
- Physician burnout fell to 41.9% in 2025, down from 43.2% in 2024 and 48.2% in 2023 (AMA, 2025 National Physician Comparison Report).
- The six specialties with the lowest reported burnout are infectious diseases (23.3%), ophthalmology (25.8%), pathology (28.3%), nephrology (29.3%), dermatology (31.5%), and psychiatry (31.6%) (AMA, 2025).
- Low-stress specialties share predictable hours, outpatient-focused care, fewer emergencies, and lighter administrative loads.
- Practitioners in small, physician-owned practices often report lower burnout because they have more control over schedules, staffing, and workflows.
- Bureaucratic tasks — not patient care — remain the most commonly cited contributor to physician burnout across specialties (Tebra, 2025).
TL;DR
The least stressful medical specialties share predictable hours, outpatient-focused care, and fewer emergencies, but where and how you practice matters just as much as what you practice when it comes to physician burnout.
Which medical specialties report the lowest burnout rates?
The American Medical Association's 2025 National Physician Comparison Report — based on nearly 19,000 physician responses across 38 states — breaks down physician burnout by specialty. These six rank lowest:
| Specialty | Burnout rate (2025) |
| Infectious diseases | 23.3% |
| Ophthalmology | 25.8% |
| Pathology | 28.3% |
| Nephrology | 29.3% |
| Dermatology | 31.5% |
| Psychiatry | 31.6% |
For comparison, the overall physician burnout rate is 41.9%, and the most stressful medical specialties by burnout rate include emergency medicine (49.8%), urological surgery (49.5%), and hematology/oncology (49.3%).
Fortunately, physician burnout has declined for three consecutive years, falling from 48.2% in 2023 to 43.2% in 2024 to 41.9% in 2025. However, the gap between specialties remains stark, as the lowest-burnout field (infectious diseases at 23.3%) sits more than 26 points below the highest (emergency medicine at 49.8%).
This burnout carries real physical and mental consequences. In Tebra's 2025 Physician Burnout Survey of 219 U.S. providers in independent practice, 54% reported mental fatigue, 50% physical fatigue, and 49% emotional fatigue. Emergency physicians reported the highest emotional fatigue (68%), while primary care providers reported mental fatigue at 71%, driven largely by documentation and charting demands.
Why do some specialties have lower burnout?
The common thread across low-burnout specialties is control over time. These factors all play a role, and highlight why non-specialty variables like the size of your organization can matter, too.
Predictable schedules
Specialties like dermatology, ophthalmology, and pathology are overwhelmingly outpatient. Visits are structured, appointment lengths are consistent, and the work rarely spills outside planned hours.
Physicians in these fields can usually predict what their day looks like before it starts.
Fewer emergencies
Emergency medicine is among the most stressful medical specialties, with burnout at (49.8%) for a reason. Specialties with fewer acute or crisis-driven encounters create less cognitive overload and less emotional exhaustion.
Pathology and infectious diseases, in particular, involve more planned, consultative work than frontline emergency care.
Lighter administrative burden
Bureaucratic tasks are a leading driver of burnout across specialties.
Fields with less complex documentation requirements (or those with more procedural, template-friendly workflows) tend to feel lighter.
A dermatologist doing skin checks and lesion removals can document most visits with structured templates, for example, as the exam findings and procedures are repetitive and well-defined.
Meanwhile, a primary care physician managing a patient with diabetes, hypertension, and depression has to document three separate assessments, reconcile medications, and coordinate referrals in a single visit.
More autonomy over practice structure
Several low-burnout specialties have higher rates of private practice ownership. More than 70% of ophthalmologists, for example, still practice independently, which gives them more control over their patient volume and staffing.
Does practice setting affect stress as much as specialty?
Often, yes, where you practice can shape stress as much as the specialty label. Physicians in small, physician-owned practices often report lower burnout, largely because they have more autonomy over their schedules, staffing, and workflows. Tebra's physician burnout by specialty analysis explores how practice setting shapes stress.
AMA's 2025 data groups physicians by Centers for Medicare & Medicaid Services (CMS) category, and the pattern showed that outpatient-heavy groups like medical specialties (37.9% burnout) and psychiatry (30.5%) report significantly less burnout than hospital-based physicians (42.9%). That was the case even though some of those hospital-based specialties — like anesthesiology (39.2%) — have moderate individual burnout rates on their own.
How private practices help reduce physician burnout
Private practice won't eliminate burnout, but it does offer structural advantages that larger organizations often struggle to match. Here’s what private practice can offer.
