Journal of General Internal Medicine

, Volume 34, Issue 10, pp 1973–1974 | Cite as

Change in Faculty Perceptions of Burnout and Work Life in an Academic General Medicine Clinic: a Pre-Post Study

  • Jonathan S. LeeEmail author
  • Leah S. Karliner
  • Katherine A. Julian
  • Mark Linzer
  • Mitchell D. Feldman
Concise Research Reports


Burnout is prevalent among primary care physicians and contributes to job turnover and poor patient care.1 Interventions addressing adverse work conditions may reduce burnout.2 We evaluated the impact of workflow and workload interventions targeted to physician-reported concerns following participation in a national academic general internal medicine burnout survey.1


This was a pre-post intervention study of primary care physician faculty members of a large academic division of general internal medicine (GIM). In 2015, 3 focus groups were conducted with 20 physicians to better understand the physician experience in practice. Thematic content analysis identified a number of physician concerns including excessive clinic and home electronic health record (EHR) time as a primary driver of stress and work dissatisfaction. In particular, excessive EHR in-box message volume and cross-coverage responsibilities for residents and other faculty were felt to be unsustainable....


Compliance with Ethical Standards

This study was reviewed and exempted by the University of California San Francisco institutional review board.

Conflict of Interest

Dr. Linzer consulted for UCSF to measure burnout. Funds for this consultation were donated to the Hennepin Health Foundation to support wellness activities and research. All remaining authors declare that they do not have a conflict of interest.


  1. 1.
    Linzer M, Poplau S, Babbott S, et al. Worklife and wellness in academic general internal medicine: results from a national survey. J Gen Intern Med. 2016;31(9):1004–1010.CrossRefGoogle Scholar
  2. 2.
    Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195–205.CrossRefGoogle Scholar
  3. 3.
    American Medical Association Steps Forward. Preventing Physician Burnout. Accessed May 1, 2019.
  4. 4.
    Karasek R, Baker D, Marxer F, Ahlbom A, Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health. 1981;71(7):694–705.CrossRefGoogle Scholar
  5. 5.
    Reid RJ, Fishman PA, Yu O, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care. 2009;15(9):e71–87.PubMedGoogle Scholar
  6. 6.
    Dyrbye LN, Meyers D, Ripp J, Dalal N, Bird SB, Sen S. A Pragmatic Approach for Organizations to Measure Health Care Professional Well-Being. Washington, DC: Discussion Paper, National Academy of Medicine;2018.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Jonathan S. Lee
    • 1
    Email author
  • Leah S. Karliner
    • 1
    • 2
  • Katherine A. Julian
    • 1
  • Mark Linzer
    • 3
  • Mitchell D. Feldman
    • 1
  1. 1.Division of General Internal MedicineUniversity of California San FranciscoSan FranciscoUSA
  2. 2.Multiethnic Health Equity Research CenterUniversity of California San FranciscoSan FranciscoUSA
  3. 3.Department of MedicineHennepin Healthcare Systems and University of MinnesotaMinneapolisUSA

Personalised recommendations