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Association of clerical burden and EHR frustration with burnout and career intentions among physician faculty in an urban academic health system.

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Office of Well-being and Resilience, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, NY, NY 10029, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, NY, NY 10029, USA; Department of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, NY, NY 10029, USA. Electronic address:

Background And Objectives: To examine changes in clerical burden, including daily clerical time, daily after hours Electronic Health Record (EHR) time and EHR frustration between 2018 and 2022 among physician faculty, and identify sociodemographic and occupational correlates of clerical burden with burnout and intent to leave one's job (ILJ).

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As academic medical centers have moved away from using learner ratings of instruction as a demonstration of quality teaching in the promotion process, Indiana University School of Medicine sought to create a peer review of teaching system. We created our system in 2010 and have engaged in continuous quality improvement since. In these efforts, we sought to answer the question, "How can we create a system of peer review of teaching that provides high-quality feedback to faculty and encourages autonomy and growth?" Our peer review of teaching system includes a website, with a brief introduction to the concept of peer review, as well as a series of customizable forms that allows faculty and peer reviewers to choose items for observation and feedback based on teaching setting.

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