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EditorialResearch Letter

Patient E-Message Character Limit Impact on Primary Care Clinician Burnout

Christopher R. Davis, Timothy D. Riley, Benjamin N. Fogel, Kathryn A. Risher, Katherine E. Shedlock, Makayla B. Lagerman, Terrah M. Keck-Kester and Matthew L. Silvis
The Journal of the American Board of Family Medicine January 2026, 39 (1) 158410; DOI: https://doi.org/10.3122/jabfm.2025.250229R1
Christopher R. Davis
1 Department of Community and Family Medicine Pennsylvania State University https://ror.org/04p491231
MD, MPH
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Timothy D. Riley
1 Department of Community and Family Medicine Pennsylvania State University https://ror.org/04p491231
MD
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Benjamin N. Fogel
2 Department of Pediatrics Pennsylvania State University https://ror.org/04p491231
MD, MPH
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Kathryn A. Risher
3 Department of Public Health Sciences Pennsylvania State University https://ror.org/04p491231
PhD, MHS
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Katherine E. Shedlock
2 Department of Pediatrics Pennsylvania State University https://ror.org/04p491231
MD
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Makayla B. Lagerman
1 Department of Community and Family Medicine Pennsylvania State University https://ror.org/04p491231
MD
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Terrah M. Keck-Kester
2 Department of Pediatrics Pennsylvania State University https://ror.org/04p491231
MD
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Matthew L. Silvis
4 Departments of Family and Community Medicine and Orthopedics and Rehabilitation Pennsylvania State University https://ror.org/04p491231
MD
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Article Information

vol. 39 no. 1 158410
DOI 
https://doi.org/10.3122/jabfm.2025.250229R1
PubMed 
42128601

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication June 17, 2025
  • Accepted for publication September 8, 2025
  • Published online May 13, 2026.

Copyright & Usage 
© 2026 Copyright by the American Board of Family Medicine.

Author Information

  1. Christopher R. Davis, MD, MPH1,
  2. Timothy D. Riley, MD1,
  3. Benjamin N. Fogel, MD, MPH2,
  4. Kathryn A. Risher, PhD, MHS3,
  5. Katherine E. Shedlock, MD2,
  6. Makayla B. Lagerman, MD1,
  7. Terrah M. Keck-Kester, MD2 and
  8. Matthew L. Silvis, MD4
  1. 1 Department of Community and Family Medicine Pennsylvania State University https://ror.org/04p491231
  2. 2 Department of Pediatrics Pennsylvania State University https://ror.org/04p491231
  3. 3 Department of Public Health Sciences Pennsylvania State University https://ror.org/04p491231
  4. 4 Departments of Family and Community Medicine and Orthopedics and Rehabilitation Pennsylvania State University https://ror.org/04p491231
View Full Text

Funding

This project received no direct funding from any source. All authors received general institutional support from their employing institution (Penn State Health or Penn State College of Medicine).

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The Journal of the American Board of Family     Medicine: 39 (1)
The Journal of the American Board of Family Medicine
Vol. 39, Issue 1
1 Jul 2026
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Patient E-Message Character Limit Impact on Primary Care Clinician Burnout
Christopher R. Davis, Timothy D. Riley, Benjamin N. Fogel, Kathryn A. Risher, Katherine E. Shedlock, Makayla B. Lagerman, Terrah M. Keck-Kester, Matthew L. Silvis
The Journal of the American Board of Family Medicine Jan 2026, 39 (1) 158410; DOI: 10.3122/jabfm.2025.250229R1

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Patient E-Message Character Limit Impact on Primary Care Clinician Burnout
Christopher R. Davis, Timothy D. Riley, Benjamin N. Fogel, Kathryn A. Risher, Katherine E. Shedlock, Makayla B. Lagerman, Terrah M. Keck-Kester, Matthew L. Silvis
The Journal of the American Board of Family Medicine Jan 2026, 39 (1) 158410; DOI: 10.3122/jabfm.2025.250229R1
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