{"id":"https://openalex.org/W3164812719","doi":"https://doi.org/10.1055/s-0041-1731000","title":"Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health","display_name":"Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health","publication_year":2021,"publication_date":"2021-05-01","ids":{"openalex":"https://openalex.org/W3164812719","doi":"https://doi.org/10.1055/s-0041-1731000","mag":"3164812719","pmid":"https://pubmed.ncbi.nlm.nih.gov/34077972"},"language":"en","primary_location":{"id":"doi:10.1055/s-0041-1731000","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0041-1731000","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1731000.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1731000.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077581461","display_name":"Katherine J. Holzer","orcid":"https://orcid.org/0000-0003-4788-0351"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katherine J. Holzer","raw_affiliation_strings":["Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055407158","display_name":"Sunny S. Lou","orcid":"https://orcid.org/0000-0002-4215-605X"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sunny S. Lou","raw_affiliation_strings":["Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050605923","display_name":"Charles W. Goss","orcid":"https://orcid.org/0000-0003-2682-7316"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charles W. Goss","raw_affiliation_strings":["Division of Biostatistics, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Biostatistics, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038917460","display_name":"Jaime R. Strickland","orcid":"https://orcid.org/0000-0002-6296-7714"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jaime Strickland","raw_affiliation_strings":["Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002058403","display_name":"Bradley Evanoff","orcid":"https://orcid.org/0000-0003-0085-333X"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bradley A. Evanoff","raw_affiliation_strings":["Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059425959","display_name":"Jennifer G. Duncan","orcid":"https://orcid.org/0000-0001-5928-4907"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer G. Duncan","raw_affiliation_strings":["Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070305373","display_name":"Thomas Kannampallil","orcid":"https://orcid.org/0000-0003-4119-4836"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Kannampallil","raw_affiliation_strings":["Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States","Institute for Informatics, Washington University School of Medicine, St. Louis, Missouri, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]},{"raw_affiliation_string":"Institute for Informatics, Washington University School of Medicine, St. Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":2.8127,"has_fulltext":true,"cited_by_count":14,"citation_normalized_percentile":{"value":0.91712707,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":97},"biblio":{"volume":"12","issue":"03","first_page":"507","last_page":"517"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.23649999499320984,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.23649999499320984,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.08229999989271164,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.07859999686479568,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7826374769210815},{"id":"https://openalex.org/keywords/burnout","display_name":"Burnout","score":0.7105963230133057},{"id":"https://openalex.org/keywords/depression","display_name":"Depression (economics)","score":0.7074122428894043},{"id":"https://openalex.org/keywords/anxiety","display_name":"Anxiety","score":0.6293678283691406},{"id":"https://openalex.org/keywords/confidence-interval","display_name":"Confidence interval","score":0.5713688731193542},{"id":"https://openalex.org/keywords/coronavirus-disease-2019","display_name":"Coronavirus disease 2019 (COVID-19)","score":0.5682896971702576},{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.5024957656860352},{"id":"https://openalex.org/keywords/psychiatry","display_name":"Psychiatry","score":0.405994176864624},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3615443706512451},{"id":"https://openalex.org/keywords/clinical-psychology","display_name":"Clinical psychology","score":0.29194846749305725},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.27754491567611694},{"id":"https://openalex.org/keywords/disease","display_name":"Disease","score":0.2290358543395996}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7826374769210815},{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.7105963230133057},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7074122428894043},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6293678283691406},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5713688731193542},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.5682896971702576},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5024957656860352},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.405994176864624},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3615443706512451},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.29194846749305725},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.27754491567611694},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2290358543395996},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D004501","descriptor_name":"Education, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004501","descriptor_name":"Education, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004501","descriptor_name":"Education, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1055/s-0041-1731000","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0041-1731000","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1731000.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:34077972","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34077972","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:8172260","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8172260","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0041-1731000","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0041-1731000","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1731000.