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2. Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM 3rd. Burnout in res idents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. AcadMed 2007;82:596 – 601. 3. Del Carmen MG, Herman J. Rao S, et al. Trends and factors associated with physician burnout at a multispecialty academic faculty practice organiza tion. JAMA Netw Open 2019;2:e190554. 4. Golub JS, Johns MM III. From burnout to wellness: a professional impera tive. Otolaryngol Head Neck Surg 2018;158:967 – 969. 5. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, conse quences and solutions. J Intern Med 2018;283:516 – 529. 6. Shanafelt TD, Dyrbye LN, Sinsky C, et al. Relationship between clerical burden and characteristics of the electronic environment with physi cian burnout and professional satisfaction. Mayo Clin Proc 2016;91: 836 – 848. 7. Girard DE. Physician burnout in the electronic health record era. Ann InternMed 2019;170:215 – 216.

8. Gawande A. Why doctors hate their computers. The New Yorker 2018;12. 9. Schulte F, Fry E. Death by 1,000 clicks: where electronic health records went wrong. Kaiser Health News 2019;18. 10. Sriram I, Harland R, Lowenstein SR. I, EHR. JHospMed 2019;14:E1 – E2. 11. Downing NL, Bates DW, Longhurst CA. Physician burnout in the electronic health record era: are we ignoring the real cause? Ann Intern Med 2018; 169:50 – 51. 12. American Academy of Otolaryngology - Head and Neck Surgery AoOA. 2017 AAO-HNS Socioeconomic Survey and AOA Practice Benchmarking Survey 2017. https://www.entnet.org/content/socioeconomic-data 13. Overhage JM, McCallie D Jr. Physician time spent using the electronic health record during outpatient encounters: a descriptive study. Ann InternMed 2020;172:169 – 174. 14. Sieja A, Markley K, Pell J, et al. Optimization sprints: improving clinician satisfaction and teamwork by rapidly reducing electronic health record burden. Mayo Clin Proc 2019;94:793 – 802.

Laryngoscope 131: May 2021

Giliberto et al.: National Time Spent in EHR 981