Accepted for Publication: September 7, 2011.
Author Contributions: Dr Oreskovich had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis. Study concept and design: Oreskovich, Kaups, Balch, Hanks, Sloan, Meredith, Dyrbye, and Shanafelt. Acquisition of data: Oreskovich and Shanafelt. Analysis and interpretation of the data: Oreskovich, Kaups, Balch, Satele, Sloan, Buhl, and Shanafelt. Drafting of the manuscript: Oreskovich, Kaups, Hanks, Satele, Sloan, and Buhl. Critical revision of the manuscript for important intellectual content: Oreskovich, Kaups, Balch, Hanks, Satele, Sloan, Meredith, Dyrbye, and Shanafelt. S tatistical analysis: Satele and Sloan. Obtained funding: Oreskovich, Hanks, and Shanafelt. Administrative, technical, and material support: Oreskovich, Kaups, Hanks, Buhl, Dyrbye, and Shanafelt. S tudy supervision: Oreskovich and Shanafelt.
Financial Disclosure: Ms Buhl and Dr Meredith were paid as coinvestigators by the Washington Physicians Health Program.
Additional Contributions: The ACS Board of Governors, Committee on Physician Health and Competency, provided the opportunity to perform this study and vigilance to all issues relating to physician health and well-being.