Half of young physicians practicing family medicine feel burned out, according to the results of Medscape’s 2015 Family Physician Lifestyle Report.

The report, which provides updates from a previous study on lifestyle and job satisfaction among doctors, found that 50% of family doctors feel burnout, up from 43% in 2013. “Burnout is defined as loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment,” the authors explained.

The survey also found that the highest burnout rates were among physicians in the critical care space (53%) and emergency medicine (52%).

Past studies have shown that feelings of burnout among physicians can have a negative affect on the care their patients receive.

“This report provides more evidence of the importance of these factors, with bureaucratic tasks and spending too many hours at work rated as the most frequent causes of burnout,” the authors noted.