# Sex Differences in Medical Specialist Physicians’ Electronic Health Record In-Basket Workloads and the Implications for Compensation and Equity: Retrospective Cross-Sectional Study

**Authors:** Ashwini Nadkarni, Laura Glick, Molly Becker, Michael Healey, David Stein, Mahyar Heydarpour, Lisa S Rotenstein

PMC · DOI: 10.2196/79172 · 2026-02-18

## TL;DR

Female physicians handle more administrative tasks per unit of clinical work compared to male physicians, which may affect compensation and equity.

## Contribution

This study reveals sex differences in the administrative workload of physicians relative to clinical productivity.

## Key findings

- Female physicians have a higher in-basket workload per relative value unit compared to male physicians.
- The findings suggest potential inequities in workload distribution and compensation between sexes in medical specialties.

## Abstract

In this retrospective cross-sectional study, we assessed sex differences in in-basket messages generated by outpatient workflows among internal medicine specialists as compared to relative value units; we found that female physicians had a greater burden of in-basket work for each unit of paid clinical care.

## Full-text entities

- **Diseases:** burnout (MESH:D002055), infectious disease (MESH:D003141)
- **Chemicals:** RVU (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12961384