This study, published in JAMA, sought to measure well-being in a national sample of internal medicine residents and to evaluate relationships with demographics, educational debt, and medical knowledge. Researchers studied internal medicine residents using data collected on 2008 and 2009 Internal Medicine In-Training Examination (IM-ITE) scores and the 2008 IM-ITE survey. The study found that sub-optimal quality of life and symptoms of burnout were common among internal medicine residents. Symptoms of burnout were associated with higher debt and were less frequent among international medical graduates. Low quality of life, emotional exhaustion, and educational debt were associated with lower IM-ITE scores.