Mark D. Schwartz

TL;DR: Communications curricula using an established educational model significantly improved third-year students' overall communications competence as well as their skills in relationship building, organization and time management, patient assessment, and negotiation and shared decision making-tasks that are important to positive patient outcomes.

TL;DR: Adverse workflow (time pressure and chaotic environments), low work control, and unfavorable organizational culture were strongly associated with low physician satisfaction, high stress, burnout, and intent to leave, and no associations were seen between adverse physician reactions and the quality of patient care.

TL;DR: Medical students valued the teaching during IM clerkships but expressed serious reservations about IM as a career, and students who reported more favorable impressions of the patients cared for by internists, the IM practice environment, and internists' lifestyle were more likely to pursue a career in IM.

TL;DR: HMO physicians are generally less satisfied with their jobs and more likely to intend to leave their practices than physicians in many other practice settings and the data suggest that HMO physicians’ satisfaction with staff, community, resources, and the duration of new patients visits should be assessed and optimized.

TL;DR: Stress may rise for physicians with a moderate number of EMR functions, primary care work conditions, and physician satisfaction, stress and burnout as well as time pressure during visits.