A 2017 AMA Medscape Lifestyle Report asked physicians from 27 medical specialties to grade the severity of their burnout on a scale of 1 to 7—one being that it does not interfere, and seven indicating thoughts of leaving medicine. All but one specialty chose a level four or higher. Emergency medicine was most affected—with nearly 60 percent saying they feel burned out (up from half in 2013). More than 14,000 physicians surveyed named the following four concerns as the top causes of burnout: too many bureaucratic tasks, spending too many hours at work, feeling like just a cog in a wheel, increased computerization of practice.