort_order=desc" ref="linksrc=search_in_pubmed_keyword_link&mesh="Sex Factors"[MeSH]" data-ga-category="search" data-ga-action="mesh_term" data-ga-label="Sex Factors"> Search in PubMed </a></li><li><a class="search-in-mesh-link dropdown-block-link" ref="linksrc=search_in_mesh_link" 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class="content"><ul class="keyword-actions-links"><li><a class="search-in-pubmed-link dropdown-block-link" href="/?term=%22Surveys+and+Questionnaires%22%5BMeSH%5D&sort=date&sort_order=desc" data-href="/?term=%22Surveys+and+Questionnaires%22%5BMeSH%5D&sort=date&sort_order=desc" ref="linksrc=search_in_pubmed_keyword_link&mesh="Surveys and Questionnaires"[MeSH]" data-ga-category="search" data-ga-action="mesh_term" data-ga-label="Surveys and Questionnaires"> Search in PubMed </a></li><li><a class="search-in-mesh-link dropdown-block-link" ref="linksrc=search_in_mesh_link" href="https://www.ncbi.nlm.nih.gov/mesh?term=Surveys+and+Questionnaires" data-ga-category="search_mesh" data-ga-action="mesh_term_link" data-ga-label="Surveys and Questionnaires"> Search in MeSH </a></li><li><a class="add-to-search-link dropdown-block-link" ref="linksrc=add_to_search_link" role="button" data-search-term=""Surveys and Questionnaires"[MeSH]" data-ga-category="search" data-ga-action="add_to_search" 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aria-expanded="false" data-pinger-ignore> Workplace / psychology </button><div id="keyword-actions-mesh-terms-16" class="keyword-actions-dropdown dropdown dropdown-container" hidden aria-label="Dropdown menu for keyword Workplace / psychology"><div class="title">Actions</div><div class="content"><ul class="keyword-actions-links"><li><a class="search-in-pubmed-link dropdown-block-link" href="/?term=%22Workplace%2Fpsychology%22%5BMeSH%5D&sort=date&sort_order=desc" data-href="/?term=%22Workplace%2Fpsychology%22%5BMeSH%5D&sort=date&sort_order=desc" ref="linksrc=search_in_pubmed_keyword_link&mesh="Workplace/psychology"[MeSH]" data-ga-category="search" data-ga-action="mesh_term" data-ga-label="Workplace / psychology"> Search in PubMed </a></li><li><a class="search-in-mesh-link dropdown-block-link" ref="linksrc=search_in_mesh_link" href="https://www.ncbi.nlm.nih.gov/mesh?term=Workplace" data-ga-category="search_mesh" data-ga-action="mesh_term_link" data-ga-label="Workplace / psychology"> 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