Pajama time and burnout: the burden of after-hours electronic health record use on family medicine residents

Nearly one-third of upper-year US FM residents report spending 3 hours or more per day working after hours on ambulatory EHRs. This high pajama time is associated with lower medical knowledge, lower professional satisfaction, and higher burnout. Residency programs should implement strategies at the system and learner levels to reduce after-hours EHR use to prevent long-term negative effects on physician well-being and professional practices.