{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T04:33:35Z","timestamp":1784608415515,"version":"3.55.0"},"reference-count":50,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Burnout is highly prevalent among emergency medicine (EM) residents and is associated with negative outcomes for physician well-being and patient care. Emerging evidence suggests sexual minority trainees may be at increased risk, but differences within EM residency are not well characterized.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To determine if burnout prevalence among EM residents differs by sexual orientation after adjustment for key confounders.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This cross-sectional study included US resident physicians who took the 2024 American Board of Emergency Medicine In-Training Exam (ITE) postexamination survey and answered the question on sexual orientation.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n Sexual minority status (heterosexual or straight and sexual minority [lesbian, gay, bisexual, queer or questioning, asexual, pansexual, or other sexual identity]), adjusted for age, gender, race and ethnicity, postgraduate training year, program length, and region.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n The primary outcome was burnout, assessed with an abbreviated 6-item Copenhagen Burnout Inventory: internal (personal or work-related) and external (patient-related) burnout. Prevalence ratios (PRs) were estimated for burnout stratified by sexual orientation, utilizing Poisson regression with robust standard errors.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 9478 residents who took the ITE, 7852 respondents (median [IQR] age, 30 [28-32] years; 4416 male [56%]; 3364 female [43%]; 56 nonbinary [1%]) were included, with 928 (12%) identifying as a sexual minority and 6924 (88%) identifying as heterosexual. Compared with heterosexual residents, sexual minority residents had higher prevalence of any burnout prevalence (431 of 803 residents [54%] vs 2786 of 5967 residents [47%];\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001) and internal burnout (311 of 802 residents [39%] vs 1902 of 5979 residents [32%];\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001). After adjustment, sexual minority status was associated with higher prevalence of internal burnout (PR, 1.12; 95% CI, 1.02-1.24) and any burnout (PR, 1.09; 95% CI, 1.01-1.17). Among sexual minority subgroups, bisexual residents had the highest adjusted prevalence of any burnout (PR, 1.17; 95% CI, 1.05-1.30), and queer residents had higher prevalence of internal burnout (PR, 1.28; 95% CI, 1.02-1.62).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this cross-sectional study of 7852 EM residents, those who identified as a sexual minority reported higher burnout, particularly internal burnout, compared with heterosexual peers. These findings indicate that targeted support for sexual minority trainees is needed to improve physician well-being, training experience, and patient care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.24047","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:30:29Z","timestamp":1784561429000},"page":"e2624047","source":"Crossref","is-referenced-by-count":1,"title":["Sexual Orientation and Burnout Among Emergency Medicine Residents"],"prefix":"10.1001","volume":"9","author":[{"given":"David","family":"Rudolph","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirlos","family":"Haroun","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gottlieb","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois"},{"name":"American Board of Emergency Medicine, East Lansing, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Farrell","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Massachusetts General Hospital, Boston"},{"name":"American Board of Emergency Medicine, East Lansing, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvette","family":"Calderon","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania"},{"name":"American Board of Emergency Medicine, East Lansing, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Iuliucci","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Moujaes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blake","family":"Denley","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Ochsner Health, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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