To the Editor Physician burnout is associated with lower physician retention and increased risk of medical error, motor vehicle crashes, substance misuse, and suicide.1 Compared with their nonphysician peers, medical students, residents, and early-career physicians have above average levels of burnout, with residents affected most severely.2 Burnout during training poses unique challenges encompassing both personal and systemic factors.3 Understanding the scope and drivers of burnout in health care is essential because it portends various personal and professional consequences.