Autonomy
Autonomy is a key reason why most independent physicians stay independent, and it can help reduce burnout.
The 2026 Survey of America's Physicians (Physicians Foundation/Medscape) found that 49% of independent physicians have control over how many patients they see, compared to just 23% of employed physicians.
Independent physicians also reported more control over time spent with patients (51% vs. 31%) and less debilitating stress overall (51% vs. 62%).
Deeper doctor-patient relationships
Private practices typically carry smaller patient panels, and providers have more time per visit.
This changes the nature of the work. Instead of rushing through appointments to meet volume targets, providers can spend time on counseling, shared decision-making, and follow-up. These are the kinds of interactions that drew many physicians to medicine in the first place, and can be fulfilling to practitioners.
Fewer work hours
Hospital-employed physicians often face productivity benchmarks tied to wRVU (work relative value unit) targets, mandatory on-call schedules, and administrative meetings that extend the workday.
Private practice owners have more flexibility to set hours that reflect their capacity, and to structure days around when they do their best work.
The Physicians Foundation survey found that organizational policies and productivity pressure were a top distress driver for 34% of employed physicians, compared to just 13% of independent ones. Independent physicians also reported more control over when and how they take time away (55% vs. 40%). When you're not tied to wRVU targets and mandatory meeting schedules, it's easier to build a workweek that's actually sustainable.
Innovation and adaptability
Small practices can adopt new tools, adjust workflows, and implement changes faster than large health systems. When something isn't working — whether that’s a scheduling approach, documentation template, or an intake process — a private practice can fix it in a matter of days or weeks. A large organization may take months to do the same.
This extends to technology adoption. Practices that want to reduce administrative burden with AI documentation tools, smarter electronic health record (EHR) workflows, or automated patient communication can evaluate and implement solutions on their own timeline.
And since independent practitioners are able to quickly understand the challenges impacting their practice it can help leaders prioritize which changes to make first.
Strong internal relationships
Smaller teams can create tighter working relationships. When each team member knows each other, communication is more direct, feedback loops are shorter, and interpersonal friction is easier to resolve. The research on "adaptive reserve" — a team's ability to absorb and respond to change — consistently shows higher scores in small, cohesive practice settings.
A 2018 study in the Journal of the American Board of Family Medicine found that the variable associated with lower burnout was "adaptive reserve," which is a measure of how well a team absorbs and responds to change. Unsurprisingly, small, cohesive teams scored higher.
How can physicians reduce stress in any specialty?
Fortunately, you don't have to switch specialties to reduce burnout, and there are ways to reduce physician stress regardless of which specialty you work in.
Protect predictable hours
Burnout correlates with unpredictability more than with total hours worked. Blocking specific times for documentation, building buffer slots between appointments, and setting firm start and end times can all help create a rhythm that's sustainable long-term.
Delegate or automate admin tasks
If a task doesn't require clinical judgment, it probably shouldn't be on a provider's plate. Automating appointment reminders, patient intake forms, and eligibility verification frees up time. That way, providers can spend their time on critical tasks like reviewing refill requests, adjusting treatment plans, and counseling patients.
Take real time off
A 2024 JAMA Network Open study of over 3,000 U.S. physicians found that 70% still do patient work on vacation days. The study also found that spending 30+ minutes doing so nearly doubled burnout risk.
It’s hard for physicians to take time off, but it’s critical that you do. Skip inbox checking, and don’t let patient work follow you home so you have time to decompress.
Reduce after-hours documentation
Documentation is tied as the leading driver of physician burnout, and after-hours charting is where it hits hardest.
Even small changes in your processes can save you significant time. Examples include:
- Batching patient messages
- Using templates during the visit instead of after
- Setting a firm end-of-day cutoff
AI-assisted documentation tools can be particularly valuable here. Tebra's AI Note Assist drafts clinical notes during the visit, for example, which can reduce clinical note-taking time by up to 50%,. This means providers can close charts before the day ends, easing cognitive load significantly.
Ready to see how a modern EHR platform can reduce burnout in your practice? Take a self-guided product tour to explore how Tebra works for private practices.
Frequently asked questions
- Infectious diseases (23.3%)
- Ophthalmology (25.8%)
- Pathology (28.3%)
- Nephrology (29.3%)
- Dermatology (31.5%)
- Psychiatry (31.6%)
- Current Version – Oct 29, 2026Written by: Ana GotterChanges: Updated to include the most recent information.