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8700000047683716,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"awards":[{"id":"https://openalex.org/G4978736685","display_name":null,"funder_award_id":"T32 GM108539","funder_id":"https://openalex.org/F4320337354","funder_display_name":"National Institute of General Medical Sciences"}],"funders":[{"id":"https://openalex.org/F4320337354","display_name":"National Institute of General Medical Sciences","ror":"https://ror.org/04q48ey07"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3164812719.pdf","grobid_xml":"https://content.openalex.org/works/W3164812719.grobid-xml"},"referenced_works_count":70,"referenced_works":["https://openalex.org/W1622243179","https://openalex.org/W1705041815","https://openalex.org/W1993222885","https://openalex.org/W2010888424","https://openalex.org/W2019928830","https://openalex.org/W2023999328","https://openalex.org/W2034824117","https://openalex.org/W2077531305","https://openalex.org/W2095336843","https://openalex.org/W2096890870","https://openalex.org/W2149324965","https://openalex.org/W2159978247","https://openalex.org/W2337116044","https://openalex.org/W2434099711","https://openalex.org/W2473900201","https://openalex.org/W2590262724","https://openalex.org/W2725703728","https://openalex.org/W2754518417","https://openalex.org/W2774020105","https://openalex.org/W2800113161","https://openalex.org/W2800552878","https://openalex.org/W2804553221","https://openalex.org/W2884977363","https://openalex.org/W2901578174","https://openalex.org/W2902257721","https://openalex.org/W2902695612","https://openalex.org/W2902726648","https://openalex.org/W2911135505","https://openalex.org/W2912878510","https://openalex.org/W2920994480","https://openalex.org/W2922466364","https://openalex.org/W2946787633","https://openalex.org/W2953214159","https://openalex.org/W2954484941","https://openalex.org/W2954996172","https://openalex.org/W2955473053","https://openalex.org/W2982109860","https://openalex.org/W2990750438","https://openalex.org/W2994017552","https://openalex.org/W2995686155","https://openalex.org/W3009063256","https://openalex.org/W3012832369","https://openalex.org/W3014520892","https://openalex.org/W3014861125","https://openalex.org/W3015487282","https://openalex.org/W3025200094","https://openalex.org/W3025446185","https://openalex.org/W3025808985","https://openalex.org/W3028811348","https://openalex.org/W3030777618","https://openalex.org/W3034272569","https://openalex.org/W3037551969","https://openalex.org/W3038930876","https://openalex.org/W3045642314","https://openalex.org/W3047207835","https://openalex.org/W3061193569","https://openalex.org/W3082625869","https://openalex.org/W3085680681","https://openalex.org/W3091142479","https://openalex.org/W3093306343","https://openalex.org/W3098721916","https://openalex.org/W3100832613","https://openalex.org/W3105783181","https://openalex.org/W3111005588","https://openalex.org/W3112455844","https://openalex.org/W3113876220","https://openalex.org/W3130122346","https://openalex.org/W3139262755","https://openalex.org/W3150556347","https://openalex.org/W3154214482"],"related_works":["https://openalex.org/W2043487344","https://openalex.org/W2328607849","https://openalex.org/W2034909032","https://openalex.org/W2528063266","https://openalex.org/W2396691023","https://openalex.org/W2801770924","https://openalex.org/W3120573692","https://openalex.org/W1592017236","https://openalex.org/W2964000526","https://openalex.org/W2378173657"],"abstract_inverted_index":{"Abstract":[0],"Objectives":[1],"This":[2],"article":[3],"investigates":[4],"the":[5,16,23,63,79,251],"association":[6],"between":[7],"changes":[8,248],"in":[9],"electronic":[10],"health":[11],"record":[12],"(EHR)":[13],"use":[14,71,77,115,170,226],"during":[15],"coronavirus":[17],"disease":[18],"2019":[19],"(COVID-19)":[20],"pandemic":[21],"on":[22,83],"rate":[24],"of":[25,44,116,146,172,255],"burnout,":[26,231],"stress,":[27,89],"posttraumatic":[28],"stress":[29],"disorder":[30],"(PTSD),":[31],"depression,":[32,87,232],"and":[33,39,91,95,139,216,233,253],"anxiety":[34],"among":[35,236],"physician":[36,49,64,197,237],"trainees":[37,50,65,111,166,198],"(residents":[38],"fellows).":[40],"Methods":[41],"A":[42],"total":[43],"222":[45],"(of":[46],"1,375,":[47],"16.2%)":[48],"from":[51],"an":[52],"academic":[53],"medical":[54],"center":[55],"responded":[56],"to":[57,86,103,143,177,205,249],"a":[58],"Web-based":[59],"survey.":[60],"We":[61,98],"compared":[62],"who":[66,112],"reported":[67,113],"that":[68],"their":[69],"EHR":[70,76,117,169,201,225],"increased":[72,114,168,200],"versus":[73],"those":[74,203],"whose":[75],"stayed":[78],"same":[80],"or":[81],"decreased":[82],"outcomes":[84,235],"related":[85],"anxiety,":[88],"PTSD,":[90],"burnout":[92,120,211],"using":[93],"univariable":[94],"multivariable":[96],"models.":[97],"examined":[99],"whether":[100],"self-reported":[101],"exposure":[102],"COVID-19":[104,206],"patients":[105,207],"moderated":[106],"these":[107,241],"relationships.":[108],"Results":[109],"Physician":[110,165],"had":[118,208],"higher":[119,210,230],"(adjusted":[121,148,180],"mean,":[122,181],"1.48":[123],"[95%":[124,132,152,158,183,189],"confidence":[125],"interval":[126],"[CI]":[127],"1.24,":[128],"1.71]":[129],"vs.":[130,156,187],"1.05":[131],"CI":[133,153,159,184,190],"0.93,":[134],"1.17];":[135],"p":[136,162,193,213,220],"=":[137,150,163,194,221],"0.001)":[138,215],"were":[140,174],"more":[141,175],"likely":[142,176],"exhibit":[144],"symptoms":[145],"PTSD":[147,234],"mean":[149],"15.09":[151],"9.12,":[154],"21.05]":[155],"9.36":[157],"7.38,":[160],"11.28];":[161],"0.035).":[164,195],"reporting":[167],"outside":[171],"work":[173],"experience":[178],"depression":[179,217],"8.37":[182],"5.68,":[185],"11.05]":[186],"5.50":[188],"4.28,":[191],"6.72];":[192],"Among":[196],"with":[199,229],"use,":[202],"exposed":[204],"significantly":[209],"(2.04,":[212],"&lt;":[214],"scores":[218],"(14.13,":[219],"0.003).":[222],"Conclusion":[223],"Increased":[224],"was":[227],"associated":[228],"trainees.":[238,256],"Although":[239],"preliminary,":[240],"findings":[242],"have":[243],"implications":[244],"for":[245],"creating":[246],"systemic":[247],"manage":[250],"wellness":[252],"well-being":[254]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":2}],"updated_date":"2026-06-26T08:34:08.712188","created_date":"2025-10-10T00:00:00"}
