TABLE 1.

Pediatrician Reasons for Being “Too Busy” to Participate, Despite Initial Interest in Adolescent Health in Pediatric Practice Study

Reason for Nonparticipation	Operational Definition	Examples
Daily practice concerns	Various day-to-day tasks and temporary staffing issues that affect workload and/or patient flow	Shortage of physician/staff time; staff on vacation/medical leave; heavy patient load; busy influenza and respiratory syncytial virus season
Perceived burden of administrative tasks	Physician perception of the burden placed on clinicians/office staff by ongoing tasks required by the practice or larger medical institution	Perceived burden of institutional requirements; mandatory charting or paperwork; requirements for the number of patients seen per day
Implementation of EHR system	Initial implementation of an EHR system or system upgrades to an existing EHR	New EHR system, upgrades to EHR system, staff/physicians are busy with EHR charting requirements
Required participation in MOC Part 4 activities	Pediatrician stated that they needed MOC or MOC Part 4 credit hours, and would only consider extra projects that met those requirements	Physicians stating they cannot/will not take on projects that do not qualify for MOC Part 4