research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Electronic Health Record Usability, Satisfaction, and Burnout for Family Physicians Electronic Health Record Usability, Satisfaction, and Burnout for Family Physicians 2024 Author(s) Holmgren, A Jay, Hendrix, Nathaniel, Maisel, Natalya, Everson, Jordan, Bazemore, Andrew W, Rotenstein, Lisa S, Phillips, Robert L, and Adler-Milstein, Julia Topic(s) Family Medicine Certification, Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), and Physician Experience (Burnout / Satisfaction) Volume JAMA Network Open Source JAMA Network Open OBJECTIVES To measure family physician satisfaction with their EHR and EHR usability across functions and evaluate the association of EHR usability with satisfaction and burnout, as well as the moderating association of 4 team and technology EHR efficiency strategies. DESIGN, SETTING, AND PARTICIPANTS This study uses data from a cross-sectional survey conducted from December 12, 2021, to October 17, 2022, of all family physicians seeking American Board of Family Medicine recertification in 2022. EXPOSURE Physicians perceived EHR usability across 6 domains, as well as adoption of 4 EHR efficiency strategies: scribes, support from other staff, templated text, and voice recognition or transcription. MAIN OUTCOMES AND MEASURES Physician EHR satisfaction and frequency of experiencing burnout measured with a single survey item (“I feel burned out from my work”), with answers ranging from “never” to “every day.” RESULTS Of the 2067 physicians (1246 [60.3%] younger than 50 years; 1051 men [50.9%]; and 1729 [86.0%] practicing in an urban area) who responded to the survey, 562 (27.2%) were very satisfied and 775 (37.5%) were somewhat satisfied, while 346 (16.7%) were somewhat dissatisfied and 198 (9.6%) were very dissatisfied with their EHR. Readability of information had the highest usability, with 543 physicians (26.3%) rating it as excellent, while usefulness of alerts had the lowest usability, with 262 physicians (12.7%) rating it as excellent. In multivariable models, good or excellent usability for entering data (β = 0.09 [95% CI, 0.05-0.14]; P < .001), alignment with workflow processes (β = 0.11 [95% CI, 0.06-0.16]; P < .001), ease of finding information (β = 0.14 [95% CI, 0.09-0.19]; P < .001), and usefulness of alerts (β = 0.11 [95% CI, 0.06-0.16]; P < .001) were associated with physicians being very satisfied with their EHR. In addition, being very satisfied with the EHR was associated with reduced frequency of burnout (β = −0.64 [95% CI, −1.06 to −0.22]; P < .001). In moderation analysis, only physicians with highly usable EHRs saw improvements in satisfaction from adopting efficiency strategies. CONCLUSIONS AND RELEVANCE In this survey study of physician EHR usability and satisfaction, approximately one-fourth of family physicians reported being very satisfied with their EHR, while another one-fourth reported being somewhat or very dissatisfied, a concerning finding amplified by the inverse association between EHR satisfaction and burnout. Electronic health record–based alerts Read More ABFM Research Read all 2024 Prevalence and Predictors of Burnout Among Resident Family Physicians Go to Prevalence and Predictors of Burnout Among Resident Family Physicians 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 1995 Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice Go to Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice
Author(s) Holmgren, A Jay, Hendrix, Nathaniel, Maisel, Natalya, Everson, Jordan, Bazemore, Andrew W, Rotenstein, Lisa S, Phillips, Robert L, and Adler-Milstein, Julia Topic(s) Family Medicine Certification, Role of Primary Care, and Achieving Health System Goals Keyword(s) Health Information Technology (HIT), and Physician Experience (Burnout / Satisfaction) Volume JAMA Network Open Source JAMA Network Open
ABFM Research Read all 2024 Prevalence and Predictors of Burnout Among Resident Family Physicians Go to Prevalence and Predictors of Burnout Among Resident Family Physicians 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 1995 Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice Go to Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice
2024 Prevalence and Predictors of Burnout Among Resident Family Physicians Go to Prevalence and Predictors of Burnout Among Resident Family Physicians
2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022
1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence
1995 Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice Go to Educational resource sharing and collaborative training in family practice and internal medicine. A statement from the American Boards of Internal Medicine and Family Practice