An anonymous, online survey was completed by 1,515 trainees in all postgraduate years of training and specialties in ACGME-accredited programs. The survey sought to explore trainees’ perceptions of their clinical documentation requirements, and the relationship between time spent on clinical documentation versus time available for patient care. Most participants reported that documentations obligations are excessive and compromise time spent with patients, and that the amount of clinical documentation has had a negative effect on patient care. They also reported that time spent on these tasks decreased their time available for teaching others and reduced the quality of their education.