Burnout Experiences in Sexual Minority Emergency Medicine Residents: Validating Existing Knowledge in an Unwelcoming Environment
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By
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Carl G. Streed
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July 20, 2026
Burnout Experiences in Sexual Minority Emergency Medicine Residents
Overview
Rudolph et al. report that sexual minority emergency medicine residents experience significantly higher rates of burnout compared to their heterosexual peers.
Background
Burnout among physicians is a critical issue, particularly in high-stress specialties like emergency medicine. Sexual and gender minority (SGM) individuals face unique stressors in heteronormative environments, which can exacerbate burnout.
Data Highlights
| Group | Burnout Prevalence |
|---|---|
| Sexual Minority Residents | Higher prevalence of internal and any burnout |
| Heterosexual Peers | Lower prevalence of burnout |
Key Findings
- Sexual minority EM residents reported significantly higher burnout rates than heterosexual peers.
- Burnout disparities persisted after adjusting for demographic factors.
- Bisexual and queer residents exhibited particularly elevated burnout risk.
- Prior studies corroborate that SGM individuals experience worse occupational well-being across medical training.
- Burnout among sexual minority physicians can lead to workforce attrition and reduced clinical engagement.
Clinical Implications
Healthcare institutions should consider implementing targeted interventions to support sexual minority residents and address burnout. Recognizing the unique challenges faced by these individuals is crucial for fostering a supportive training environment.
Conclusion
The findings from Rudolph et al. highlight burnout disparities among sexual minority emergency medicine residents.
Related Resources & Content
- Rudolph et al., JAMA Network Open, 2023 -- Burnout Experiences in Sexual Minority Emergency Medicine Residents
- Streed et al., JAMA Network Open, 2021 -- Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status
- Samuels et al., JAMA Network Open, 2021 -- Sexual Orientation–Related Discrimination Among LGB+ Medical Students With Disabilities
- Heiderscheit et al., JAMA Surgery, 2021 -- Experiences of LGBTQ+ Residents in US General Surgery Training Programs
- JAMA Network Open — Self-Reported Patient-Perpetrated Sexual Harassment Among the US Urological Workforce
- Journal of General Internal Medicine — Resident Physicians’ Work-Related Emotional Experiences: A Scoping Review of Qualitative Research
- conexiant — Burned Out, But Not Checking Out
- Common Program Requirements
- ACEP Professional Wellness Section
- National Academies Press - Action Collaborative on Clinician Well-Being and Resilience
- All Info - S.266 - 119th Congress (2025-2026): Dr. Lorna Breen Health Care Provider Protection Reauthorization Act | Congress.gov | Library of Congress
- Professional Coaching to Reduce Physician Burnout: A Randomized Clinical Trial - PubMed
- Effectiveness of a mindfulness- and compassion-based online intervention for physician burnout: A randomized controlled trial with mediation and clinical outcome analyses - ScienceDirect
- Comparative Efficacy of Interventions for Burnout in Physician Residents: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials | JMA Journal
- Burnout Among Sexual Minority Emergency Medicine Residents—Confirming What We Know in a Hostile Climate | Equity, Diversity, and Inclusion | JAMA Network Open | JAMA Network
- Experiences of LGBTQ+ Residents in US General Surgery Training Programs | Medical Education and Training | JAMA Surgery | JAMA Network
- Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status | Equity, Diversity, and Inclusion | JAMA Network Open | JAMA Network
- Perceptions of Diversity, Equity, and Inclusion of LGB+ Faculty at U.S. Medical Schools | AAMC
- Sex and Gender Minority | SAEM
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