Original Investigation

Food Insecurity, Burnout, and Social Isolation Among Resident and Fellow Physicians

JAMA Network Open 10.1001/jamanetworkopen.2025.50044

December 17, 2025 at 11:00 AM EST

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What are the prevalence of and factors associated with food insecurity (FI) among graduate medical education trainees, and what is the association between FI and well-being outcomes such as burnout and social isolation?In this cross-sectional study of 1656 resident and fellow physicians at 4 geographically distinct training sites within 2 large academic medical institutions in the US, the prevalence of FI was 14%, with significant differences by race and ethnicity, year of training, and site. Those with FI were more likely to experience burnout.These findings suggest that addressing FI in graduate medical education trainees is an important means of supporting their well-being.

Corresponding Author: Larissa R. Thomas, MD, MPH, Zuckerberg San Francisco General Hospital Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, 1001 Potrero Ave, W13, San Francisco, CA 94110 (larissa.thomas@ucsf.edu).

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