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9 ± 2.4, and 48.7% (58/119) of residents reported burnout with no significant differences in scores by residency year, gender, race, or type of program (all P .05). Residents' WAMI scores were positively associated with specialty satisfaction (r=+0.57, P .001) and negatively associated with burnout (adjusted odds ratio =0.80, 95% confidence interval 0.73-0.89). Pediatric residents' sense of meaning at work was significantly positively associated with specialty satisfaction and negatively associated with burnout. We recomm