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Social Isolation Model: A Noninvasive Rodent Model of Stress and Anxiety
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Food Insecurity, Burnout, and Social Isolation Among Resident and Fellow Physicians.

Larissa R Thomas1, Liselotte N Dyrbye2, Daniel Satele3

  • 1Department of Medicine, University of California, San Francisco School of Medicine, San Francisco.

JAMA Network Open
|December 17, 2025
PubMed
Summary

Food insecurity (FI) affects nearly 1 in 7 graduate medical education (GME) trainees, increasing burnout and social isolation. Addressing FI is crucial for physician well-being and retention in academic medical institutions.

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Area of Science:

  • Medical Education
  • Public Health
  • Physician Well-being

Background:

  • Food insecurity (FI) is understudied in graduate medical education (GME) trainees.
  • Understanding FI prevalence and its impact on GME trainee well-being is essential.

Purpose of the Study:

  • To determine the prevalence of FI among GME trainees.
  • To identify factors associated with FI in this population.
  • To examine the relationship between FI and well-being outcomes like burnout and social isolation.

Main Methods:

  • A cross-sectional survey was administered to 3408 resident and fellow physicians across 4 sites at 2 US academic institutions.
  • Data collected included a 2-item FI screening tool, burnout measures, intent to stay, social isolation, and demographics.
  • Statistical analyses included univariable and multivariable Poisson and linear regressions.

Main Results:

  • The study achieved a 48.6% response rate (1656 participants).
  • Overall FI prevalence was 13.7%, varying by training site, postgraduate year, and race/ethnicity.
  • FI was significantly associated with increased burnout (aRR, 1.37), decreased intent to stay (aRR, 0.81), and higher social isolation (T-score, 2.37).

Conclusions:

  • Nearly 1 in 7 GME trainees experience food insecurity.
  • FI is linked to adverse well-being outcomes, including burnout and social isolation.
  • Academic medical institutions should implement systemic strategies to mitigate FI and support trainee well-being.