The following study aims to assess academic general internal medicine (GIM) worklife and determine remediable predictors of stress and burnout. Physicians, nurse practitioners, and physician assistants in 15 GIM divisions completed a ten-item survey. High stress was present in 67% of respondnets, with 38% burned out. Burnout was associated with high stress, low work control, and low values alignment with leaders. Key themes from the qualitative analysis were short visits, insufficient support staff, a Relative Value Unit mentality, documentation time pressure, and undervaluing education.