To the Editor We agree with Dyrbye and colleagues in their recently published Original Investigation1 that burnout is most likely a multifactorial problem. We disagree, however, with the implied conclusion of their study that professional coaching is an effective way to reduce physician burnout. Even with many months of coaching, the authors did not find any improvement in the typical burnout measures of job satisfaction, engagement, depersonalization, or meaning of work. Unfortunately, and in spite of this lack of effectiveness, their study could be interpreted as blaming physician burnout on a personal failure of physicians that can be remedied by coaching.